NURS6630 week 9 discussion latest 2018 june

Week 9
discussion

Discussion: Presentations of ADHD

Although ADHD is often associated with children, this
disorder is diagnosed in clients across the lifespan. While many individuals
are properly diagnosed and treated during childhood, some individuals who have
ADHD only present with subsyndromal evidence of the disorder. These individuals
are often undiagnosed until they reach adulthood and struggle to cope with
competing demands of running a household, caring for children, and maintaining
employment. For this Discussion, you consider how you might assess and treat
individuals presenting with ADHD.

Learning Objectives

Students will:

Assess client factors and history to develop personalized
therapy plans for clients with ADHD

Analyze factors that influence pharmacokinetic and
pharmacodynamic processes in clients requiring therapy for ADHD

Evaluate efficacy of treatment plans

Apply knowledge of providing care to adult and geriatric
clients presenting for antidepressant therapy

Learning Resources

Note: To access this week’s required library resources,
please click on the link to the Course Readings List, found in the Course
Materials section of your Syllabus.

Required Readings

Note: All Stahl
resources can be accessed through the Walden Library using this link. This link
will take you to a log-in page for the Walden Library. Once you log into the
library, the Stahl website will appear.

Clancy, C.M., Change,
S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity
disorder: Effectiveness of treatment in at-risk preschoolers; long-term
effectiveness in all ages; and variability in prevalence, diagnosis, and
treatment. Table B. KQ2: Long-term(>1
year) effectiveness of interventions for ADHD in people 6 years and older.

Stahl, S. M. (2013).
Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications
(4th ed.). New York, NY: Cambridge University Press.

To access the following chapters, click on the Essential
Psychopharmacology, 4th ed tab on the Stahl Online website and select the
appropriate chapter. Be sure to read all sections on the left navigation bar
for each chapter.

Chapter 12, “Attention Deficit Hyperactivity Disorder and
Its Treatment”

Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated
attention deficit hyperactivity disorder. New York, NY: Cambridge University
Press.

To access the following chapter, click on the Illustrated
Guides tab and then the ADHD tab.

Chapter 4, “ADHD Treatments”

Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New
York, NY: Cambridge University Press.

To access information on the following medications, click on
The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the
appropriate medication.

Review the following medications:

For ADHD

armodafinil

amphetamine (d)

amphetamine (d,l)

atomoxetine

bupropion

chlorpromazine

clonidine

guanfacine

haloperidol

lisdexamfetamine

methylphenidate (d)

methylphenidate (d,l)

modafinil

reboxetine

American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: Retrieved from Walden Library databases.

Optional Resources

Hodgkins, 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.
doi:10.2165/11599630-000000000-00000

Psychiatric Times.
(2016). A 5-question quiz on ADHD. Retrieved from
http://www.psychiatrictimes.com/adhd/5-question-quiz-adhd?GUID=AA46068B-C6FF-4020-8933-087041A0B140&rememberme=1&ts=22072016

To prepare for this Discussion:

Note: By Day 1 of this week, your Instructor will have
assigned you to one of the following case studies to review for this
Discussion. To access the following case studies, click on the Case Studies tab
on the Stahl Online website and select the appropriate volume and case number.

Case 1: Volume 1, Case #13: The 8-year-old girl who was
naughty

Case 2: Volume 1, Case #14: The scatter-brained mother whose
daughter has ADHD, like mother, like daughter

Case 3: Volume 2, Case #21: Hindsight is always 20/20, or
attention deficit hyperactivity disorder

Review this week’s Learning Resources and reflect on the
insights they provide.

Go to the Stahl Online website and examine the case study
you were assigned.

Take the pretest for the case study.

Review the patient intake documentation, psychiatric
history, patient file, medication history, etc. As you progress through each
section, formulate a list of questions that you might ask the patient if he or
she were in your office.

Based on the patient’s case history, consider other people
in his or her life that you would need to speak to or get feedback from (i.e.,
family members, teachers, nursing home aides, etc.).

Consider whether any additional physical exams or diagnostic
testing may be necessary for the patient.

Develop a differential diagnoses for the patient. Refer to
the DSM-5 in this week’s Learning Resources for guidance.

Review the patient’s past and current medications. Refer to
Stahl’s Prescriber’s Guide and consider medications you might select for this
patient.

Review the posttest for the case study.

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