Case Study (Pediatric Anxiety and OCD Case Study)
Cora is a seven-year-old girl, the second of two children of a middle-class family living in a suburban area of a northwest city. Cora has one sister that is two years older than her. Her mother’s pregnancy was normal, with no complications and Cora’s birth was normal.(Comprehensive Essay Example on Pediatric Anxiety and OCD)
Cora had colic the first three months, cried extensively, and was difficult to comfort. After three months she became passive and cried very little with comfort from her mother. Her growth and development appeared to be normal. She met all the developmental milestones in her first three years.(Comprehensive Essay Example on Pediatric Anxiety and OCD)
She interacted normally with her sister and parents, except that she would become tearful and anxious when her parents would get a babysitter.
At age four, she was in nursery school and appeared to function normally except during the first month when Cora had difficulty when her father would drop her off at school. (Comprehensive Essay Example on Pediatric Anxiety and OCD)ora is a seven-year-old girl)
The nursery school was a small private school with a lot of personal attention given to each child. Although shy, she made friends and liked going to nursery school after she became adjusted to the new setting.
Her parents liked the school so much that they decided to keep Cora in kindergarten at this school with her same teachers and friends. However, tuition at the school became a problem after Cora’s mother became sick with lupus and was unable to work. (NU674-Unit 9 Assignment – Pediatric Anxiety and OCD)(Comprehensive Essay Example on Pediatric Anxiety and OCD)
At age six, Cora’s parents enrolled her in first grade at the public elementary school in their neighborhood. For the last two weeks, she has refused to go to school and has missed six school days.(Comprehensive Essay Example on Pediatric Anxiety and OCD)
She began routinely brushing her hair before bed and insisted on making sure each side was brushed with an even number of strokes. She also had her mother tuck her in bed on the right side and her father come after on the left side each night. She would become very tearful and upset if the routine was not followed.(Comprehensive Essay Example on Pediatric Anxiety and OCD)
She is awake almost all night worrying about going to school and asks the same questions over and over about the environment, teachers, and other students. As the start of the school day approaches, she cries and screams that she cannot go, chews holes in her shirt, pulls her hair, digs at her face, punches the wall, throws herself on the floor, as well as experiences headaches, stomachaches, and vomiting. (Cora is a seven-year-old girl)
Over the past two weeks, she has become gloomy, has stopped reading for fun, and frequently worries about her mother’s Lupus and that she may die. She asks her every night if she has dreamed about her funeral. In addition, Cora is phobic of dogs, avoids speaking and writing in public, and wets the bed every night.(Comprehensive Essay Example on Pediatric Anxiety and OCD)
Her parents immediately made an appointment to see her PCP. Her doctor conducted a thorough physical exam, found no physical abnormalities, and then referred her to you, a Family PMHNP.
Family history of mental health includes the following: mother has a history of panic disorder; her father has a history of treatment with medications for ADHD as a child, and she has a cousin diagnosed with Asperger’s syndrome. (NU674-Unit 9 Assignment – Pediatric Anxiety and OCD [Solved])
Comprehensive Essay Example on Pediatric Anxiety and OCD
Instructions
For your assignment, write a paper that addresses the following prompts using evidence-based references to support your answers:
- Summarize the case.
- What is your provisional diagnosis, as well as the possible differentials?
- Justify your answer with DSM-5 criteria (be short, brief, and to the point).
- Is Cora too young to diagnose, or is there a basis for early identification and intervention?
- What psychiatric scales or assessment tools might you use with this patient? With the parents? List and describe briefly.
- What would be your treatment plan for medications, if any? If you do choose to offer medication as part of the treatment plan, please address the following medications issues:
- Target symptoms
- Receptors affected
- Psychiatric and system effects
- Possible parental concerns
- What would be your school-based treatment plan, if any?
- What would be the implications for the families of children and adolescents with these diagnostic pictures?
- How does the mother’s health play into the picture of Cora’s diagnosis? What type of therapy would you recommend for Cora (and her family) to work through her issues?
- Identify resources for patients/families with this diagnosis in the form of community groups, web-sites, advocacy, as well as treatment resources available in your service area.
- What are you worried about (if anything)? Consider this question in terms of treatment, assessment, alliance, compliance, effectiveness, safety, and other factors.
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Rubric
NU674 Unit 9 Assignment – Pediatric Anxiety and OCD Case Study Rubric
NU674 Unit 9 Assignment – Pediatric Anxiety and OCD Case Study Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent
20 pts
Distinguished
All parts of the assignment are included and addressed, displaying thorough understanding and connection to the topic through supported opinions and ideas.
15 pts
Competent
All parts of the assignment are included and addressed, displaying comprehensive understanding and connection to the topic through supported opinions and ideas. (NU674-Unit 9 Assignment – Pediatric Anxiety and OCD [Solved])
10 pts
Emerging
Components of the assignment are missing or uses clear and accurate expression but lacks connection to the topic. The assignment components need more substantive content.
5 pts
Novice
Components of the assignment display unclear connection to the topic and/or offers minimal expression of ideas and opinions.
0 pts
Level 0
Does not meet this section
20 pts
This criterion is linked to a Learning OutcomeAnalysis
10 pts
Distinguished
Assignment displays analysis that is thorough and aligns to the topic. Required elements show evidence of knowledge and understanding with breadth and depth supported by several examples. (NU674-Unit 9 Assignment – Pediatric Anxiety and OCD [Solved]
8 pts
Competent
Assignment displays analysis that is justified and aligns to the topic. Required elements show evidence of comprehensive knowledge and understanding supported by few examples.
5 pts
Emerging
Assignment displays analysis that is basic without depth or breadth. Required elements show evidence of basic knowledge and understanding supported by limited examples.
2 pts
Novice
Assignment displays minimal analysis of the topic and/or is not supported by resources and/or examples.
0 pts
Level 0
Does not meet this section
10 pts
This criterion is linked to a Learning OutcomeOrganization
10 pts
Distinguished
The organization is logical, with clear identification of each required element. The assignment design/layout is purposeful with exemplary transitions between elements.
8 pts
Competent
The organization is logical with identification of each required element present. The assignment’s design/layout offers transitions between elements.
5 pts
Emerging
The organization is disjointed. The assignment’s design/layout does not offer clear or appropriate transitions between elements and/or elements may be missing.
2 pts
Novice
The organization affects the audience’s ability to view the elements or elements are missing that affect the overall purpose of the assignment.
0 pts
Level 0
Does not meet this section
10 pts
This criterion is linked to a Learning OutcomeResources
10 pts
Distinguished
Uses five or greater resources that extend learning, are relevant (within the last five years), and relate to the topic.
8 pts
Competent
Uses three to four resources that are relevant (within the last five years) and comprehensive to support the ideas and opinions submitted.
5 pts
Emerging
Uses one to two resources that are relevant (within the last five years) and comprehensive to support the ideas and opinions submitted.
2 pts
Novice
Uses resources that are not relevant (within the last five years) or not related to the topic.
0 pts
Level 0
Does not meet this section
10 pts
This criterion is linked to a Learning OutcomeAPA
10 pts
Distinguished
All sources are properly formatted following APA guidelines for in-text citations, references, headers, and title and reference pages.
8 pts
Competent
Attempted in-text citations, references, headers, and title and reference page following APA formatting with 1-2 errors.
5 pts
Emerging
Attempted in-text citations, references, headers, and title and reference page following APA formatting with 3-5 errors.
2 pts
Novice
In-text citations and/or references are missing or there are greater than 5 errors in APA formatting.
0 pts
Level 0
Does not meet this section
10 pts
Total Points: 60
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