Nu674 Psychiatric Mental Healthcare II Unit 2 Weekly Clinica

Nu674 Psychiatric Mental Healthcare Ii Unit 2weekly Clinical Communica

Identify the core assignment question: Write a 400-word clinical communication focused on a psychiatric patient diagnosed with ADHD, incorporating references from the course resource/textbook and DSM-5, using the provided template and sample, with at least three credible references.

Paper For Above instruction

The clinical communication for this assignment centers on a psychiatric patient diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). The purpose is to demonstrate comprehensive understanding and application of psychiatric assessment, diagnosis, and management principles as outlined in the course framework, DSM-5, and accredited references. The focus is to create a detailed, professional, and reflective narrative that encompasses the assessment process, clinical findings, therapeutic planning, and evidence-based interventions.

The patient, a 10-year-old child presenting inattentiveness, hyperactivity, and impulsivity, was evaluated during a scheduled clinical encounter. The assessment began with a thorough history-taking, covering developmental milestones, academic performance, behavioral patterns at home and school, and family history. Using the DSM-5 criteria, the diagnosis of ADHD, predominantly inattentive presentation, was confirmed, based on persistent symptoms across multiple settings for at least six months, impairing social and academic functioning (American Psychiatric Association, 2022).

The mental status examination revealed an alert but easily distractible child, with difficulty maintaining focus during interviews. The parent provided additional insights, noting the child's difficulty completing tasks and frequent impulsivity. Based on the assessment, pharmacological intervention with stimulant medications, such as methylphenidate, was considered appropriate, following current evidence and clinical guidelines detailed in Stahl's Psychopharmacology (Stahl, 2022). Non-pharmacological strategies, including behavioral therapy, parent training, and academic accommodations, were also discussed to support holistic management.

In developing the treatment plan, cultural and familial contexts were integrated to ensure patient-centered care. The importance of psychoeducation was emphasized to the parents about medication use, potential side effects, and the importance of consistent routines. Ethical considerations, such as informed consent and safeguarding, were adhered to, aligning with the core legal and professional standards outlined in the course and referenced texts. The plan also includes scheduled follow-up appointments to monitor medication efficacy and side effects, adapting interventions as necessary.

This case underscores the importance of applying a biopsychosocial approach in psychiatric practice, recognizing that ADHD management extends beyond medication. Family dynamics, social environments, and individual developmental factors play crucial roles in treatment success. Literature supports multimodal treatment strategies, advocating for tailored interventions to improve functional outcomes (Carlat, 2023; Johnson & Vanderhoef, 2016). As an advanced practice nurse, continual assessment of therapeutic efficacy, patient and family engagement, and adherence to evidence-based guidelines are essential for optimal care delivery.

Overall, this psychiatric management exemplifies the integration of diagnostic criteria, evidence-based pharmacology, holistic assessment, and ethical practice. It highlights the necessity for ongoing professional development and cultural competence in providing effective mental health care to diverse patient populations, particularly children with neurodevelopmental disorders like ADHD.

References

• American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., Text Revision). APA.
• Carlat, D. J. (2023). The psychiatric interview (5th ed.). Wolters Kluwer.
• Johnson, K., & Vanderhoef, D. (2016). Psychiatric mental health nurse practitioner review manual (4th ed.). American Nurses Association.
• Stahl, S. M. (2022). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press.
• Wykes, T., Bell, A., Carr, S., Coldham, T., Gilbody, S., Hotopf, M., & Creswell, C. (2023). Shared goals for mental health research: what, why and when for the 2020s. Journal of Mental Health, 32(6).
• Henry, T. L., Jetty, A., Petterson, S., Jaffree, H., Ramsay, A., Heiman, E., & Bazemore, A. (2020). Taking a closer look at mental health treatment differences: Effectiveness of mental health treatment by provider type in racial and ethnic minorities. Journal of Primary Care & Community Health, 11.
• Bains, N., & Abdijadid, S. (2020). Major depressive disorder.
• Carson, J. (2018). Evidence-based approaches to ADHD management. Journal of Child & Adolescent Psychiatric Nursing, 21(4), 245–253.
• Dulcan, M. K. (2019). Textbook of Child and Adolescent Psychiatry (3rd ed.). American Psychiatric Publishing.
• Wykes, T., et al. (2023). Shared goals for mental health research: what, why and when for the 2020s. Journal of Mental Health, 32(6).