Case study:
You are working in a community health center as a NP. Although you see children for mental health, you will also see children for some basic “bridge” care until primary care providers have openings. If the medical issue is complex then the clinic coordinator will escalate the referral for quicker appointment scheduling.
Presentation Ellie, who is 6-years old, has come to the clinic with a suspected ear infection and as referral for her daughter's behaviors. Ellie’s mother says that her daughter has been rocking rhythmically and clutching her ear at the same time. There has been some moisture on her pillow in the morning and Ellie is reluctant to let her mother investigate what is wrong.
Ellie is attempting to rock while she is seated on her mother’s knee and uses the same repetitive vocalization, “Don’t wanna go to the shops” over and over again.
She has a history of speech delay but can now complete many full sentences. She has also had some behavior and attention issues in school. She disrupts the teacher often and then gets up from her seat during focus time to go to play centers. She is not easily redirected and becomes argumentative.
She feels hot to touch and will not let healthcare practitioners approach her with any equipment. Her vocalization becomes louder and more insistent when you attempt examination.
Recognizing possible autism as well as some ADHD diagnosis criteria discuss next steps in the answers to the questions.
Discuss in 2-3 pages answering the following questions. Be sure to include a minimum of two scholarly articles to support your discussion.
- Discuss autism and ADHD diagnostic criteria.
- How should you approach examining Ellie as a child, and strive to gain her trust?
- You suspect that autism may be a possibility. What should you do to ensure that your suspicions are correct and how should you go about referring Ellie to the local autism team?
- Ellie is showing signs and symptoms that may overlap between autism and ADHD. How do you differentiate autism from ADHD based on diagnostic criteria?
Write a 2-3 page paper answering the following questions. Be sure to include a minimum of two scholarly articles to support your discussion.
You are working in a community health center as a NP. Although you see children for mental health, you will also see children for some basic “bridge” care until primary care providers have openings. If the medical issue is complex then the clinic coordinator will escalate the referral for quicker appointment scheduling.
Presentation Ellie, who is 6-years old, has come to the clinic with a suspected ear infection and as referral for her daughter's behaviors. Ellie’s mother says that her daughter has been rocking rhythmically and clutching her ear at the same time. There has been some moisture on her pillow in the morning and Ellie is reluctant to let her mother investigate what is wrong.
Ellie is attempting to rock while she is seated on her mother’s knee and uses the same repetitive vocalization, “Don’t wanna go to the shops” over and over again.
She has a history of speech delay but can now complete many full sentences. She has also had some behavior and attention issues in school. She disrupts the teacher often and then gets up from her seat during focus time to go to play centers. She is not easily redirected and becomes argumentative.
She feels hot to touch and will not let healthcare practitioners approach her with any equipment. Her vocalization becomes louder and more insistent when you attempt examination.
Recognizing possible autism as well as some ADHD diagnosis criteria discuss next steps in the answers to the questions.
1. Discuss autism and ADHD diagnostic criteria.
2. How should you approach examining Ellie as a child, and strive to gain her trust?
3. You suspect that autism may be a possibility. What should you do to ensure that your suspicions are correct and how should you go about referring Ellie to the local autism team?
4. Ellie is showing signs and symptoms that may overlap between autism and ADHD. How do you differentiate autism from ADHD based on diagnostic criteria?
|
Assignment Criteria |
Level III |
Level II |
Level I |
Not Present |
|
Criteria 1 |
Level III Max Points: 15 |
Level II Max Points: 13 |
Level I Max Points: 9 |
Not Present 0 Points |
|
Content of Paper |
· Demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner · Develops content and theories are well · Links content to the paper requirements and practical experience · Includes relevant material that fulfills all objectives of the paper · Uses scholarly resources that were not provided in the course materials · Completes all instruction requirements |
· Demonstrates an understanding of the subject matter · Explains and applies knowledge of evidence-based practice, ethics, theory, and/or role · Uses a variety of scholarly resources from the course material and some that were not provided in the course materials · Includes relevant material that fulfills all objectives of the paper. · Completes all instruction requirements |
· Demonstrates a moderate understanding of the subject matter · Summarizes content with minimal application to evidence-based practice, theory, or role-development · Presents content but is missing depth and or development · Uses only scholarly resources that were provided in the course materials Completes most instruction requirements |
· Does not meet the criteria |
|
Criteria 2 |
Level III Max Points: 15 |
Level II Max Points: 13 |
Level I Max Points: 9 |
Not Present 0 Points |
|
Analysis and Synthesis of Paper Content and Meaning |
· Provides critical analysis in an accurate, clear, concise, and complete presentation of the required content · Synthesizes information from scholarly resources · Provides new information or insight related to the context of the assignment with both supportive and alternative information or viewpoints · Completes all instruction requirements |
· Provides evidence of further synthesis of course content via scholarly resources · Synthesizes information to help fulfill paper requirements · Supports content with at least one viewpoint. · Completes all instruction requirements |
· Lacks clarification or new information · Supports content with scholarly reference without adding any new information or insight · Provides content that may be confusing or unclear, and the summary may be incomplete · Completes most instruction requirements |
· Does not meet the criteria |
|
Criteria 3 |
Level III Max Points: 10 |
Level II Max Points: 8 |
Level I Max Points: 6 |
Not Present 0 Points |
|
Application of Knowledge |
· Offers a multidisciplinary approach via scholarly resources · Applies practice that is accurate and plausible · Supports practice with additional scholarly resources · Answers all questions posed within the assignment in a well-developed manner with citations for validation · Completes all instruction requirements |
· Presents a summary of the paper’s content, findings, and knowledge gained · Indicates how the information will be used within their professional practice · Completes all instruction requirements |
· Lacks objective criteria · Applies superficial bridge between the assignment and the broader course content · Indicates how they will apply this new knowledge to their clinical practice in a vague manner · Completes most instruction requirements |
· Does not meet the criteria |
|
Criteria 4 |
Level III Max Points: 5 |
Level II Max Points: 4 |
Level I Max Points: 3 |
Not Present 0 Points |
|
Organization |
· Provides well-organized content with a clear and complex purpose statement and content argument · Provides concise writing with a logical flow of ideas |
· Provides organized content with an informative purpose statement and supportive content and summary statement · Provides argument content with minimal issues in content flow |
· Provides poor organization, and flow of ideas distract from content · Provides a purpose statement · Provides narrative that is difficult to follow and frequently causes reader to reread work |
· Does not meet the criteria |
|
Criteria 5 |
Level III Max Points: 5 |
Level II Max Points: 4 |
Level I Max Points: 3 |
Not Present 0 Points |
|
College-level academic writing |
· Includes no more than three grammatical, spelling, or punctuation errors that do not interfere with the readability · Meets the assignment length requirements |
· Includes no more than four grammatical, spelling, or punctuation errors that do not interfere with the readability · Meets the length requirements |
· Includes five or more grammatical, spelling, and punctuation errors makes understanding parts of assignment difficult, but does not interfere with readability · Meets the length requirements |
· Does not meet the criteria |
|
Maximum Total Points |
50 |
42 |
30 |
0 |
|
Minimum Total Points |
43 points minimum |
31 points minimum |
1 point minimum |
0 |
Updated 2/2/2021