Evaluation tool in adolescents

Family nurse practitioner treating pediatrics in the outpatient setting. please answer the questions using below case study. Describe the evaluation tool and explain why this tool is essential in the care of the adolescent patient population. Apply the findings of the scholarly research articles to the use of this evaluation tool and describe its validity and reliability. Apply this evaluation tool to a patient situation and summarize your opinion of the results. Describe a plan of care for the patient, depending upon the results. Name: Angela Cortez Age: 17 years Sex: F Height: 5' 4" Weight: 168 pounds (BMI 28.8) Temperature: 98.6 F (oral) Pulse: 70 bpm - regular Blood pressure: 110/74 mmHg Respiratory rate: 14 bpm SpO2: 99% on room air Expert key findings: Decreased energy / interest in pleasurable activities (anhedonia) Fatigue Related Irritability Related 25+ lb weight gain Related Crying more than usual Related Recent decline in school grades Related Mild to moderate obesity/elevated BMI Related Acanthosis nigricans Unknown Acne Unknown Striae Unknown Family history of obesity, DM, and HTN Unknown Problem statement: Angela Cortez is a 17-year-old female who presents with a history of fatigue and lack of energy for the past two months; associated with irritability and weight gain. Her symptoms have led to a decline in her school performance and lack of participation in her usual activities. She has been crying on a near daily basis over the past month. On physical exam, she has an elevated BMI, is tearful, and is noted to have acne, striae, and acanthosis. She denies any active suicidal thoughts. DDX: cushing syndrome vs hypothyroidism vs ADD/ADHD vs depressive disorder vs EBV vs anemia vs pregnancy vs DMII. Test : all result are negative HgA1c HCG urine TSH CBC Mononucleosis spot FT4 Urine drug screen Blood glucose Urine cortisol Diagnosis: depression Angela will be referred to a psychiatrist for initiation of both psychotherapy and pharmacotherapy in treatment of adolescent depression. She will be started on fluoxetine, a selective serotonin reuptake