Using APA 7th edition format, write a 7–8-page formal paper (include a title page and reference list–not included in page total), Please answer the questions following the case study. See the grading rubric prior to beginning the assignment.
Case Study
N.A. is a Hispanic male, age 7, who presents to the outpatient clinic for evaluation with his parents, for complaints of impulsivity, inattention, irritability with increased psychomotor activity. At school, his teacher reports that he has difficulty with sitting during the lesson, he makes inappropriate outbursts during class, requiring frequent redirection and reminders to stay on task and does not properly complete his class and homework assignments. At home, while with his family, during game night, N.A. often becomes frustrated when he is losing and has trouble waiting for his turn to play the game. He also has difficulties at home with following routines and remembering instructions to complete his chores. N.A.’s mother recalled that his disruptive behavior started when he was in preschool at age 4. Today, upon assessment, N.A is noticed to have poor eye contact and often disrupts the provider. You also review the reports from pediatric psychologists, teachers, and parents showing strong evidence of an ADHD diagnosis. They present to your clinic to initiate ADHD medication therapy.
Diagnosis: Attention-Deficit Hyperactive Disorder (ADHD)
1. Discuss the current guidelines and goals for initiating stimulant medication therapy for ADHD in children. Consider alternative/complementary therapies.
2. Discuss the first line therapy for N.A. NP students only: Include a written prescription, using the template provided, as an appendix in your paper.
3. Explain the mechanism of action and contraindications related to stimulant medication in children.
4. Discuss the monitoring parameters you would implement for N.A.’s parents, school nurses, and teachers with the prescribed medication therapy.
5. Discuss specific patient education (including nutrition, psychotherapy, and lifestyle changes) for the management of ADHD in children.
6. Discuss the most common side effects of stimulant medications in children, and your first course of action to manage them.
7. Discuss the laws in your state surrounding prescriptive authority related to stimulant medications, including telemedicine guidelines.
8. How does treatment for ADHD differ in adults versus children?
Final Project Rubric
Competency
18
16
14
0
Points Earned
Goals for pharmacology treatment of ADHD
First line therapy
Monitoring parameters
Shows synthesis of patient data utilizing current evidence from the literature to plan specific goals, determine first line therapy, and provide monitoring parameters to implement for parents and teachers
Shows understanding of patient data utilizing current evidence from the literature to plan specific goals, determine first line therapy, and provide monitoring parameters to implement for parents and
teachers
Lists goals, first line therapy, and monitoring parameters without connecting to the case study patient and use of current evidence
Discussion of goals, first line therapy, and/or monitoring parameters is missing from paper completely
/18
Patient education
Side effects of stimulant medication
First course of action for patients experiencing side effects
Well-defined evidence of:
Patient education
Common side effects
First course of action for patient experiencing side effects
Brief discussion lacking depth of patient education, common side effects, and first course of action for a patient experiencing side effects
Brief discussion of 2 of 3 rubric components & lack of depth
Brief discussion of only 1 of 3 rubric components without depth
/18
Laws surrounding to prescriptive authority and related
Synthesizes
knowledge of prescriptive
Discusses
knowledge of prescriptive
Lists laws for
prescriptive authority
No discussion
of laws/regulations
/18
to stimulant medications in own state and via telemedicine
authority related to stimulant medications in own state and laws/regulations regarding prescribing stimulant medications via telemedicine
authority related to stimulant medications in own state and laws/regulations regarding prescribing stimulant medications via telemedicine
related to stimulant medications in own state and laws/regulations regarding prescribing stimulant medications via telemedicine
regarding stimulant medications & prescribing via telemedicine in one’s own state
Alternative/complementary therapeutic measures for ADHD
Differences in treatment between adults & children
Analyzes alternative/complementary therapeutic measures for ADHD & differences in treatment between adults & children
Discusses alternative/complementary therapeutic measures for ADHD & differences in treatment between adults & children
Lists alternative therapeutic/complementary measures for ADHD & differences in treatment between adults & children
No discussion of alternative/complementary therapeutic measure for ADHD or differences in treatment between adults and children
/18
Evidence-based guidelines on stimulant medications
Mechanism of action related to stimulant medication
Analyzes 2 evidence-based guidelines on stimulant medications with a thorough discussion on mechanism of action related to stimulant
medication
Describes 2 evidence-based guidelines on stimulant medications with a brief discussion on mechanism of action related to stimulant
medication
Analyzes 1 evidence-based guidelines on stimulant medications with a brief discussion on mechanism of action related to stimulant
medication
Did not include an evidence- based guideline on stimulant medications or discussion of mechanism of action related to stimulant medication
/18
Competency
10
8
7
0
APA, Grammar, spelling, and punctuation
No errors in APA, grammar, spelling, and/or punctuation
1-3 errors in APA, grammar, spelling, and/or punctuation
4-6 errors in APA, grammar, spelling, and/or punctuation
7 or more errors in APA, grammar, spelling, and/or punctuation
/10
Total
/100
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