[SOLVED] Therapeutic Intervention for Pediatric Clients with Depression

Therapeutic Intervention for Pediatric Clients with Depression The provision of healthcare to pediatric patients may vary significantly as compared to the case of adult populations. This is considering that the symptoms of disease or any underlying health condition manifests in a different way as compared to those of an adult patient as discussed by Ghandour, et al. (2019). The fact that the process in which medication is assimilated to the body also varies in children as compared to the adult patients further shows the need of handling pediatric patients separately. This paper focuses on the development of an effective intervention for the control of the suitable features. Pediatric nurses should therefore consider handling the treatment of children more keenly to prevent the case of extreme reaction. This paper discusses the treatment of the presented child with depression. The choice of the suitable treatment and the rationale are provided in the paper.  Case Study Summary  The presented case study is of an African American presenting with depression. The child is described by the mother to have developed abnormal behavior. The child is presenting with withdrawn conditions. The mother also expresses that the child has been lately less active and avoids the company of the peers. The mother also indicated that the child’s appetite has declined within a short span of time. The child was also reported to be showing signs of aggressiveness while playing with peers and even while communicating at home. It was also reported that similar cases of aggression and loneliness by the patient were reported by the teachers.   A physical examination of the child was carried out. There was no physical injury on the skin, and the child also did not indicate any signs of extreme level of vital signs. The child also indicated to be alert and could also walk with a straight gait when they were asked to wake up from a sitting position and walk across an open space. The orientation of the child was fine, and they were also spontaneous in responding to general knowledge information like the age and the dates. The child was subjected to depression scale and the outcome indicated a score of 35. This therefore informed the diagnosis of depression.   Decision #1 Which decision did you select?  The choice of treatment that I would take in the first decision is to prescribe Sertraline 25 mg by mouth daily.  Why did you select this decision?   Sertraline is a medication that belongs to the group of medication selective serotonin reuptake inhibitors (SSRIs) (Poweleit, et al. 2019). This medication acts by hindering certain imbalance of chemicals in the brain of individuals with depression. The rationale for selecting this medication is because it has a commendable response rate of about 70% in children with depression.  What were you hoping to achieve by making this decision?   The objective for the selection of Sertraline was to ensure that any form of mental health associated with depression is managed in the child (Poweleit, et al. 2019). This is because the Sertraline is suitable for the management of several other mental health conditions besides depression. These includes anxiety disorder and panic disorder.  Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?  Some of the outcomes that were observed after using the medication did not meet the expectation of using this sertraline. one of the unexpected outcomes was that the child was still aggressive as described by Poweleit, et al. (2019). The other outcome was that the child became drowsier and the less active. Signs of confusion were also observed in the child and this contributed to the development of an effective measure for the improvement of the effective features. The symptoms of the child seemed to be getting worse after the medication as the child could not settle. These unexpected outcomes could be associated with the side effects of the medication. These outcomes were temporary.  Decision #2 Why did you select this decision?   In the second set of decisions, the decision that is selected in this case is the last option whereby dose of the Sertraline is increased to 50 mg by mouth daily. What were you hoping to achieve by making this decision?   The rationale for the selection of this option is considering that the medication is effective in children (Vitiello, & Ordóñez, 2016). Sertraline is highly responsive in children and takes a shorter period of time. Administering an additional dose of Sertraline is with the expectation that the effectiveness of the medication in relieving depressed is increased. The aspect of aggression is also expected to diminish much faster. The responsiveness to the medication was also expected to improve and thus the child would be able to fell less of the depression condition.  Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?  One of the outcomes that was one expected in the patient is the case of dryness of the mouth and frequently feeling thirsty (Vitiello, & Ordóñez, 2016). The other unexpected outcome was that the patient experienced confusion which occurred shortly after taking the medication. Drowsiness was also observed, and the patient became more active. These unexpected reactions would be associated with the side effects of Sertraline that may increase with the increase in the dose. The impacts of the disease were also expected to last for a short period of time and thus would help to manage the condition effectiveness.  Decision #3 Why did you select this decision?  The last choice of the treatment for in this case would be to select the sertraline 75 mg by mouth daily.  What were you hoping to achieve by making this decision?   The rationale for the selection of the medication would be to ensure that the patient gets a maintenance dose to stabilize the depression condition and thus contribute to faster recovery (Ramsey, Bishop, & Strawn, 2019). The optimal dose for children between the age of 6 years and 13 years is between 25 mg to 200 mg once every day. Thus providing this dose would be within the set maintenance dose. From offering this medication to the patient, I would be hopping to achieve effective maintenance of the patient condition that would improve the management of the condition. The child will therefore be in position to manage their condition much faster.  Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?  Considering the the medication may have several possible side effects, the possible unexpected health conditions may include the case of reduced rate of the patient condition would also contribute to better condition of developing suitable features of concern. The patient is also likely to show signs of not settling in one position (Ramsey, Bishop, & Strawn, 2019). Sertraline is also likely to interact with some types other types of medications besides also interacting with the patient depression condition.  Ethical considerations and impact on Treatment Plan and Communication with clients.  Considering that the patient is a child, thus various ethical considerations may be considered (Ghandour, et al. 2019). Handling children especially when seeking to acquire information about health should consider the aspect of patient autonomy. In this case, despite the immediate caregiver being the potential surrogate decision maker, the child should also be provided with the information concerning their treatment. Communication with the child may be challenging in some situations where the child gets distracted (Vitiello, & Ordóñez, 2016). The child in other cases may also get emotional and call for the intervention of the mother to calm them. In such cases, the healthcare provider should be patient and use possible approaches to contain the child. This will ensure that effective communication is provided. The healthcare provider should provide appropriate patient education to the patient about the treatment. The age of the child would also determine whether the mother becomes the surrogate decision maker on health issues. Children below the age of 14 years should have the parent making health decisions on their behalf.  Summary  The process of providing healthcare to children requires that the pediatric healthcare provider addresses the needs of the child with care. The experience of children may differ from that of adults with similar health conditions. The process of developing suitable features would contribute to the development of the effective measures. Depression symptoms in children may also vary from the case of the children. The treatment approach would also be associated with the improvement of the specific features that would be associate with the control of the suitable system of concern. The reaction of medication by children also is not similar to the case of medication reaction by adults. Provision of care to children also consider the aspect of autonomy and informed consent. The parents should consent in the case of children below 14 years.  Reference Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. E., Bitsko, R. H., & Blumberg, S. J. (2019). Prevalence and treatment of depression, anxiety, and conduct problems in US children. The Journal of pediatrics, 206, 256-267. Poweleit, E. A., Aldrich, S. L., Martin, L. J., Hahn, D., Strawn, J. R., & Ramsey, L. B. (2019). Pharmacogenetics of sertraline tolerability and response in pediatric anxiety and depressive disorders. Journal of child and adolescent psychopharmacology, 29(5), 348-361. Ramsey, L. B., Bishop, J. R., & Strawn, J. R. (2019). Pharmacogenetics of treating pediatric anxiety and depression. Vitiello, B., & Ordóñez, A. E. (2016). Pharmacological treatment of children and adolescents with depression. Expert opinion on pharmacotherapy, 17(17), 2273-2279.


Struggling to find relevant content or pressed for time? – Don’t worry, we have a team of professionals to help you on
[SOLVED] Therapeutic Intervention for Pediatric Clients with Depression
Get a 15% Discount on this Paper
Order Now

Can’t find relevant content? Don’t worry– you have a team of professionals to help you.

All you need to do is fill in the order form in the upper right corner and upload the files that are crucial for your assignment. Also, don’t forget to specify whether your assignment has to be based upon a specific research, theory or method. After that, we will assign an expert to complete your order. You can always chat with your expert and ask any questions you have during the working process.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with MyCoursebay
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Awesome work!!!!!!
Customer 452453, March 24th, 2021
Social Work and Human Services
Perfect. Thank you.
Customer 452469, July 10th, 2021
Customer 452813, June 20th, 2022
IT, Web
Paper was great and accomplished everything I needed.
Customer 452885, October 27th, 2022
Customer 452813, June 25th, 2022
Computer science
extremely happy with the service, again! You guys are the best.
Customer 452715, July 27th, 2022
Social Work and Human Services
Excellent Work!!!!
Customer 452587, November 29th, 2021
Thank you!
Customer 452707, April 3rd, 2022
Great work! Thank you so much.
Customer 452707, July 15th, 2022
public speaking
The work was excelent and very professional.
Customer 452653, November 1st, 2021
Business and administrative studies
Thank you very much for your help.
Customer 452861, September 16th, 2022
Social Work and Human Services
Customer 452587, August 3rd, 2021
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Get your perfect essay with a 15% discount. Use DC15


Thank you for choosing MyCoursebay. Your presence is a motivation to us. All papers are written from scratch. Plagiarism is not tolerated. Order now for a 15% discount

Order Now