my topic is : role of routine oral care in

Case Study: Alix Innocenti-Nazir Alix Innocenti-Nazir, a 7-year-old, is having a lot of problems with attention and focus. Nicco Innocenti, one of her dads, brings her to see you because she’s getting in trouble at both home and school for not paying attention. Conners Comprehensive Behavior Rating Scales (Conners CBRS): score 60 You tell Nicco and Alix that you think Alix might have ADHD. Nicco says that he and Khaled have already discussed such a diagnosis. They have decided that if Alix were diagnosed with ADHD or anything else, they want to try therapy first, before trying medication, if at all. Behavioral therapy: Behavioral therapy, also known as behavior modification, has been shown to be a very successful treatment for children with ADHD. This is the best choice for Alix at this time. Six-Week Follow Up Visit Alix was lucky to get in to see a behavioral therapist right away and has been working with one for about a month. Alix and her Dad come back for a follow up and report that Alix has made some small progress. Nicco and Khaled have decided that they would like to try medication to help with symptoms, along with the therapy. However, Khaled, who is Alix’s biological father, struggled with addiction, and Nicco says that they want to try a medication that is not going to be addictive. Prescribed Atomoxetine 10 mg daily for 7 days, and then increase to 25 mg daily: What are your recommendations for patient education for both Alix and her parents? List at least three suggestions. Did you focus on Alix or her dads? Why? During the coming year, if Alix has side effects from the prescribed medication, what changes would you make? Consider medication (addition and/or removal), dose, timing, formulation, and so on. Include the rationale, starting dose, medication education, side effects, and any special considerations. If Alix’s behavior does not improve or gets worse, what would you do next? What did you find most difficult about this case?

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