Posted: September 7th, 2024

A Young Girl with Difficulties in School

A Young Girl with Difficulties in School
Decision #1: Differential Diagnosis
The best decision for the condition is to prescribe Adderall XR 10 mg orally every morning. Attention Deficit Hyperactive Disorder (ADHD) is a condition that requires medication and monitoring of the symptoms to improve the patient outcomes (Cortese et al., 2019).
The purpose of introducing the Adderall XR 10 mg is to avoid a high dosage that could undermine the health of the patient. Progressive prescription of medication is essential to safeguard the health of patients (Hauck et al., 2017). A physician will examine the drug reactions and outcomes and change the drug in case the current one does not generate quality outcomes.
The expected outcomes upon the prescription of the drug include improvement of the symptoms. For example, the girl should increase her attention in class and complete her homework on time.
The outcomes have slight differences from the expectation. After four weeks of taking the medication, it is expected that the patient will improve in academic performance However, the girl is still experiencing daydreaming while in class.
Decision #2: Treatment Plan for Psychotherapy
The second decision was to increase the dose to Adderall XR 10 mg to improve the effectiveness of the medication (Mattingly et al., 2017). The psychotherapeutic approach will involve integrating counseling to enhance the outcomes.
According to the medical examination results show that the young girl is forgetful, inattentive, lacks interest in school work, and poor in spelling. Introducing the Adderall XR 10 mg is crucial since the approach reduces the risk of adverse outcomes (Mattingly et al., 2017). Nurses should not change medication within a short time since it can generate adverse outcomes. The drug is intended to reduce the symptoms that can undermine the social and school life of the girl.
The expected outcome is that the patient’s health condition would improve. According to the initial reports, the girl is hallucinating and poorly at concentrating in class. Improvements would enhance the academic performance of the child.
The outcomes show that the patient had a gradual but significant improvement in the academic and social life of a student. Increasing the Adderall XR 10 mg would help Katie to maintain a healthy life in school at still at home (Hauck et al., 2017). It was unlike in the previous weeks when she could be unhealthy in the morning and get better as the day progresses.
Decision #3: Treatment Plan for Psychopharmacology
The third decision is to maintain the current dose of Adderall XR 10 mg daily. The patient is responding positively to the medication. Katie will be evaluated after another four weeks.
Providers change the drug when the current one is not effective or triggers negative outcomes. The drug can be increased or reduced based on the outcomes (Hauck et al., 2017). It is important to continue with the current medication since it is generating positive outcomes.
The anticipated result is that the patient will continue recovering. The drug should help the patient to recover and demonstrate positive behavior in school and at home (Mattingly et al., 2017). The improvements will enhance academic performance.
Ethical Considerations
The prescription of medication should comprise beneficence and non-maleficence. The principles focus on using the knowledge to improve the welfare of the patients (Muldrew et al., 2020). Another ethical issue is to obtain informed consent from a patient. Katie is an 8-year-old patient and thus the parent should take responsibility for the treatment by obtaining informed consent.

References
Cortese, S., Angriman, M., Comencini, E., Vincenzi, B., & Maffeis, C. (2019). Association between inflammatory cytokines and ADHD symptoms in children and adolescents with obesity: A pilot study. Psychiatry Research, 278, 7-11.
Hauck, T. S., Lau, C., Wing, L. L. F., Kurdyak, P., & Tu, K. (2017). ADHD treatment in primary care: demographic factors, medication trends, and treatment predictors. The Canadian Journal of Psychiatry, 62(6), 393-402.
Mattingly, G. W., Wilson, J., & Rostain, A. L. (2017). A clinician’s guide to ADHD treatment options. Postgraduate Medicine, 129(7), 657-666.
Muldrew, D. H., Kaasalainen, S., McLaughlin, D., & Brazil, K. (2020). Ethical issues in nursing home palliative care: a cross-national survey. BMJ Supportive & Palliative Care, 10(3), 20-29.

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