NURS 6541:Week 6: Behavioral and Mental Health Issues Essay Assignment Paper

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NURS 6541:Week 6: Behavioral and Mental Health Issues Essay Assignment Paper

NURS 6541: Primary Care of Adolescents and Children | Week 6

Behavioral and mental health issues can impact every facet of a child’s life, making the most basic activities difficult for patients and their families. This was the case for 13-year-old Kara. For more than 8 years, Kara suffered from temper tantrums, impulsiveness, inappropriate behavior, difficulty in judgment, and sleep issues. Her behavior created problems at home and at school. As an advanced practice nurse working with pediatric patients, you must be able to assess if these types of problems are caused by psychological, social, or underlying growth and development issues.

This week, as you explore behavioral and mental health issues in pediatric patients, you consider strategies for promoting positive behavior, mental wellness, and good self-perception. You also examine growth and development and psychosocial issues, as well as management strategies and potential cultural impact on care.

Learning Objectives

By the end of this week, students will:

  • Analyze common self-perception, behavior, and mental health issues in pediatric patients
  • Analyze strategies that promote good self-perception, positive behavior, and mental wellness in pediatric patients

*These Learning Objectives support assignments that are due this week but were assigned in Weeks 1–3.

Practicum Reminder

Time Logs: You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

  • Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G., & Garzon, D. L.  (Eds.). (2017). Pediatric primary care (6th ed.). St. Louis, Missouri: Elsevier.
    • Chapter 18, “Self-Perception Issues” (pp. 339-354)This chapter describes normal patterns of self-perception and methods for assessing and managing healthy self-perception in children.

 

  • Chapter 19, “Coping and Stress Tolerance: Mental Health and Illness” (pp. 355-385)This chapter explores mental health in primary care. It also examines strategies for assessing and managing mental health disorders such as mood disorders, ADHD, eating disorders, and substance abuse.

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). Elk Grove Village, IL: American Academy of Pediatrics.

  • “Promoting Mental Health” (pp. 115-150)This chapter focuses on promoting mental health and emotional well-being among children and adolescents. It identifies factors that impact mental health as well as strategies for assessing mental health in pediatric patients.

Jonovich, S. J., & Alpert-Gillis, L. J. (2014). Impact of pediatric mental health screening on clinical discussion and referral for services. Clinical Pediatrics, 53(4), 364-371.

Rockhill, C., Kodish, I., DiBattisto, C., Macias, M., Varley, C., & Ryan, S. (2010). Anxiety disorders in children and adolescents. Current Problems in Pediatric and Adolescent Health Care, 40(4), 66–99.

 

This article explores the epidemiology, clinical presentation, assessment, and diagnosis of anxiety disorders in pediatric patients. It also examines treatment and management strategies, including resources for patients and their families and pharmacological interventions.

American Academy of Pediatrics, Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health. (2009). The future of pediatrics: Mental health competencies for pediatric primary care. Pediatrics, 124(1), 410–421. Retrieved from http://pediatrics.aappublications.org/content/124/1/410.full.pdf+html?sid=b8a3f390-00f6-472c-a9ed-a8dc1c650ed3

 

This article describes skills, knowledge, and attitudes required by primary care clinicians to address and prevent mental health issues among children and adolescents in the United States. It also provides recommendations for maintaining a partnership with patients, caregivers, and families to ensure the well-being of children and adolescents.

Required Media

Laureate Education (Producer). (2011b). Risk behaviors in adolescence. Retrieved from https://class.waldenu.edu

Note: The approximate length of this media piece is 22 minutes.

In this video program, Dr. John Sommers-Flanagan discusses risky behaviors often present in adolescents including the use of drugs and alcohol, self-injury, and suicide

The following document provides credit for Laureate-produced media within this course: Credits (PDF)

Credits (PDF)

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

  • Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

By Day 7

You will submit this SOAP Note.

 

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