Reference no: EM133285940
Question - In a 10-12 page formal paper, please answer the questions following the case study. See the grading rubric prior to beginning the assignment. 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 his turn to play the game. He also has difficulties at home with following routines and remembering instructions to complete his chores. After N.A.'s teacher and parents were given the Vanderbilt ADHD assessment for completion, both his teacher and parents scored the assessment with mostly 2's and 3's (which is "often" and "very often"). They both scored all the Performance section of the assessment as "problematic." NA's mother recalled that his disruptive behavior started when he was in preschool at age 4.
Today, upon evaluation, N.A is noticed to have poor eye contact and often disrupts the provider.
Diagnosis: Attention-Deficit Hyperactive Disorder (ADHD)
1. Discuss specific goals for pharmacology for treating ADHD.
2. Discuss the first line therapy for N.A. NP students: Include a written prescription as an appendix in your paper.
3. Discuss the monitoring parameters you would implement for N.A.'s parents and his teachers
4. Discuss specific patient education that you would provide to N.A.'s parents based on the prescribed therapy.
5. Discuss the most common side effects of stimulant medications?
6. If the patient was experiencing side effects related to the medication what would be your first course of action?
7. Discuss the laws in your state surrounding prescriptive authority related to stimulant medications.
8. Discuss the laws and regulations in your state regarding prescribing stimulant medications via telemedicine.
9. What are some alternative therapeutic measures used to treat ADHD?
10. How does treatment for ADHD differ in adults versus children?
11. Discuss the most current evidenced based guidelines on stimulant medications.
12. Explain the mechanism of action related to stimulant medication.