Attention-deficit/hyperactivity disorder in adolescents. Nursing approach from the primary care clinic

Abstract

Attention-deficit/hyperactivity disorder (ADHD) affects 5-10% of school-age children and frequently persists into adolescence and adulthood, with repercussions on academic performance, developmental progress and social relationships; the primary care nurse plays a relevant role in its comprehensive care. We present the case of a 15-year-old adolescent diagnosed with inattentive-subtype ADHD at the age of 8, on multimodal treatment, who comes to the primary care nursing clinic because of a deterioration in academic performance, difficulties concentrating, social isolation and low self-esteem. After assessment according to Gordon’s functional health patterns, a care plan was developed with the NANDA, NOC and NIC taxonomies, addressing hopelessness, situational low self-esteem, ineffective coping and impaired social interaction. With fortnightly follow-up at the clinic, psychological support and the voluntary change to a boarding school regime, the patient improved her performance, self-esteem and relationships, illustrating the value of nursing follow-up from primary care.