What management do you suggest based on your reading and research?

ASWER TO EACH CLASSMATE
ONE REFERENCE PER EACH CLASSMATE
4 SENTENCE PER RESPONSE IS FINE.

CASE STUDY
You see a 7-year-old child for a WCCU. The mother is present for the visit and reports that during the past 12 months he has become more “clingy”. He will separate from his parent as long as he can see them nearby. For example, he will play soccer, but will turn around every 3-5 minutes to make eye contact with is mother and becomes agitated if he cannot see her in the crowd. He was excited about going on an overnight camp but then refused to go because his mother could not go with him. The mother also reports that he has begun to have significant nightmares about 4 times a week. He has moved from his bedroom where he slept with his younger brother to a palette on the floor next to her bed because he is afraid to go to sleep? The child is at the 50% in weight and height and his vital signs today are normal. You have done both a vision and hearing screening both were normal. Physical exam is normal except you note a soft systolic murmur during his exam.
CLASSMATE 1
What management do you suggest based on your reading and research?
There are several avenues to take here with this situation. This child could have had a life altering event take place at home causing some anxiety, the child could be one who is used to co-sleeping with his mother, or the child may be experiencing some night terrors. I would have to ask the child and the mother some questions to figure out the culprit in this situation. The term ‘co-sleeping’ is broadly used to refer to children who sleep in close proximity to parents and often includes bed sharing (sharing a sleeping surface with a family member for all or a portion of the sleep period. Currently, the recommended treatment for night terrors is to leave the child alone; parents are encouraged to let the terror proceed uninterrupted, as the child is unlikely to respond to attempts to be woken and is often inconsolable upon awakening (Boyden et al., 2018).
CLASSMATE 2
Include any pharmacologic interventions if appropriate.
Pharmacologic interventions should only be used if non-pharmacological interventions are not treating the cause and has serious impairment in function. At this point, before starting any medications, they should be referred to a pediatric behavioral health specialist.
CLASSMATE 3
Include non-pharmacologic interventions if appropriate.
Psychotherapy can be an effective intervention; cognitive behavioral therapy is usually useful as a first-line intervention. It involves teaching the patient different ways of handling feelings and thoughts associated with panic attacks. As the patient continues to learn how to react to the thoughts and feelings, the attacks can begin to disappear. Emotional and art therapy can be included as non-pharmacologic interventions (National institute of mental health, (2021).
CLASSMATE 4
List three strategies that can be used by a pediatric provider to identify victims of child maltreatment.
Be smart when assessing. Do not interrogate the child, Let the child explain to you in their own words what happened, but don’t interrogate the child or ask leading questions.
Reassure that they did nothing wrong.
Provide a safety environment and explain things according to child age and developmental state.

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