Assessing and Treating Patients With ADHD

 

 

Not 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.
To 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 pages
Examine 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.
Introduction 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.
Decision #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).

 

Sample Solution

In this exposition I will examine the associations between authority, inspiration and cooperation speculations, how they interface with training in associations and their impediments, offering arrangements where difficulties emerge. The exposition expects to make determinations on the appropriateness of Fiedler’s Contingency Theory of Leadership, Tuckman’s Model of Group Development, Belbin’s Team Theory, and Herzberg’s Two Factor Theory practically speaking, and how intricacies like power and impact shape how they can be applied to best suit what is happening a pioneer faces.

Initiative Contingency based hypotheses of authority recommend that there is no right or most ideal way to lead a gathering, or association, because of the critical number of limitations on a circumstance (Flinsch-Rodriguez, 2019). Fiedler, in his Contingency Theory of Leadership (Fiedler, 1967), proposes that the viability of a gathering is reliant upon the authority styles of the pioneer and their favourability to everything going on. A large part of the hypothesis is laid out around the most un-favored associate scale (LPC). The LPC plans to measure a potential chiefs way to deal with an errand on a size of relationship propelled to task persuaded, where the pioneer fits on the scale permits what is going on to be reasoned, and consequently permits the ID of appropriate pioneers for assignments. The favourableness of the present circumstance relies upon three qualities: pioneer part relations, the help and trust the pioneer as from the gathering; task structure, the clearness of the assignment to the pioneer; and positional power, the power the pioneer needs to evaluate a gatherings execution and give prizes and disciplines (Fiedler, 1967). In the event that the pioneers approach matches what is expected from going on, achievement is anticipated for the gathering. Fiedler’s possibility model offers an extremely severe categorisation of initiative, obviously characterizing which circumstances endlessly won’t bring about progress for an expected pioneer. At the senior administration level of a hierarchal construction inside an association the hypothesis can be applied unreservedly, right off the bat because of the simplicity at which people can be supplanted in the event that their LPC score doesn’t match that expected of everything going on (Pettinger, 2007). Besides, and in particular, is to guarantee that the senior administration are ideally suited to effectively lead the association. Be that as it may, further down the progressive system Fielder’s possibility hypothesis starts to hold substantially less importance, it becomes unreasonable according to a hierarchical point of view because of the quantity of individuals at this degree of administration. The strategies of coordinating the pioneer with their most un-favored associate is difficult to reliably accomplish, so a more continuum based approach is required. Figure 1: Chelladurai’s Multi-Dimensional Model of Leadership (Miller and Cronin, 2012)

There are other possibility hypotheses that give a more continuum based approach like Redding’s hypothesis of administration and the board, but Fielder’s portrayal of how situational factors influence the authority style expected for everything going on is incredibly helpful in grasping the basics of initiative (Pettinger, 2007). Chelladurai in his Multi Dimensional Model of Leadership, develops a lot of Fiedler’s hypothesis yet in a continuum based approach, in which the pioneer can adjust their authority style to fit everything going on (Chelladurai and Madella, 2006). Chelladurai’s hypothesis is taken from sports brain science however can be applied to a hierarchical situation. It gives a considerably more exact categorisation of assignment structure, obviously separating a plenty of circumstances that require specific administration styles for progress. Chealld

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