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PATIENT CASE SCENARIO DEBATE

Please select two of the below medication classes. Your primary post should outline arguments both for and against the medication class in the two patient cases below. The primary post is due by Wednesday (end of day).

 

Pro Con

Amphetamine Amphetamine

Methylphenidate Methylphenidate

Alpha Adrenergic Agonist Alpha Adrenergic Agonist

Non-Stimulant Non-Stimulant

 

· 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.

 

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.

Patient 2:

Jessica is a 32-year-old female that was recently diagnosed with ADHD. She was referred to your office by the psychologist that completed the ADHD assessment. Jessica has always struggled in school and jobs. She is often “written up” at her job for not completing tasks that are assigned to her. She becomes easily distracted by her other co-workers. She finds herself spending a lot of time conversing with colleagues. Her colleagues are frequently annoyed with her for constantly talking to them and interrupting their work and tasks. Jessica is here to discuss medication options to treat ADHD.

 

Patient Case Scenario Debate

In Week 5, 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 5 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. 

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:

Pro

Con

Amphetamine

Amphetamine

Methylphenidate

Methylphenidate

Alpha Adrenergic Agonist

Alpha Adrenergic Agonist

Non-Stimulant

Non-Stimulant

 

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

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.

By Day 3 of Week 6

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.

By Day 6 of Week 6

Read a selection of your colleagues’ posts. Focus specifically on those colleagues who were assigned your same medication but opposite stance.

Respond to 
at least two of your colleagues on 
2 different days who were assigned your same medication but an
 opposite stance. For example, if you were assigned the con stance for amphetamine, you should respond to two students who were assigned the pro stance for amphetamine.  Support or expand on your original argument to refute their claims. Work to share additional perspectives on the issue described by your colleague.

Note: It is recommended that you read all peer postings to learn about medications other than those to which you are assigned.
 Additionally, your response needs to be supported by 
two (2) scholarly peer-reviewed resources located outside of your course Learning Resources.

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