{"id":18760,"date":"2024-04-01T15:32:40","date_gmt":"2024-04-01T15:32:40","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/chronic-disease-mild-adhd-8-years-old-patient-diagnosed-w-adhd-at-7-years-old-with-hyperactive-impulsive-behavior-in-office-for-treatment\/"},"modified":"2024-04-01T15:32:40","modified_gmt":"2024-04-01T15:32:40","slug":"chronic-disease-mild-adhd-8-years-old-patient-diagnosed-w-adhd-at-7-years-old-with-hyperactive-impulsive-behavior-in-office-for-treatment","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/chronic-disease-mild-adhd-8-years-old-patient-diagnosed-w-adhd-at-7-years-old-with-hyperactive-impulsive-behavior-in-office-for-treatment\/","title":{"rendered":"Chronic disease: mild ADHD 8 years old patient, diagnosed w ADHD at 7 years old , with hyperactive\/impulsive behavior, in office for treatment"},"content":{"rendered":"<p style=\"cursor: auto; color: inherit;\">Chronic disease: mild ADHD 8 years old patient, diagnosed w<br \/>\nADHD at 7 years old , with hyperactive\/impulsive behavior, in office for treatment<\/p>\n<p style=\"cursor: auto; color: inherit;\"><\/p>\n<p style=\"margin: 9pt 0in 0in; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Case Presentation<br style=\"cursor: auto; color: inherit;\"><br \/>\nFor this activity, we will focus on presenting patients in addition to<br \/>\nassessing clinical reasoning. Students will select a patient from the clinical<br \/>\nsetting that presents with a complaint consistent with the topical content for<br \/>\nthe course week.<br style=\"cursor: auto; color: inherit;\"><br \/>\nPresentations need to follow SOAP format with reflections. Address the<br \/>\nfollowing:<\/span><\/p>\n<p style=\"margin-left: 54.75pt; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">1.<span style=\"font-size: 7pt; line-height: normal; cursor: auto; color: inherit;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br \/>\n<\/span><\/span><\/span><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Subjective (S) =chief<br \/>\ncomplaint or reason patient presented for treatment with pertinent historical<br \/>\ninformation including PMH, Medication, Allergies, PSH, SH, and ROS.<\/span><\/p>\n<p style=\"margin-left: 54.75pt; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">2.<span style=\"font-size: 7pt; line-height: normal; cursor: auto; color: inherit;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br \/>\n<\/span><\/span><\/span><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Objective (O) =exam<br \/>\nfindings relevant to the chief complaint or reason for a visit including any<br \/>\ndiagnostic tests [labs or imaging] done at the point of care.<\/span><\/p>\n<p style=\"margin-left: 54.75pt; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">3.<span style=\"font-size: 7pt; line-height: normal; cursor: auto; color: inherit;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br \/>\n<\/span><\/span><\/span><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Assessment (A) = most<br \/>\nprobable diagnosis includes at least 2 differential diagnoses for the acute<br \/>\nproblem [new problem] and status of any chronic conditions listed in order of<br \/>\npriority.<\/span><\/p>\n<p style=\"margin-left: 54.75pt; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">4.<span style=\"font-size: 7pt; line-height: normal; cursor: auto; color: inherit;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br \/>\n<\/span><\/span><\/span><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Plan (P) =include all<br \/>\nappropriate treatment as well as a written prescription and management of all<br \/>\ndiagnoses addressed during the visit including patient education, health<br \/>\npromotion and disease prevention [age appropriate].<\/span><\/p>\n<p style=\"margin-left: 54.75pt; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">5.<span style=\"font-size: 7pt; line-height: normal; cursor: auto; color: inherit;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br \/>\n<\/span><\/span><\/span><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Document the current CPT<br \/>\nbilling codes for an office visit (level of service) and testing conducted<br \/>\nduring the office visit.<\/span><\/p>\n<p style=\"margin-left: 54.75pt; margin-bottom: 0in; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">6.<span style=\"font-size: 7pt; line-height: normal; cursor: auto; color: inherit;\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<br \/>\n<\/span><\/span><\/span><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">Reflections- what did<br \/>\nyou learn, why did you pick this case, what would you do differently,<br \/>\netc.&nbsp;<\/span><\/p>\n<p style=\"cursor: auto; color: inherit;\">\n<p style=\"margin: 9pt 0in; line-height: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 12pt; cursor: auto; color: inherit;\">PowerPoint is limited to 5 slides [one for each item to<br \/>\naddress, excluding title and reference slide].<\/span><\/p>\n<p style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 13pt; line-height: 107%; cursor: auto; color: inherit;\">Some available data:&nbsp;<br style=\"cursor: auto; color: inherit;\"><br \/>\n<span style=\"cursor: auto; color: inherit;\">Behavioral<\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Immersive<br \/>\nbehavioral therapy 25 hrs\/ week ( preschool\/ school aged children)<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Applied<br \/>\nbehavior analysis<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Cognitive<br \/>\nbehavior therapy<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Targeted<br \/>\nplay\/ Social skill training<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Parent<br \/>\ntraining<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 13pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Medical<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Tx of<br \/>\nanxiety, ADHD, sleep disorders<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Aripiprazole<br \/>\n(Abilify) and risperidone (Risperdal) only approved medications in the US for<br \/>\nASD (irritability, aggression, self<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">injury)<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 9pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Side<br \/>\neffects: wt gain, sedation, tremor, extrapyramidal symptoms.<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 13pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Complementary<br \/>\nand alternative treatment<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Melatonin<br \/>\n(sleep, improves daytime behavior)<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Massage<br \/>\ntherapy<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Therapeutic<br \/>\nhorseback riding ( improvement in irritability and hyperactivity)<\/span><\/span><\/span><span style=\"font-size: 13.5pt; line-height: 107%; cursor: auto; color: inherit;\"><br style=\"cursor: auto; color: inherit;\"><br \/>\n<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">\u2022<\/span><span style=\"cursor: auto; color: inherit;\"> <\/span><span style=\"cursor: auto; color: inherit;\">Vitamin B<br \/>\n6 and magnesium ( improve behavior, speech and language)<\/span><\/span><\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"font-size: 10pt; line-height: 107%; cursor: auto; color: inherit;\"><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chronic disease: mild ADHD 8 years old patient, diagnosed w ADHD at 7 years old , with hyperactive\/impulsive behavior, in office for treatment Case Presentation For this activity, we will focus on presenting patients in addition to assessing clinical reasoning. Students will select a patient from the clinical setting that presents with a complaint consistent [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[13],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/18760"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=18760"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/18760\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=18760"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=18760"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=18760"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=18760"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}