ADHD child giving issues

[Amethya]

Please do not post this on facebook admin.

So this new student came in late, she has been kicked out a lot of schools because of her behavior and the teachers are at their last wit. Same with the mother, she's at her last wit because of her behavior. She's taking medication, but it seems not to work.

I work well with her because we understand each other (I have ADD) but I see it both ways, from the adults and the child's perspective.

I'm not sure what we can do for her at this point.

[MrNurse(x2), ADN]

... pray "it" out of her? Just kidding. This may be more than ADHD, has she had a full psych eval?

A lot of times ADHD has comorbidities (anxiety, OCD, ODD, etc.). Have they looked into any of those yet?

[Farawyn]

How is this your issue? Do they send the child to you?

[Amethya]

She's been evaluated but it seems to get worse.

It's my issue because I'm giving her medications and I'm the one who has to call the doctor and all that but also because I also know how she feels, I was in her shoes. Not that I was a destructive or anything, but I was always called a trouble maker even though I wasn.

[Farawyn]

She's been evaluated but it seems to get worse.

It's my issue because I'm giving her medications and I'm the one who has to call the doctor and all that but also because I also know how she feels, I was in her shoes. Not that I was a destructive or anything, but I was always called a trouble maker even though I wasn.

The empathy is nice, and valuable, but put that on the back burner.

If she has a set order of meds every day, which is how it should be, why is it an issue, and why do you have to call the doc?

Is she being non-compliant with meds?

[JenTheSchoolRN, BSN, RN]

The empathy is nice, and valuable, but put that on the back burner.

If she has a set order of meds every day, which is how it should be, why is it an issue, and why do you have to call the doc?

Is she being non-compliant with meds?

This.

If I talk to a doctor it is strictly about medication and reporting if student is taking and side effects (and often, really, I am communicating this to parent to talk to their doctor if parent is willing).

I let behavior reports go through teachers and our school counselor and the student's support liaison (SPED contact to teachers) as the student may be a 504 or IEP plan. And if the student isn't - should they be? Has a full eval been done to see what full supports this student may need aside from medication? Again, not your job, but a task for your SPED team.

[Flare, ASN, BSN]

Agree with Far and Jen 100%. This really isn't your issue to fix. Beyond ensuring that she is medicated to your orders during school hours and safe while on premises, you can't really delve too far beyond, especially if the parent is doing the due diligence and doing things like taking her to dr appointments and providing medications. If the parents were not and were being neglectful, then you may have another path.

There are other interventions that can be sought out depending on behavior - child study team may implement the help of a behaviorist or strategies to keep behaviors from getting to that point, however, i don't necessarily think that it's your role to initiate these interventions to begin. If nobody else has ever approached of it and they seem appropriate, you could inquire about it. If it has been thought of, you could also revisit it.

[Amethya]

Oh the doctor calls are just to get the paperwork, I don't report to him. I'm just worried about her. I'm getting the feeling she needs to switch because of her behavior and such. Yesterday they had to call the police because she was threatening to kill herself and her mother was here too.

[JenTheSchoolRN, BSN, RN]

Oh the doctor calls are just to get the paperwork, I don't report to him. I'm just worried about her. I'm getting the feeling she needs to switch because of her behavior and such. Yesterday they had to call the police because she was threatening to kill herself and her mother was here too.

Was she evaluated by a mental health professional and deemed to be safe to return to school?

[ruby_jane, BSN, RN]

Yesterday they had to call the police because she was threatening to kill herself and her mother was here too.

Not really an ADHD issue there, definitely more psych-involved. Hope that it was taken seriously by the powers that be.

[Flare, ASN, BSN]

a threat of suicide or self harm would be an automatic send out for psych clearance per policy here.