Salamat, Mark Terence E.

BSN 3 – YA – IRR1
Group 3B (section 3)
Situation Situation: Shane Del Rosario, a 25-year-old female patient, was diagnosed with ADHD (Attention Deficit/ Hyperactivity Disorder) at the age of 12, but the
disease was poorly managed. The nurse will need to educate the patient on good coping mechanisms. The patient was given medicine to treat her
symptoms, but she was not taking it as directed. She indicated that she did not recall the previously given indicators in the other hospital when she was
diagnosed for the first time.

Background The patient is 56 kg in weight. and is 5"5. She has a limited attention span, and when her drugs were originally administered, she didn't follow the
directions well.
She also experiences insomnia; the reason she ended up in the hospital is that, after going without sleep for roughly two days straight, she dozed off while d
riving. She was traveling at a fairly low speed, so the damage was modest.
Her left arm is hurting nine out of ten times, and she has pain and bruises covering 70% of her abdomen.
Assessment The patient claimed she never took the diagnosis seriously, but after going through this experience, her viewpoint has changed. She also said she is willing
to learn everything about her disease.
Recommendation The patient is recommended to take the medication as prescribed. She is advised to make big tasks manageable by organizing it into parts and minimize
s distractions for her to be able to accomplish tasks The patient is recommended to engage in ADHD support groups and to undergo Psychological
counseling

Counseling for adult ADHD generally includes psychological counseling (psychotherapy), education about the disorder and learning skills to help you be
successful.

Psychotherapy may help her to:

 Improve her time management and organizational skills

 Learn how to reduce her impulsive behavior

 Develop better problem-solving skills

 Cope with past academic, work or social failures

  Improve her self-esteem

 Learn ways to improve relationships with her family, co-workers and friends

 Develop strategies for controlling her temper

Common types of psychotherapy for ADHD include:

 Cognitive behavioral therapy. This structured type of counseling teaches specific skills to manage her behavior and change negative thinking patterns
into positive ones. It can help her deal with life challenges, such as school, work or relationship problems, and help address other mental health
conditions, such as depression or substance misuse.

 Marital counseling and family therapy. This type of therapy can help loved ones cope with the stress of living with someone who has ADHD and
learn what they can do to help. Such counseling can improve communication and problem-solving skills.