As a school nurse, I often see many families choosing to use an alternate to conventional medicine for their child’s diagnosis. One student was weaned off all his ADHD prescription medication over the summer to begin a more natural approach. This student was experiencing many side effects that he didn’t like so would refuse to take his medication. It was a constant fight at home to get him to take it. The parents did some research and were led to a homeopathic non-prescriptive alternate medication by the name of Brillia. Homeopathy is an alternative system used by individuals for the treatment of chronic disease (Bhat et al., 2021). According to Brillia website, it is believed that this medication will reduce anxiety, hyperactivity, and impulsivity. So far, the student has not been complaining about this new medication. He has had no side effects and his parents have seen improvement in his focus and impulsiveness.

The Plan-Do-Study-Act (PDSA) model offers a structured approach to experimental learning and to change evaluation (Connelly, 2021).

Plan

I plan to: ask the parents and teachers if they think the student’s new alternative medication is helping with his ADHD symptoms.

I hope this produces: successful ability of the student to have less impulsivity and better focus by the end of 3 months.

Steps to execute:

1. The school nurse will ask the parents and teachers at the end of the month if they have seen any improvement with the new medication.
2. The school nurse will have the student carry a check in/check out sheet with their teachers so his behavior can be documented.
3. The school nurse will have the parents keep a notebook to track his behavior at home in.
4. On the last Friday of the month, the school nurse will meet with the teachers and parents to go over the student’s sheet.

Do

What information did you find out? The student did in fact see an improvement in their attention and focus in school and at home. Their impulsivity was also lowered.

Study

What did you learn? Did you meet your measurement goal?

The parents and teachers both stated that the student’s ADHD symptoms improved whether on the homeopathic medication or the conventional prescriptive medication. The main difference was that the student did not have any negative side effects with the new medication as opposed to the old prescription medication. The measured goal was attained.

Act

What did you conclude from this cycle?

This cycle proved that for this student, that the homeopathic medication option worked for him as well as the conventional prescriptions medication but with less of the negative side effects. This led the student to be more compliant with takin the medication.

This model has been adopted for use in health care as small cycles of change that can be completed relatively quickly and can be started with a small number of patients (Connelly, 2021).

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