title: Nursing interventions for a chronically ill, nonadherent teenager with a psychiatric diagnosis.
abstract: OBJECTIVE
  To describe the complex care of an adolescent with chronic psychiatric and medical problems.
  
  
  CONCLUSIONS
  The nonadherent, self-abusing, adolescent was empowered to progress developmentally, as well as medically.
  
  
  CONCLUSIONS
  A planned team approach helped the adolescent become more developmentally appropriate and independent in self-care. The care plan designed by nursing staff included a change in nursing focus, creative problem solving, team nursing, and utilization of multidisciplinary resources.
authors.affiliation: Children's Hospital of Philadelphia, USA. sieben@email.chop.edu
authors.forename: Diane
authors.initials: D
authors.lastname: Sieben
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Steinmiller
authors.forename: Jennifer
authors.initials: J
authors.lastname: Bertolino
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002908:Chronic Disease / Q000451:nursing* / Q000523:psychology; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D009732:Nursing Care / Q000379:methods*; D010346:Patient Care Management / Q000379:methods*; D010348:Patient Care Team