Training Title 48 Name: Sarah Higgins Gender: female Age: 9 years old T- 97.4 P- 62 R 14 95/60 Ht 45 Wt 63lbs Sarah Higgins is a 9-year-old AA girl who came in with her mother for mental evaluation. The patient has been inattentive most of the time at school. Sarah admits that she cannot remember all her assignments and the teachers must write down the list of these assignments. However, the patient forgets where she has placed the list almost on daily basis. The mother has to write the list on her phone to keep reminding the child. She starts that the child has been forgetting her assignment since when she was in kindergarten. The girl also has a problem of fidgeting and sitting still on her chair. She only sits for a few minutes when she is reading an interesting book. However, she notes that she cannot recall what she has read in the book. Also, if a teacher reads the book for her, she cannot remember immediately what is being read. The patient has a tendency of losing things. She starts leaving her geography book on a bus and a bracelet she was given by her mother in a bathroom in a restaurant. The child reports being upset when her teacher asks her to do something because she cannot hear the instructions most of the time. She states that she daydreams of playing with her dog, Conley, while at school. She is frustrated because she makes a lot of mistakes while doing her assignments. During the interview, the girl presents with some level of inattentiveness and the mother keeps reminding her that the question was directed toward her. The patient admits she cannot recall what she was being asked during the interview because she was thinking about a picture on the wall. The mother reports that the patient has a behavior of running from one painting to another. The teachers reports highlighted that the patient has a problem waiting for her turn. The mother recounts a scenario where when the child was young, they could not take her to the Zoo because put her hands inside the cages of dangerous animals. The child admits that she had a problem with her attention span, and she needed help. Background: no history of treatment, developmental milestones met on time, vaccinations up to date. Sleeps 9hrs/night, meals are difficult as she has hard time sitting for meals, she does get proper nutrition per PCP. Symptom Media. (Producer). (2017). Training title 48 [Video]. USE THE ABOVE SCENARIO TO ANSWER BELOW QUESTION Reflection notes: What would you do differently with this client if you could conduct the session over??Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (., socioeconomic, cultural background, etc.).Show more
