Depressive Disorder in adolescent population
Description
Hello please follow instruction. APA format Provide with at least 6 references no older than 5 years old. Read the case study and use the information to complete the assignment.
Diagnosis Of The Patient is: Depressive disorder
Describe the evaluation tool and explain why this tool is essential in the care of the adolescent patient population.
Apply the findings of the scholarly research articles to the use of this evaluation tool and describe its validity and reliability.
Apply this evaluation tool to a patient situation and summarize your opinion of the results.
Describe a plan of care for the patient, depending upon the results.
Problem Statement:
Around 12:00 PM Patient arrived to the clinic reported that her mom made her come here because she is tired all the time. (Eyes are tearful, slightly annoyed tone of voice), but she is doing fine. The fatigue stated 2 months ago or so. With her eye tearful, she reported she doesnt know what really triggers her fatigue, because it is her senior year, they lay on a lot of pressure, you know. Her mother believes her fatigue is physical, but at the same time she said her mother is worried about the following behaviors Her Angry,
Fatigue
Not interested in anything.
She doesn’t like the way she looks
She gain 25-30 LBS
Angry
Irritable
Snap a her little sister
She had Croup at age 2
Fracture of right wrist (rollerblading) at age 11 a
She found her parents irritating and they are always in her case. She feels like she cant do anything right , school is not fun anymore just doesnt seemworth it most of the time, she gets upset so upset and frustrate and she is crying every day after she lost her boyfriend. She find everybody annoying. mild comedonal acne on forehead, Acanthosis nigricans at nape of neck. Striae noted on abdomen and buttocks
She tried marijuana last year with her old boyfriend, nothing else through and .
Drinking alcohol. Not feeling great about herself
She is feeling bored. Poor diet
Case Study
Name: A. C
Age: A17 years
Height: 5′ 4″
Weight: 168 pounds
Temperature: 98.6 F (oral)
Pulse: 70 bpm – regular
Blood pressure: 110/74 mmHg
Orthostatic blood pressure: 104/70 mmHg upon standing
Respiratory rate: 14 bpm
SpO2: 99% on room air
Chief complaint: Fatigue
Allergies: None
History of Present illness: Around 12:00 PM Patient arrived to the clinic reported that her mom made her come here because she is tired all the time. (Eyes are tearful, slightly annoyed tone of voice), but she is doing fine. The fatigue stated 2 months ago or so. With her eye tearful, she reported she doesnt know what really triggers her fatigue, because it is her senior year, they lay on a lot of pressure, you know. Her mother believes her fatigue is physical, but at the same time she said her mother is worried about the following behaviors Her Angry, Irritable and snap at her little sister, but she doesnt know what triggers her anger. She reported, if her mother stops bugging her, she would have not been so crappy, like her calling her behavior. She found her parents irritating and they are always in her case. She feels like she cant do anything right, school is not fun anymore just doesnt seem worth it most of the time, she gets upset so upset and frustrate and she is crying every day. A.C stated If she just took the time to listen to me she would understand. Nothing makes her fatigue better or worst. She just not interested in doing anything. She reports still feeling tired even she gets a good night of sleep. She doesnt like the way she looks. She gains 25-30 Lbs. and concern about her straight mark. She is feeling anxious a bit. She is crying every day since she lost her boyfriend. Not feeling great about herself
She is feeling bored. Do not want to stay home, nor wants to stay home. Her mother thanks she screw up. She is avoiding society, ever since her boyfriend left her last year for another friend while she was at the prom and she has not dating anyone else yet. Not able to focus on school. Her grade is going down
She doesn’t care anymore like she used too. She is eating poor diet. She has to share room with her sister, who is a freshman. She cannot stand the way her sister is excited about high school and the mess she creates in the room, drive her insane. Her sister and her friend are so annoying and she is crying while she saying that. Her mother is her case about spending too much time in the internet rather than being social and her mother is also on her for helping around the house. Lost her baby sitting job. Drink beer at parties occasionally with friends
Feeling hungry all the time
Denies been pregnant
Past Medical History: She had Croup at age 2
Fracture of right wrist (rollerblading) at age 11 and she was in 5th grade
Medication: Ibuprofen for menstrual cramps. They there for each period, but not that bad.
Social History: She is in Senior currently High School getting ready to graduate
She tried marijuana last year with her old boyfriend, nothing else through.
Drinking alcohol. Lost her baby sitting job. Sharing room with her little sister.
General Appearance:
Skin: |
Warm, dry |
Movement: |
patient reluctant to make eye contact |
Expression:
Hospitalization none
Childhood sickness: none
Medication: Ibuprofen
Preventive measures: Yearly physical check-up Learning to drive, but says she knows better than to text and drive. Gets regular dental and annual wellness evaluations
Immunization: Up-to-date
History of Family: Father: Mild HTN, obesity
Mother: Obesity
Brother is 10 years old
Sister
Maternal grandmother and aunt Positive FH for type 2 DM
Review of system Answered by patient
General/ Constitutional:
Mental status: Awake, Alert and oriented X4
Skin/Breast: Nomal
HEENT & Neck: No complain
Cardiovascular: No chest pain
Respiratory: Denies cough
Abdomen/ Gastrointestinal: No complain
Genitourinary: Regular period last five days. Denies been pregnant. Last menstrual period was two weeks ago
Musculoskeletal: Fatigue
Allergic/Immunologic: None
Lymphatic/Endocrine: Gain 25 to 30 LBS
Hematologic: No complain
Neurological: No complain
Psychological: Not feeling to do anything
Angry
Irritable
snap a her sister
She doesn’t like the way she looks
Feeling anxious a bit
She feels like her life is empty sometimes
Not feeling great about herself
Blaming herself for everything.
She is feeling bored
Not able to focus on school
Her grade is going down
She doesn’t care anymore like she used too.
Physical Assessment
Everything is negative except for her Skin, overall, mild comedonal acne on forehead, Acanthosis nigricans at nape of neck. Striae noted on abdomen and buttocks
Respiratory:
Lab result
Name Value UnitsReference Range
White blood cells (WBCs) 6045mm34,000-10,000
Red Blood Cell Count (RBC)4.7million/µl4.5-5.9(?), 4.0-5.2(?), adults
Hemoglobin (Hgb) 13.2g/dl14-18(?), 12-16(?), adults
Hematocrit (Hct)40%42-54(?), 37-47(?), adults
Mean corpuscular volume (MCV)92fl82-103, adults
Mean corpuscular hemoglobin (MCH)30µm326-34, adults
Mean corpuscular hemoglobin concentration (MCHC)33%30-37, adults
Platelets (thrombocytes) 318k/dL150-399, adults
Red cell distribution width (RDW)13.9%11.5-14.5, adults
Neutrophils61%46-78, adult
Lymphocytes32%18-52, adult
Monocytes3%3-10, adult
Eosinophils1%0-6, adult
Basophils3%0-3, adult
Segmented neutrophils61%36-72, adult
Band Cells0%0-6, adult
Name Value UnitsReference Range
thyroid-stimulating hormone (TSH)1.43µIU/mL0.35-4.94
Name Value UnitsReference Range
free thyroxine (FT4)1.1ng/dL 0.7-1.5
Name Value UnitsReference Range
Mononucleosis spot (heterophile antibody)negativeNegative (<1:28 titer)
Name Value Detection time
Amphetaminesnone detected5 days
Barbiturates none detected21 days
Benzodiazepinesnone detected6 weeks
Cannabis (THC)none detected4-6 weeks
Cocainenone detected7 days
Codeinenone detected5 days
Heroinnone detected5 days
LSDnone detected8 hours
MDMA (ecstasy)none detected24 hours
Methamphetamine (Meth)none detected3-5 days
Methaqualone (Quaalude)none detected2 weeks
Morphine/Opiumnone detected4-5 days
P NameValue UnitsReference Range
Human chorionic gonadotropin (HCG), urinenegativeNone (? and non-pregnant ?); detectable (pregnant ?)hencyclidine (PCP)none detected5 days Glucose (BG)82mg/dL(fasting) 70-110, (non-fasting) 70-200
Hemoglobin A1c4.8%normal 4-5.6, elevated risk 5.7-6.4, diabetes >6.7
Name Value UnitsReference Range
Cortisol, urine50µg/24hours10-100 µg/24 hours
24 Hour urine cortisol is normal
Having Trouble Meeting Your Deadline?
Get your assignment on Depressive Disorder in adolescent population completed on time. avoid delay and – ORDER NOW
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
Explanation & Answer
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.