. Analyze the subjective portion of the note. List additional information that should be included in the documentation.Analyze the objective portion of the note. List additional information that should be included in the documentation.Is the assessment supported by the subjective and objective information? Why or why not. Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:
Vee is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications, one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to think about suicide as a “way out.”
When she is stressed, Vee says that she often “zones out,” even in the middle of conversations or while at work. She states, “I don’t know who Vee really is,” and describes a longstanding pattern of changing her hobbies, style of clothing, and sometimes even her job based on who is in her social group. At times, she thinks that her partner is “the best thing that’s ever happened to me” and will impulsively buy him lavish gifts, send caring text messages, and the like; however, at other times she admits to thinking “I can’t stand him,” and will ignore or lash out at him, including yelling or throwing things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Vee reports that, before she began dating her current partner, she sometimes engaged in sexual activity with multiple people per week, often with partners whom she did not know.
Questions:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
Submission Instructions:
MY NUMBER ASSIGNED WAS 7 WHICH IS: Tension hemo/pneumothorax – when does this occur, s/s, treatment, and complication
Each student will be assigned a number randomly. Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.
Your bullet points should address key components of the topic, such as what, how, who, & why. This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.
Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.
Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style.
PART 2:
Take a few minutes and ask 2 people about their personal coping mechanisms for dealing with the stress of working in healthcare during this unique time of Covid. Stress can be physical, emotional, spiritual, or any combination of triggers. Ask a diverse variety of people, don’t forget those in other departs at different points of hierarchy. For example, ask your unit manager, environmental services, volunteers, patients, fellow nurses, etc. Write 2-3 paragraphs on your findings and impressions while respecting the person’s identity.
Arranging Matrix table
· Week 8 Matrix of Significant Studies
The Matrix is a personal critical appraisal of key studies contributing to the body of evidence related to your clinical topic and proposed project. This matrix represents your synthesis of articles you find most relevant to your proposed evidence-based project. This matrix is not only a class assignment but should be a tool you use throughout your journey towards the completion of your project. As your accumulation of evidence grows, so should your matrix so you are able to locate valuable information easily!
For this assignment, you will appraise 10 articles related to your project, sharing all pertinent data you can in the matrix form. Please view the sample matrix as a visual guide as to what information should be gathered. Remember, this is evidence for change and should be relevant, reflect useful data, and be current.
Note
Clinical Topic ” The Prevalence of Depression among adolescents in the American Society”
In the attachment below, there example matrix table and blank matrix table, the blank one is for the work and the example is for you to see what is expected to be done.
Secondly, you will use 10 articles from the assigned clinical project or are related to the clinical project.
Thirdly, the clinical project is uploaded you may use some of the References.
Advanced Psychopharmacology and Health Promotion
Unit 9 peer response. ADHD Medications. 800W. APA. 4 references due 10-30-23.
Instructions:
Please read and respond to at least two of your peers' initial postings. You may want to consider the following questions in your responses to your peers:
· Compare and contrast your initial posting with those of your peers.
· How are they similar or how are they different?
· What information can you add that would help support the responses of your peers?
· Ask your peers a question for clarification about their post.
· What most interests you about their responses?
Please be sure to validate your opinions and ideas with citations and references in APA format.
Unit 9 – ADHD Medications
1.
What screening tools can be used to affirm your initial diagnosis that Mr. Deliver meets the criteria for ADHD?
One commonly used screening tool is the Adult ADHD Self-Report Scale (ASRS). The ASRS consists of a series of questions that evaluate both inattentive and hyperactive-impulsive symptoms (Anbarasan et al., 2020). Another useful screening tool is the Conners' Adult ADHD Rating Scales (CAARS), which assesses various domains affected by ADHD, such as attention problems, hyperactivity/impulsivity, and executive functioning (Smyth et al., 2019).
2.
Further assessment determines that Mr. Deliver does meet the criteria for ADHD, inattentive type. What is the current recommendation for pharmacological treatment for Mr. Deliver?
Once it is confirmed through further assessment that Mr. Deliver meets the criteria for ADHD, inattentive type, the current recommendation for pharmacological treatment would typically involve stimulant medications such as methylphenidate or amphetamine derivatives. These medications have consistently shown efficacy in improving attention, reducing impulsivity, and enhancing executive functions in adults with ADHD (Farhat et al., 2022). Non-stimulant options like atomoxetine or viloxazine (norepinephrine modulator) may also be considered if there are contraindications or intolerance to stimulants (Mechler et al., 2022). However, considering Mr. Deliver's concerns about stigma and psychotropic medications' risks, it may be worth discussing non-pharmacological interventions as well. Cognitive-behavioral therapy (CBT) has demonstrated efficacy in managing symptoms of adult ADHD. CBT can help Mr. Deliver develop strategies to improve organization skills, time management, and enhance his ability to focus on tasks (Young et al., 2020).
3.
Assume that instead of Mr. Deliver being 36 years old, Thomas is a 13-year-old male that also meets the diagnostic criteria for ADHD, hyperactive type (Thomas is not on any medications at this age). How will your pharmacological treatment change?
In the case of Thomas, a 13-year-old boy diagnosed with ADHD hyperactive type who is not currently taking any medications, the most probable treatment approach would involve the use of stimulant medications. According to the American Academy of Pediatrics (AAP), stimulant medications like methylphenidate are recommended as first-line treatment options for children and adolescents with ADHD, as they have been shown effective in reducing symptoms and improving functioning (Shrestha et al., 2020). However it is important to monitor growth and potential side effects in pediatric patients (Vertessen et al., 2023).
References
Anbarasan, D., Kitchin, M., & Adler, L. A. (2020). Screening for adult adhd.
Current Psychiatry Reports,
22(12).
https://doi.org/10.1007/s11920-020-01194-9Links to an external site.
Farhat, L. C., Flores, J. M., Behling, E., Avila-Quintero, V. J., Lombroso, A., Cortese, S., Polanczyk, G. V., & Bloch, M. H. (2022). The effects of stimulant dose and dosing strategy on treatment outcomes in attention-deficit/hyperactivity disorder in children and adolescents: A meta-analysis.
Molecular Psychiatry,
27(3), 1562–1572.
https://doi.org/10.1038/s41380-021-01391-9Links to an external site.
Mechler, K., Banaschewski, T., Hohmann, S., & Häge, A. (2022). Evidence-based pharmacological treatment options for adhd in children and adolescents.
Pharmacology & Therapeutics,
230, 107940.
https://doi.org/10.1016/j.pharmthera.2021.107940Links to an external site.
Shrestha, M., Lautenschleger, J., & Soares, N. (2020). Non-pharmacologic management of attention-deficit/hyperactivity disorder in children and adolescents: A review.
Translational Pediatrics,
9(S1), S114–S124.
https://doi.org/10.21037/tp.2019.10.01Links to an external site.
Smyth, A. C., & Meier, S. T. (2016). Evaluating the psychometric properties of the conners adult adhd rating scales.
Journal of Attention Disorders,
23(10), 1111–1118.
https://doi.org/10.1177/1087054715624230Links to an external site.
Vertessen, K., Luman, M., Swanson, J. M., Bottelier, M., Stoffelsen, R., Bet, P., Wisse, A., Twisk, J. R., & Oosterlaan, J. (2023). Methylphenidate dose–response in children with adhd: Evidence from a double-blind, randomized placebo-controlled titration trial.
European Child & Adolescent Psychiatry.
https://doi.org/10.1007/s00787-023-02176-xLinks to an external site.
Young, Z., Moghaddam, N., & Tickle, A. (2016). The efficacy of cognitive behavioral therapy for adults with adhd: A systematic review and meta-analysis of randomized controlled trials.
Journal of Attention Disorders,
24(6), 875–888.
https://doi.org/10.1177/1087054716664413Links to an external site.
Unit 9: Initial Discussion ADHD Medications
What screening tools can be used to affirm your initial diagnosis that Mr. Deliver meets the criteria for ADHD?
Attention-Deficit/Hyperactivity Disorder (ADHD) is the most common neuropsychiatric disorder of childhood, with impairing symptoms persisting into adulthood in approximately 70% of cases. Several screening tools are available to help providers identify and diagnose ADHD. The World Health Organization (WHO) Adult ADHD Self-Report Scale Part A is the most commonly used screening tool for ADHD cases in adults. The tool is available in national and international ADHD guidelines. The screening tool contains six questions that cover inattentive and hyperactive-impulsive symptoms. It also includes a threshold of four or more, which is used for probable ADHD. The score is calculated according to the number of questions that meet the criteria: sometimes endorsing/often/very often for questions 1–3 and endorsing usually/very often for questions 4–6. However, this screening, even if the patient is positive, may not have an active diagnosis of ADHD; further evaluation is required to ensure symptoms are related to ADHD diagnosis (Chamberlain et al., 2021).
Further assessment determines that Mr. Deliver does meet the criteria for ADHD, inattentive type. What is the current recommendation for pharmacological treatment for Mr. Deliver?
According to his age and diagnosis, the current recommendation for this patient will be amphetamine 12.5 mg daily. Recommend that the patient start CBT and encourage exercise. A study showed that ADHD drugs are more effective and tolerated by children and adolescents than adults; the reason for this discrepancy is unknown. Amphetamines, methylphenidate, atomoxetine, and modafinil cause weight loss in children, adolescents, and adults. Amphetamines and atomoxetine increased blood pressure in children and adolescents, and methylphenidate increased blood pressure in adults. Methylphenidate showed better symptom control with the most minor side effects for children and adolescents, and amphetamines produced the best results for adults (Gupta, 2018).
Reference:
Chamberlain, S. R., Cortese, S., & Grant, J. E. (2021). Screening for adult ADHD using brief rating tools: What can we conclude from a positive screen? Some caveats.
Comprehensive Psychiatry,
106, 152224. https://doi.org/10.1016/j.comppsych.2021.152224
Gupta, S. (2018). Best First-Line ADHD Medications for Children, Adults: Study Results.
Attitude. https://www.additudemag.com/adhd-drugs-methylphenidate-vs-amphetamine-treatment/
Mayo Clinic. (2023). Amphetamine (Oral Route).
https://www.mayoclinic.org/drugs-supplements/amphetamine-oral-route/proper-use/drg-20150941Links to an external site.
Identify 1 public health issue that you think it is important for nurses to advocate for. Why do you think it is important, what change would you like to see take place, and who would you direct your advocacy efforts to in order to make that change?
Have at least three references
Please see the attachment for instructions
see below
Attaching file, but there is nothing that says dashboard fyi ?
Submitmyhomework.com is a unique service that provides guidance with different types of content. Please rest assured that the service is absolutely legal and doesn’t violate any regulations. It can be used for generating new ideas and thoughts for your own project, additional insight into the subject, or encouragement for further researches.
