To prepare for this Assignment:<\/h3>\n
Review this week\u2019s Learning Resources. Consider how to
\nassess and treat pediatric clients requiring antidepressant therapy.<\/p>\n
The Assignment<\/h3>\n
Examine Case Study: An African American Child Suffering From Depression<\/a>. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client\u2019s pharmacokinetic and pharmacodynamic processes.<\/p>\n Which decision did you select?<\/p>\n Why did you select this decision? Support your response with evidence and references to the Learning Resources.<\/p>\n What were you hoping to achieve by making this decision? Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?<\/p>\n Why did you select this decision? Support your response with evidence and references to the Learning Resources.<\/p>\n What were you hoping to achieve by making this decision? Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?<\/p>\n Why did you select this decision? Support your response with evidence and references to the Learning Resources.<\/p>\n What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.<\/p>\n Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?<\/p>\n Also include how ethical considerations might impact your treatment plan and communication with clients.<\/p>\n Symptom presentation of depression in children varies with age. Often, it is difficult to identify depression in this age group. Emotional and cognitive developments influence the symptom presentation, so do comorbidities. Prevalence of depression is about 2% in prepubertal children, which increases to 4%\u20138% in adolescents.[1<\/a>] Recent epidemiological studies show an increasing trend of depression in youth.[2<\/a>] Childhood depression is a recurrent, relapsing condition causing significant morbidity and mortality. Onset of depression in childhood often results in poor academic outcome, long-standing impairment, poor quality of life, and high risk for suicide and substance abuse.[1<\/a>] Here, I discuss the clinical presentations of childhood depression with focus on assessment and management based on evidence-based guidelines.<\/p>\n<\/div>\n Tarun*<\/a><\/sup>, a 4-year-old boy, underwent hospitalization for intractable vomiting. He was sent for psychiatric care when no physical basis of symptoms could be identified. His vomiting would become worse when he approached school so much, so that his parents stopped sending him to school. He appeared dull, listless, became jittery when offered the chair. He did not look at the crayons or balloons which were his favorite.<\/p>\n Taslima*<\/a><\/sup>, an 11-year-old girl, had deteriorated in her studies to the extent of scoring 24 out of 100 in her session examinations. Earlier an Avid Reader, she would not even feel like looking at her books and would often get reprimanded for keeping her belongings in a disorderly manner. She would not take the phone from her mother even when offered to talk to her aunt, which she used to earlier fight for.<\/p>\n Although the diagnostic criteria for diagnosing depression remain the same even for children and adolescents, application of these is often felt difficult as symptoms differ by age due to cognitive, emotional, and social aspects of development. Biological functions such as sleep and appetite may not be disturbed, but experience of low mood, anhedonia, and cognitive distortions is distinctly felt.[3<\/a>]<\/p>\nAt each decision point stop to complete the following:<\/h3>\n
Decision #1<\/h3>\n
\nSupport your response with evidence and references to the Learning Resources.<\/p>\nDecision #2<\/h3>\n
\nSupport your response with evidence and references to the Learning Resources.<\/p>\n![\"Walden](\"https:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2021\/08\/Walden-nurs6630-week-2-Assessing-and-Treating-Pediatric-Clients-With-Mood-Disorders-300x125.png\")
<\/a>Decision #3<\/h3>\n
Go to:<\/a><\/h3>\n
CASE VIGNETTES<\/h4>\n