{"title":"An Adolescent with Undiagnosed Inattentive-Type Attention Deficit-Hyperactivity Disorder and Comorbid Migraine: A Case Report.","authors":"Kimberly P Toole, Catherine Frank","doi":"10.1097/AJN.0000000000000085","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Patients with attention deficit-hyperactivity disorder (ADHD) commonly exhibit symptoms such as difficulty paying attention and focusing, trouble controlling their behavior, and hyperactivity. Comorbidities frequently occur with ADHD, including a variety of psychiatric issues, medical conditions, and learning disorders. The lack of adequate pediatric mental health resources highlights the critical need for experienced nurses and NPs to play a pivotal role in diagnosing and treating ADHD, ensuring timely care for young patients. This article presents a case study of an adolescent with ADHD with inattention and migraine, but not hyperactivity or impulsivity. The patient was not diagnosed until adolescence, causing frustration for the patient and the family, and resulting in academic failure. An NP diagnosed the patient and treated him with the stimulant methylphenidate, which resulted in a positive academic outcome and improved quality of life. It is critical to identify, diagnose, and treat ADHD early and appropriately for optimal patient outcomes. This is especially true for adolescents with previously undiagnosed inattentive-type ADHD.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 6","pages":"28-34"},"PeriodicalIF":2.5000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AJN.0000000000000085","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/22 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Patients with attention deficit-hyperactivity disorder (ADHD) commonly exhibit symptoms such as difficulty paying attention and focusing, trouble controlling their behavior, and hyperactivity. Comorbidities frequently occur with ADHD, including a variety of psychiatric issues, medical conditions, and learning disorders. The lack of adequate pediatric mental health resources highlights the critical need for experienced nurses and NPs to play a pivotal role in diagnosing and treating ADHD, ensuring timely care for young patients. This article presents a case study of an adolescent with ADHD with inattention and migraine, but not hyperactivity or impulsivity. The patient was not diagnosed until adolescence, causing frustration for the patient and the family, and resulting in academic failure. An NP diagnosed the patient and treated him with the stimulant methylphenidate, which resulted in a positive academic outcome and improved quality of life. It is critical to identify, diagnose, and treat ADHD early and appropriately for optimal patient outcomes. This is especially true for adolescents with previously undiagnosed inattentive-type ADHD.
期刊介绍：
The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/).
AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com.
AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.
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