Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
Introduction
The case under analysis concerns an adult by the name Harold who works in a large architectural engineering firm and complains of a decrease in his level of concentration. Although paying attention and concentrating has always been a problem to him even in his school years, he managed to get to adulthood, but recently the situation has worsened and it started after the supervisor tightened the deadlines that Harold and his colleagues are expected to deliver their assigned tasks. Since then, Harold has been having challenges concentrating due to the immense pressure placed by the deadlines and seems to have lost his level of concentration even on the small tasks that he is assigned; for instance, the case of gutters, where he designed and was required to place them, but upon reaching the work site, he notices that the tiles are Italian and are not aligned, although there were some people assigned to work on the tiles, he started to study them. The subjective and objective information suggest that Harold suffers from Attention- Deficit Hyperactivity Disorder (ADHD), although differential diagnosis assessment will be carried out to ensure that the diagnosis is correct and pave way for the treatment process.
According to Mayo Clinic (2019) ADHD is a mental health illness that presents a combination of persistent issues such as impulsive behavior, hyperactivity and challenges in paying attention. ADHD symptoms can emerge from childhood and continue to adulthood and the symptoms make it difficult for the individual to function normal and carry out their daily duties. The result of this is poor relationship with others, for instance a partner or colleagues; poor academic performance among school children, lack of focus and concentration on the normal activities that an individual carries out, this includes concentrating at the workplace whereby the individual opts to focus on other issues that do not align with the duties assigned to him, trouble dealing with pressure or stress, challenges completing assigned task, being messy and lacking organization and low self-esteem (Mayo Clinic, 2019).Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
Subjective Data
According to Marshall, et al. (2021) subjective data offers the necessary clues to the possible psychological, physiological and sociological issues and the healthcare provider with the necessary information that helps determine the health problem of the client.Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
Chief Complaint (CC): Although the appointment was made by the client’s supervisor, the client believes that he has a problem with concentration and it is negatively affecting how he performance his duties at the architectural engineering firm, where he works.Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
History of Present Illness (HPI): The issue of concentration has been ongoing for a long time, actually, since childhood, but the client has never been diagnosed. As a child, Harold’s mother made threats that she would take him forcefully to the hospital, but never did. However, owing to his high level of hyperactivity, she opted to ensure that he never took caffeine or sugar, the argument being that if he did, then he would climb wall, which even without the consumption of the said products he was already doing. Although as an adult Harold drinks caffeine and soda once in a while, he has managed to progress and live his life without major occurrences like the ones that he is experiencing presently, where he seems to have lost his sense of concentration with his work and it is getting him into constant problems with his supervisor and colleagues. Innately, without the introduction of the tight deadlines, Harold was leading a normal level and was in a position to concentrate on his work and complete them the same way his colleagues are doing, even with the introduction of the tight deadlines as nothing has changed for them. Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders.
Current Medications: Since no diagnosis has ever been done to determine the type of disease that causes the symptoms that Harold displays, he has never and is not currently on any medication.
Personal/Social History: There is no personal or social history that is provided about Harold.
Objective Data
Mental Status Exam: The client is alert and oriented to person, place, and event. The client’s speech if coherent and adheres with the questions that he is asked. The client appears to understand that
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