heart feeling “funny” have gone away.
heart feeling “funny” have gone away.
Client returns to clinic in four weeks
Katie’s academic performance is still improved, and the switch to the LA preparation is lasting Katie throughout the school day
Katie’s reports of her heart feeling “funny” have gone away. Pulse was 92 during today’s office visit
Choices for Decision 3: Decision Point Three Select what the PMHNP should do next:
Maintain current dose of Ritalin LA and reevaluate in 4 weeks
Increase Ritalin LA to 30 mg orally daily
Obtain EKG based on current heart rate
Decision Choice Chosen: Maintain current dose of Ritalin LA and reevaluate in 4 weeks
***Explain why other two choice were rejected (not adequate choices)***
Outcome: Guidance to Student
RESULT FROM CHOOSING TO MAINTAIN CURRENT DOES OF RITALIN LA AND REEVALUATE IN 4 WEEKS
Guidance to Student
At this point, Katie’s symptoms are well controlled (her attention is sustained throughout the school day) and her side effects have gone away following change to a long-acting preparation. There is no indication at this point that the dose should be increased as it is always advisable to use the lowest effective dose of stimulant medication. Katie’s heart rate is appropriate for an 8 year old girl and an EKG would not be indicated based on her heart rate.
***Write on each decision. Make sure that in each decision choice that you explain why the other two decisions were not good choices. Use cited sources to validate points. Make sure that this paper has at least 7 References. Please use in-text citations for each section of each decision. Don’t forget the ethical considerations for this assignment. Make it a section by itself.***
***Also please make sure when looking at the ethical consideration for this assignment that you look at how the Caucasian (male) ethnicity and pain medications interact.***
Please use the following format when formulating the paragraphs for each section. Don’t forget the intext citations. Remember to use at least 7 references.
Introduction
Decision #1
Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices)
Anticipated Results (of Chosen Decision)
Difference in Results (Anticipated VS Actual)
Decision #2
Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices)
Anticipated Results (of Chosen Decision)
Difference in Results (Anticipated VS Actual)
Decision #3
Reasons for Choosing the Decision (Why is it the best choice out of the 3 choices)
Anticipated Results (of Chosen Decision)
Difference in Results (Anticipated VS Actual)
Ethical Considerations
Conclusion
References
