Expert Homework Help Online & Write My Essay Service

Hire best homework helpers for online homework help 24/7. Are you looking for online homework help? Try our excellent homework help who can help you get A+ grade in your assignment.

Order my paper
Calculate your essay price
(550 words)

Approximate price: $22

19 k happy customers
9.5 out of 10 satisfaction rate
527 writers active

NURS 6630 Week 9: Therapy for Patients With ADHD/ODD

NURS 6630 Week 9: Therapy for Patients With ADHD/ODD NURS 6630 Week 9: Therapy for Patients With ADHD/ODDDiego, a 9-year-old third grader, had always been an energetic child with a short attention span. For years, his mother attributed his behaviors to him being “all boy” and assumed it would improve as he grew older. Instead, daily tasks like chores and homework became increasingly overwhelming for Diego, resulting in disruptive behaviors at home and school. After being evaluated by his healthcare provider, Diego was diagnosed with and treated for attention deficit hyperactivity disorder (ADHD).NURS 6630 Week 9: Therapy for Patients With ADHD/ODDADHD is a prevalent disorder for patients across the lifespan, as more than 6 million children (CDC, n.d.) have been diagnosed with the disorder. Further, consider that about 60% of children with ADHD in the United States become adults with ADHD (ADAA, n.d.). Like Diego, individuals of all ages find that symptoms of ADHD can make life challenging. However, when properly diagnosed and treated, patients often respond well to therapies and have positive health outcomes.This week, as you study ADHD therapies, you examine the assessment and treatment of patients with ADHD. You also explore ethical and legal implications of these therapies. NURS 6630 Week 9: Therapy for Patients With ADHD/ODDORDER A PLAGIARISM-FREE PAPER HEREReferences:Centers for Disease Control and Prevention. (n.d.). Data and statistics about ADHD. https://www.cdc.gov/ncbddd/adhd/data.htmlAnxiety and Depression Association of America. (n.d.). Adult ADHD (Attention Deficit Hyperactive Disorder). https://adaa.org/understanding-anxiety/related-illnesses/other-related-conditions/adult-adhdLearning ObjectivesStudents will:Assess patient factors and history to develop personalized therapy plans for patients with ADHDAnalyze factors that influence pharmacokinetic and pharmacodynamic processes in patients requiring therapy for ADHDSynthesize knowledge of providing care to patients presenting for ADHDAnalyze ethical and legal implications related to prescribing therapy for patients with ADHDIdentify concepts related to psychopharmacologic treatments and therapy for patients across the lifespanLearning ResourcesNURS 6630 Week 9: Therapy for Patients With ADHD/ODDRequired Readings (click to expand/reduce)Prince, J. B., Wilens, T. E., Spencer, T. J., & Biederman, J. (2016). Stimulants and other medications for ADHD. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 99–112). Elsevier.American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596Hodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–268. https://doi.org/10.2165/11599630-000000000-00000Martin, L. (2020). A 5-question quiz on ADHD. Psychiatric Times.https://www.psychiatrictimes.com/view/5-question-quiz-adhdMedication Resources (click to expand/reduce)Required Media (click to expand/reduce)NURS 6630 Week 9: Therapy for Patients With ADHD/ODDAssignment: Assessing and Treating Patients With ADHDNot only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDTo prepare for this Assignment:Review this week’s Learning Resources, including the Medication Resources indicated for this week.Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD.The Assignment: 5 pagesExamine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDIntroduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.Decision #1 (1 page)Which decision did you select?Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDDecision #2 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDDecision #3 (1 page)Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDConclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.Reminder : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDBy Day 7Submit your Assignment. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NURS_6630_Week9_Assignment_RubricGrid ViewList ViewNURS 6630 Week 9: Therapy for Patients With ADHD/ODDExcellentPoint range: 90–100GoodPoint range: 80–89FairPoint range: 70–79PoorPoint range: 0–69Introduction to the case (1 page)Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.Points Range: 9 (9%) – 10 (10%)The response accurately, clearly, and fully summarizes in detail the case for the Assignment.The response accurately and clearly explains in detail the specific patient factors that impact decision making when prescribing medication for this patient.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 8 (8%) – 8 (8%)The response accurately summarizes the case for the Assignment.The response accurately explains the specific patient factors that impact decision making with prescribing medication for this patient.Points Range: 7 (7%) – 7 (7%)The response inaccurately or vaguely summarizes the case for the Assignment.The response inaccurately or vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.Points Range: 0 (0%) – 6 (6%)The response inaccurately and vaguely summarizes the case for the Assignment, or is missing.The response inaccurately and vaguely explains the specific patient factors that impact decision making with prescribing medication for this patient.Decision #1 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Points Range: 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.Points Range: 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.Points Range: 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.Points Range: 0 (0%) – 13 (13%)The response inaccurately and vaguely explains the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Decision #2 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.Points Range: 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDExamples provided fully support the decisions and responses provided.Points Range: 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.Points Range: 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.Points Range: 0 (0%) – 13 (13%)The response inaccurately and vaguely explains in detail the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.Decision #3 (1–2 pages)• Which decision did you select?• Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.• What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).• Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 18 (18%) – 20 (20%)The response accurately and clearly explains in detail the decision selected.The response accurately and clearly explains in detail why the decision was selected, with specific clinically relevant resources that fully support the decision selected.The response accurately and clearly explains in detail why the other two responses were not selected, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that fully support the response.The response accurately and clearly explains in detail how ethical considerations impact the treatment plan and communication with patients.Examples provided fully support the decisions and responses provided.Points Range: 16 (16%) – 17 (17%)The response accurately explains the decision selected.The response explains why the decision was selected, with specific clinically relevant resources that support the decision selected.The response accurately explains why the other two responses were not selected, with specific clinically relevant resources that support the response.The response accurately explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that support the response.The response accurately explains how ethical considerations impact the treatment plan and communication with patients.Examples provided support the decisions and responses provided.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDNURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 14 (14%) – 15 (15%)The response inaccurately or vaguely explains the decision selected.The response inaccurately or vaguely explains why the decision was selected, with specific clinically relevant resources that inaccurately or vaguely support the decision selected.The response inaccurately or vaguely explains why the other two responses were not selected, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that inaccurately or vaguely support the response.The response inaccurately or vaguely explains how ethical considerations impact the treatment plan and communication with patients.Examples provided may support the decisions and responses provided.Points Range: 0 (0%) – 13 (13%)The response inaccurately and vaguely explains in detail the decision selected.The response inaccurately and vaguely explains why the decision was selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains why the other two responses were not selected, with specific clinically relevant resources that do not support the decision selected, or is missing.The response inaccurately and vaguely explains the outcome the student was hoping to achieve with the selected decision, with specific clinically relevant resources that do not support the response, or is missing.The response inaccurately and vaguely explains how ethical considerations impact the treatment plan and communication with patients, or is missing.Examples provided do not support the decisions and responses provided, or is missing.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDConclusion (1 page)• Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.Points Range: 14 (14%) – 15 (15%)The response accurately and clearly summarizes in detail the recommendations on the treatment options selected for this patient.The response accurately and clearly explains a justification for the recommendations provided, including clinically relevant resources that fully support the recommendations provided.Points Range: 12 (12%) – 13 (13%)The response accurately summarizes the recommendations on the treatment options selected for this patient.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response accurately explains a justification for the recommendation provided, including clinically relevant resources that support the recommendations provided.Points Range: 11 (11%) – 11 (11%)The response inaccurately or vaguely summarizes the recommendations on the treatment options selected for this patient.The response inaccurately or vaguely explains a justification for the recommendations provided, including clinically relevant resources that inaccurately or vaguely support the recommendations provided.Points Range: 0 (0%) – 10 (10%)The response inaccurately and vaguely summarizes the recommendations on the treatment options selected for this patient, or is missing.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDThe response inaccurately and vaguely explains a justification for the recommendations provided, including clinically relevant resources that do not support the recommendations provided, or is missing.Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDA clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.Points Range: 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDPurpose, introduction, and conclusion of the assignment is vague or off topic.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.No purpose statement, introduction, or conclusion were provided.Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuationNURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Points Range: 4 (4%) – 4 (4%)Contains a few (1 or 2) grammar, spelling, and punctuation errors.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDPoints Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) grammar, spelling, and punctuation errors.Points Range: 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.Points Range: 5 (5%) – 5 (5%)NURS 6630 Week 9: Therapy for Patients With ADHD/ODDUses correct APA format with no errors.Points Range: 4 (4%) – 4 (4%)Contains a few (1 or 2) APA format errors.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) APA format errors.Points Range: 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors. Total Points: 100Name: NURS_6630_Week9_Assignment_RubricAssessing and Treating Patients with ADHDWalden UniversityNurs 6630 Psychopharmacologic Approaches to Treatment of PsychopathologyAssessing and Treating Patients with ADHDADHD is one of the most common mental illnesses amongst children. The majority of adults are affected by this condition (Slobodin & Davidovitch, 2019). ADHD is characterized by inattention, hyperactivity, and impulsivity. 8.4 percent of children and 2.5 percent of adults have ADHD. ADHD is usually recognized in school-aged children when it produces disruption or homework problems. It is more common in males than in females (Wüstner, Otto, Schlack, Hölling, Klasen & Ravens-Sieberer, 2019). ADHD is often diagnosed in early childhood, before 6 or 7. It is a disorder that includes inattention, impulsivity, and hyperactivity, which are the core symptoms. It is known to cause various problems, including poor academic performance, behavioral disorders, trouble voicing sentiments or developing relationships, and an inability to think coherently.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDADHD must be diagnosed by an approved medical practitioner, such as a psychologist or psychiatrist with ADHD expertise accredited to evaluate the disorder in children and adults. To be diagnosed, one must exhibit inattention, hyperactivity, and impulsivity for a long duration of time. Treatment options for ADHD include behavioral therapy, psychotherapy, medication, or a combination of the three (Wolraich, Hagan, et al., 2019). The intervention’s purpose is to improve client performances, interactions with family, classmates, instructors, and their general attention span, impulsive behavior, and activity level. This study focuses on treating an 8-year-old Caucasian female with ADHD who is typically inattentive. The ideal treatment options will be determined by three decision trees and comprehensive pharmacodynamics and pharmacokinetics that are most suited to the patient scenario presented. NURS 6630 Week 9: Therapy for Patients With ADHD/ODDDecision point 1My primary treatment decision for this patient is to give her a Ritalin chewable pill of 10 mg orally in the morning hours. The rationale for choosing Ritalin is an FDA-approved first-line therapy for ADHD, having up to 90% of success rate (Patrick et al., 2019). Ritalin acts by reinstating the client’s ability to concentrate and focus by increasing norepinephrine and dopamine activity in the prefrontal cortex to optimal levels. While Intuniv is approved for treating ADHD, it is not considered first-line therapy since it can take some time to start working, unlike Ritalin, which starts working promptly after the first prescription (Venkataraman et al., 2020). When stimulants are inadequately receptive, Intuniv is efficient. Wellbutrin, on the other hand, is used to treat Attention Deficit Hyperactivity Disorder on rare occasions. However, it is not FDA-approved for managing ADHD in children, so I would not recommend it as first-line therapy.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDI expect that this patient will regain her concentration and focus and be able to perform well in school. I expect to see improvements as soon as possible, with a 50% improvement in symptoms in four weeks-time. Upon returning to the clinic, I was stunned to learn that the client’s symptoms were better and that her academic performance had improved altogether. She did, however, claim to be daydreaming in the afternoons. The client also told her mother about abnormal heart rhythm, and an inspection revealed that the patient’s pulse rate was 130 bpm at the time of the visit. It’s critical that we, as practitioners, reassess this patient’s therapeutic approach. NURS 6630 Week 9: Therapy for Patients With ADHD/ODD Decision point 2My second option for this patient is to transition to Ritalin LA 20 mg that would be administered orally in the morning. The client exhibited Ritalin symptoms such as tachycardia, which could have been averted by starting the patient on a lower dose of 5 mg, minimizing effectiveness and possible ramifications (Haverkampf, 2019). Since severe effects are more prevalent with shorter-acting pills, I would consider switching to a LA dosing regimen, so she receives a pulse pill in the morning and possibly four hours later. I would not choose to switch to another prescription because Ritalin appears efficient. I would not switch her to Adderall immediately because the patient responds to the Ritalin. Whenever a client develops adverse effects from a medicine, it is wise to wait and change the existing prescription before shifting to another (Leahy, 2018)NURS 6630 Week 9: Therapy for Patients With ADHD/ODD. If the client fails to respond to Ritalin, it may be necessary to switch to Adderall or another drug or augment with another prescription.My objective for the patient will remain the same as before, except that now I expect to see a decrease in her heart rate and increased focus and concentration all through the day, not only in the mornings. When the client returns to the clinic over four weeks, she confirms continued excellent school performance and better productivity that lasts throughout the day. She also states that her pulse has calmed and that her current pulse rate is 92 bpm. Ritalin’s overall efficacy seems to be working reasonably well for this client, with continuing success over the preceding four weeks.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDDecision point 3My third and final decision for this client would be to continue the current dose of Ritalin LA and to reevaluate in four weeks. The drug seems to be working as expected, as her attention is sustained throughout the school day, her heart rate is back to normal, and there is no complaint of any additional side effects. I would not increase her dose to 30 mg, as it is advised to use the lowest quantity of stimulant medication needed to correct a disorder, and since her illness seems better at this time, there is no need to increase the dose. Her current heart rate is 92, which is within the normal range for her age; therefore, there is no need for an EKG at this point either.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDEthical ConsiderationsWhen addressing children with ADHD, several ethical concerns must be made. One ethical principle is autonomy. Since they are often unable to consent for themselves, caregivers may be obligated to consider their opinion when making decisions for their children (Hirvonen, 2019). However, integrating the child in the decision-making process is critical in building trust and camaraderie with the child and the parents. Another ethical issue to consider is that their thoughts have not fully developed when they are diagnosed with ADHD. However, due to recent advances in the basil ganglia, sufferers might eventually catch up to their developmental deficits. Therefore, it’s crucial to choose a prescription for a stimulant that won’t have any adverse side effects throughout this development phase.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDConclusionADHD is a prevalent neurodevelopmental disorder that affects around 6 out of every 100 children and adolescents and approximately 3 out of every 100 adults (Mowlem, Rosenqvist, et al., 2019). The primary symptoms of the illness include inattention, impulsivity, and hyperactivity. It is also connected to social interaction problems and some comorbid disorders. The causes of ADHD are extensive. Even though the condition is highly heritable, genetic studies have yet to find a specific genetic etiology. Numerous genes, according to the study, are likely to be involved. Additional environmental risk factors, such as certain prenatal events, have been related to a higher risk of ADHD (Zametkin, Erns & Cohen, 2021)NURS 6630 Week 9: Therapy for Patients With ADHD/ODD. This case illustrated how to handle a client with ADHD and the consequences of stimulant prescription therapy. The clinician must pay great attention to the caretakers and, in this case, the school instructors to give excellent care. The ability to perform excellently in the classroom as a child is critical to ensuring their success academically and ability to function in society as adults.ReferencesHaverkampf, C. J. (2019). METHYLPHENIDATE (RITALIN®) IN THE TREATMENT OF ADHD. https://jonathanhaverkampf.com/wp-content/uploads/2020/07/Methylphenidate-Ritalin-in-the-Treatment-of-ADHD-1-Christian-Jonathan-Haverkampf-psychiatry-series.pdfHirvonen, H. (2019). An ethical analysis of ADHD patient experiences on diagnostics and pharmacological treatment: a scoping review.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDLeahy, L. G. (2018). Diagnosis and treatment of ADHD in children vs. adults: What nurses should know. Archives of psychiatric nursing, 32(6), 890-895.Mowlem, F. D., Rosenqvist, M. A., Martin, J., Lichtenstein, P., Asherson, P., & Larsson, H. (2019). Sex differences in predicting ADHD clinical diagnosis and pharmacological treatment. European child & adolescent psychiatry, 28(4), 481-489.Patrick, K. S., Radke, J. L., Raymond, J. R., Koller, L., Nguyen, L. V., Rodriguez, W., & Straughn, A. B. (2019). Drug Regimen Individualization for Attention‐Deficit/Hyperactivity Disorder: Guidance for Methylphenidate and Dexmethylphenidate Formulations. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 39(6), 677-688.NURS 6630 Week 9: Therapy for Patients With ADHD/ODDSlobodin, O., & Davidovitch, M. (2019). Gender differences in objective and subjective measures of ADHD among clinic-referred children. Frontiers in human neuroscience, 13, 441.Venkataraman, S. S., Claussen, C. M., Kharas, N., & Dafny, N. (2020). The prefrontal cortex and the caudate nucleus respond to methylphenidate (Ritalin) conjointly. Concomitant behavioral and neuronal recording study. Brain research bulletin, 157, 77-89.Wüstner, A., Otto, C., Schlack, R., Hölling, H., Klasen, F., & Ravens-Sieberer, U. (2019). Risk and protective factors for developing ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study. PloS one, 14(3), e0214412.Wolraich, M. L., Chan, E., Froehlich, T., Lynch, R. L., Bax, A., Redwine, S. T., … & Hagan, J. F. (2019). ADHD diagnosis and treatment guidelines: a historical perspective. Pediatrics, 144(4).Zametkin, A., Ernst, M., & Cohen, R. (2021). Single-gene studies of ADHD. In Attention, Genes, and ADHD (pp. 157-172). Psychology Press. NURS 6630 Week 9: Therapy for Patients With ADHD/ODD

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
error: