Maternal, Child, And Adolescent Healthcare: A Case Study Of Supporting Parents To Commence Medication For Their Child

Supporting Parents in Initiating Child Medication: A Case Study

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Stimulant medication for children suffering from Attention Deficit Hyperactivity Disorder (ADHD) helps the children in managing behaviour in social stress. ADHD symptoms in adolescent children can affect decreased appetite and sleeping problems. Stimulant medication is significant in controlling the behaviour of adolescents who develops attention deficit. Hence, this case study reflects the issue of parents avoiding their children taking medication for ADHD symptoms. The problem linked with a diagnosis issue that retards the children to overcome ADHD syndrome with effective treatment and the right medication. Developing education on commencing medication among parents leads to managing the children's ADHD symptoms.

Commencing medication for ADHD symptoms in adolescent

Medication for the patient inappropriate behaviour leads to impulsiveness that has a notable impact on the development and functioning of the body. Linking with the case scenario, the 9-year child has admitted with a broken right arm in the paediatric award. Psychiatric concentration has recommended by an orthopaedic. The patient has a complaint of Attention Deficit Hyperactivity Disorder (ADHD), which made the paediatrician prescribe Ritalin. Prescribed by the paediatrician, parents avoid the medication commencement for their children. The significance of taking stimulant medication has reported to reduce the symptoms of ADHD symptoms about 70-80% (Martella et al. 2020). This medicine is a fast-acting medicine with recommended and prescribed doses. Healthcare providers prescribe the medicine by adjusting the dose of the medication that prominently provides benefit to the adolescent. This maintains the occurrence of the prevalence of side effects and benefits.

Hyperactivity deficit disorder renders the adolescent to develop rude behaviour where the children feel inattentive. This is similar to symptomless losing things, loss of memory, and careless mistakes. As opined by Craig et al. (2020), the risk factor that causes adolescents to develop this disorder is high exposure to environmental toxins, blood relatives and mental health issues. As per the case scenario, the patient has been hospitalised due to a break in the right arm, this reflects the careless approach that made the patient experience medical care. Therefore, this reflects the seriousness of ADHD in adolescents that need to treat with effective medication.

Health significance of intervention, skills and medication provided to the children

ADHD linked with academic failure due to underpinned difficulties and insufficiently ability to understand. This disorder has been hampering human development with the neurocognitive deficit. Self-regulatory learning intervention is widely used in the academic field to promote independence and increase self-learning to develop motivation and behaviour. As stated by Storebø et al. (2018), this intervention in healthcare enable to improve the mental health of adolescents that significantly develops regulating learning to support cognitive processes. Linking to the case scenario, the parents of the admitted patient have avoided the medication prescribed by the paediatrician this summative leads to the increased condition of the disorder. Therefore, the implication of this intervention enables to improve the mental health of the adolescent. In contrast, According to Martella et al. (2020), ADHD has prominently found to affect the relationship of an adolescent with their family due to their disruptive behaviour towards parents. Behaviour therapy is highly significant for providing training to the parent as well as the adolescent for reducing disruptive behaviour and strengthening positive behaviour. This therapy enables to delivery of training and education to the parent in behaviour management. As per the case scenario, educating parents about commencing medication with their children enables the child to develop a positive behaviour approach. Therefore, peer intervention develops a health significance that profoundly allows the children to manage individual child skills.

ADHD patients have been evident to lack attention to subjective things. This signifies the appropriate implication of mindful-based intervention. As mentioned by Poissan et al. (2019), this intervention in clinical settings allows strengthening the control over attention by allowing a patient to focus on the mind and back things. This treatment is widely popular for treating psychological problems through mindful medication. Linking with the case scenario, the patient admitted has a history of ADHD, which reflects the effective implication of this intervention through medication. This subsequently increases the focusing power and lowers the ADHD symptoms

Nursing procedure and guidelines for the administration of medication, intervention and skills

Guideline for the registered nurse is to administer intervention develops in five sequential steps. This includes assessment, involving critical thinking to measure from tangible data. ADHD disorder is highly common in children and adolescents, with a tendency to be ignorant. As referred by Shah et al. (2021), adolescents suffering from ADHD in primary caregivers from, the primary assessment. It followed by Diagnosis, which required clinical judgment and implementation of intervention for patient care. ADHD patient clinical objectives determine the severity of the occurrence of symptoms. As mentioned by Pandian et al. (2021), planning for specific goal clinical settings for ADHD adolescents for patient required unique needs, which attained by the SMART goal. It followed by an implementation, which developed, into action. The nursing intervention involves the implementation of the intervention and treatment protocol for the effective administration of the treatment approach. Evaluation in the intervention nursing process is the desire for a positive outcome (Health, 2022). As per the case scenario, the adolescent patient has physical injuries, and a history dated back reflects the adolescent development of ADHD symptoms that remain untreated. Therefore, this intervention plan enabled the delivery positive approach to treating issues.

A consequence of the administration of intervention and lack of intervention

Administration of the mindful-based intervention for ADHD adolescents imposes the benefit of developing focus, which assures regaining attention over the subject. As opined by DuPaul et al. (2021), this intervention allows the adolescent to attain the focus that lowers the stressful environment. This intervention is widely used as the treatment for its medication approach, which allows the ADHD patient to develop a mindful screening. Without this treatment adolescents unable to draw a peaceful environment which hampers their mental health (Rch, 2020)? As per the case scenario, on being recommended with medication, patent of the patient avoid commencing medication. This reflects that parents do want to give stimulant medication. This intervention can eventually enable the reduction of ADHD symptoms. Similarly, As referred by Baweja et al. (2021), the delivery of effective interventions, skills and approaches in missing the use of medication led to the effect overcoming the side effect of the stimulant medication. Behaviour therapy is effectively used therapy in healthcare settings that minimise the use of medication. this subsequently reduces the concern of the partner as observed in the case study, Hence, this intervention and therapy-based approach for ADHD adolescents prove to be effective, and less prone to develop side effects.

Family and patient’s educational need and support for commencing medication

Parent’s education, and support for commencing ADHD medication enable to development of positive behaviour in adolescents. This involves the development of guidelines that improve a healthy lifestyle for providing sufficient sleep to the adolescent child. Creating opportunities for the children to participate in social things and attain positive experiences. The stimulant medication enables the adolescent to lower the stress insight the mind, therefore developing a child plan to limit stress (Hanson& Lisa, 2021). In contrast, as stated by Reddy et al. (2018), delivering training to the parents and providing suggestions for developing strategies has provided additional support to the ADHD adolescent. The effective approach of using stimulant medication prominently stimulates the function of the internal organ. This has an adverse effect on the adolescent as it’s activates breathing rate and heart rate which leads to cardiac arrest. ADHD is effective diagnosed and treated with appropriate medication and behavioural therapy. Linking to the case scenario, the parent of the admitted patient has aware of the side effect, which imparts them to commence medicine for their child. However, they develop a concern for the life risk. Therefore, providing education to the parent enable them to aware of the facts. This enables them to support in commencing medication for the ADHD symptoms of their child.

Conclusion

ADHD symptom is the inattentiveness experienced by the patient. This is highly treated with stimulants and non-stimulant medication. An effective Self-regulatory learning intervention is used in healthcare settings to improve mental health status in adolescents. Mindful-based intervention is a medication approach that allows the adolescent to focus on things. Behaviour therapy is significantly based for develop positive behaviour relationships in classrooms, public places and with family members. Providing education and support to the parents enables them support in commencing medication for the ADHD symptoms of their child

Recommendation

ADHD disorder management in adolescents is highly seen due to social context, and relation context. It medication involves combination therapy of medication and intervention in healthcare settings It is recommended to implement an intervention rather than commencing medicine in adolescents with ADHD which reduce the chances of social stigma for 9 years old child. Eventually, deliver education regarding the right concentration of stimulant medication that affirms the rapid progression of reducing ADHD symptoms. Hence, this intervention approach, and strategy enables management in developing support.

Reference list

• Craig, F., Savino, R., Fanizza, I., Lucarelli, E., Russo, L., & Trabacca, A. (2020). A systematic review of coping strategies in parents of children with attention deficit hyperactivity disorder (ADHD). Research in developmental disabilities, 98, 103571. https://doi.org/10.1016/j.ridd.2020.103571
• Storebø, O. J., Pedersen, N., Ramstad, E., Kielsholm, M. L., Nielsen, S. S., Krogh, H. B., ... & Gluud, C. (2018). Methylphenidate for attention deficit hyperactivity disorder (ADHD) in children and adolescents–assessment of adverse events in non?randomised studies. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD012069.pub2
• Martella, D., Aldunate, N., Fuentes, L. J., & Sánchez-Pérez, N. (2020). Arousal and executive alterations in attention deficit hyperactivity disorder (ADHD). Frontiers in psychology, 11, 1991. https://doi.org/10.3389/fpsyg.2020.01991
• Shah, R., Sharma, A., Grover, S., Sachdeva, D., Chakrabarti, S., & Avasthi, A. (2021). Development and effectiveness of parent skills training intervention for Indian families having children with attention-deficit/hyperactivity disorder (ADHD). Asian Journal of Psychiatry, 64, 102762. https://doi.org/10.1016/j.ajp.2021.102762
• Pandian, G. S. B., Jain, A., Raza, Q., & Sahu, K. K. (2021). Digital health interventions (DHI) for the treatment of attention deficit hyperactivity disorder (ADHD) in children-a comparative review of literature among various treatment and DHI. Psychiatry Research, 297, 113742. https://doi.org/10.1016/j.psychres.2021.113742
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• Rch, (2020), Procedure Management Guideline, Retrieved on: 13th September 2022, from: https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Procedural_Pain_Management/
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• Poissant, H., Mendrek, A., Talbot, N., Khoury, B., & Nolan, J. (2019). Behavioral and cognitive impacts of mindfulness-based interventions on adults with attention-deficit hyperactivity disorder: a systematic review. Behavioural neurology, 2019. https://doi.org/10.1155/2019/5682050
• Baweja, R., Soutullo, C. A., & Waxmonsky, J. G. (2021). Review of barriers and interventions to promote treatment engagement for pediatric attention deficit hyperactivity disorder care. World Journal of Psychiatry, 11(12), 1206. https://doi.org/10.1186/s12888-020-02707-9