Nursing interventions for a chronically ill, nonadherent teenager with a psychiatric diagnosis.
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.
Sieben
Diane
D
Children's Hospital of Philadelphia, USA. sieben@email.chop.edu
Steinmiller
Elizabeth A
EA
Bertolino
Jennifer
J
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