PATIENT CASE SCENARIO DEBATE
In Week 6, you were assigned by Faculty to argue either the pro (for) or con (against) for a particular medication. You were also provided information for a patient case study scenario. Week 6 was your opportunity to conduct research for this debate.
This week, you will present and defend your assigned stance (pro or con) and specific medication for your patient case study scenario with your peers. Within the debate, you will also share your perspective on why the alternative medication class would not be appropriate for the patient case scenario.
Case Study for Discussion
Patient 1:
Malcolm is a 9-year-old male in the 4th grade at the public elementary school. Malcolm
has recently been diagnosed with ADHD, combined presentation. Malcolm struggles
with being fidgety and hyperactive; he often gets into trouble at school for blurting out
answers, getting out of his desk when he should not be, and hitting other children when
upset. Malcolm also has a hard time focusing on anything other than video games at
home. His parents report homework takes “all night” though it should only take 30
minutes. Malcolm has assigned chores but often gets distracted. For example, Malcolm
was to take out the trash but got distracted in the driveway while taking out the trash
and left the full bag in the driveway. He often misplaces the combination code for the
lock on the house door.Support your answers with evidence-based, peer-reviewed scholarly literature.
Note: APA style format with citations and references will apply.
As a reminder, these were the assigned medications: Mine is Pro Methylphenidate
| Pro | Con |
|---|---|
| Amphetamine | Amphetamine |
| Methylphenidate | Methylphenidate |
| Alpha Adrenergic Agonist | Alpha Adrenergic Agonist |
| Non-Stimulant | Non-Stimulant |
To prepare:
- Review the Required Learning Resources.
- Review your research regarding your position and medication.
- Consider how you will apply your specific position and medication to the presented patient case.
Post your response detailing your argument for the following:
- What is the proposed mechanism of action of the medication(s)? Why might this be appropriate for the patients?
- What are the advantages or disadvantages to your class of medication (options for different administration, length of duration, etc.)?
- What are the advantages or disadvantages to the other medication options?
- What possible side effects or considerations need to be evaluated?
- Provide one example for each consideration—legal, ethical, and social implications—for prescribing the medication category.
Note: Your response needs to be supported by three 3 scholarly peer-reviewed resources located outside of your course learning resources.
Readings:
- Goldin, D. S. (2023). Fast facts for psychopharmacology for nurse practitioners. Springer Publishing.
- Chapter 9, “Stimulants/Neurodevelopmental Disorders” (pp. 178–208)
- Chapter 10, “Antidementia” (pp. 208–227)
- American Academy of Pediatrics. (2019, October). Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescentsLinks to an external site.. Pediatrics, 144(4), Article e20192528. https://doi.org/10.1542/peds.2019-2528
- Drugs.comLinks to an external site.. (2023). https://www.drugs.com/
Note: Please use the following resource to check the most up-to-date box warnings, FDA approvals and indications, recommendations for follow-up evaluations, changes, etc. - CHADD’s National Resource Center on ADHD. (2023). ADHD medications approved by the U.S. Food and Drug Administration: Stimulant medications. https://d393uh8gb46l22.cloudfront.net/wp-content/uploads/2020/02/ADHD-Medications-Approved-by-FDA-2.23.pdf
Note: Utilize this medication table resource to familiarize yourself with the medications aligned with the topics presented this week.
