ihuman case study week 14

I’m trying to study for my Health & Medical course and I need some help to understand this question.

Struggling to find relevant content? Order a custom essay on
ihuman case study week 14
Let our experts save you the hassle
Order Now

Please rewrite this case study below as the format attached. I need it as soon as you can and in the format attached. please add additional fluff, information to make it more scholarly.

Patient Information: BJ, 13-year-old, Caucasian male
CC: “I hate school”
HPI: BJ presents with his mother, who reports behavioral problems at home and school. According to his teachers, he is distracted, disruptive and forgetful. He has difficulty focusing, following directions and waiting his turn. His bag for school, desk, and locker are a mess. He is often unprepared for class and fails to complete homework assignments. When the teacher reminds him about the homework, he gets upset and snaps at her. He does not follow directions or complete his chores at home, especially when he is assigned more than one task at a time.
Current Medications: None
Allergies: NKDA
Past Medical History
Unremarkable, immunizations up-to-date
Social History
Full-time student
Recreational drug: denies
Independent for ADLs
Lives at home with mother

Parents recently divorced (one month ago), visits dad one weekend
a month
No known history of sexual or physical abuse or psychological trauma
Family History
Paternal: living, hx of cocaine abuse

ROS unremarkable
VS: BP: 108/76 sitting, 104/68 standing, 80 pulse, regular, respirations: 16 temperature 98.2 SpO2: 99% weight: 120 lbs. height: 5’ 4” BMI: 20.6
Physical exam unremarkable
Appearance: dress is appropriate for environment, situation, and stated age
Behavior/Activity: fidgety throughout consultation
Speech: spontaneous, coherent with appropriate volume, tone, and rate
Thought form: logical and goal directed
Thought content: no auditory hallucinations or delusions noted
Mood: euthymic
Affect: irritable, improves as consultation progresses
Suicidal Ideation: none
Homicidal Ideation: none
Orientation: A/O x 3
Memory: immediate, recent, and remote memory intact
Judgment/Insight: fair
Attention/Concentration: distracted, does not focus on interviewer and requires questions be repeated
MMSE: cognitive errors noted, spelled WORLD backwards and serial 7s incorrect
Urine toxicology screen: negative

Attention-deficit hyperactivity disorder, predominantly inattentive type, F90.0
BJ meets criteria for this diagnosis as evidenced by behaviors listed below, which are manifested both at school and at home:
• Repeated thoughtless schoolwork mistakes
• Difficulty maintaining attention
• Difficulty completing schoolwork
• Ineffective time management
• Forgetfulness related to daily activities
• Repeatedly loses essential school equipment
(American Psychiatric Association, 2013)

Obtain baseline weight, BP, pulse, EKG, and Vanderbilt ADHD scale
Have parents and teachers complete Vanderbilt ADHD scale prior
to each follow-up visit
Tutoring as needed
Daily physical activity (at least 60 minutes)
Refer for mindfulness therapy
Start methylphenidate ER 18mg PO daily (Wolters Kluwer, 2019)
As the nurse practitioner, I would provide the patient and family with education pertaining to the following:
• Diagnosis
• Medications
• Monitoring for stimulant side effects
• Vanderbilt ADHD scale
• Importance of collaborative care, including teacher, father, and PMHNP
• Benefits of psychotherapy

Referral to psychotherapist for mindfulness therapy
One week or sooner for medication management and supportive therapy

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

Wolters Kluwer. (2019). Attention deficit hyperactivity disorder in children and adolescents: Overview of treatment and prognosis. Retrieved August 11, 2019, from https://www.uptodate.com/contents/attention-deficit-hyperactivity-disorder-in-children-and-adolescents-overview-of-treatment-and-prognosis?search=adhd%20treatment&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

8 mins ago


Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
Sign up, place your order, and leave the rest to our professional paper writers in less than 2 minutes.
step 1
Upload assignment instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Get personalized services with GPA Fix
One writer for all your papers
You can select one writer for all your papers. This option enhances the consistency in the quality of your assignments. Select your preferred writer from the list of writers who have handledf your previous assignments
Same paper from different writers
Are you ordering the same assignment for a friend? You can get the same paper from different writers. The goal is to produce 100% unique and original papers
Copy of sources used
Our homework writers will provide you with copies of sources used on your request. Just add the option when plaing your order
What our partners say about us
We appreciate every review and are always looking for ways to grow. See what other students think about our do my paper service.
This is great! Thank you
Customer 452679, December 16th, 2021
Awesome work!!!!!!
Customer 452453, March 24th, 2021
Customer 452813, June 29th, 2023
Human Resources Management (HRM)
Thank you so much for your time.
Customer 452701, September 5th, 2023
Social Work and Human Services
Great Job!
Customer 452587, October 27th, 2021
Great job
Customer 452813, July 27th, 2023
Professions and Applied Sciences
Thank you!
Customer 452707, March 4th, 2022
Customer 452813, July 5th, 2022
Customer 452813, July 3rd, 2022
Writer went above and beyond. Can't believe how much work they put in for the price.
Customer 452707, July 10th, 2022
Eng 099
I recveived a B on this paper but I'm not sure why.
Customer 452775, June 18th, 2022
Customer 452813, June 19th, 2022
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Save More. Score Better. Use coupon code SPECIAL for a 15%discount