My client is a 16-year-old Caucasian female, admitted to Children's Medical Services on July 28, 2015. She lives with her mother in a mobile home. Mother and father are divorced because her father was abusive. Since the mother is now a single parent, finances are a struggle. The mother also suffers from depression and is receiving counseling. My client suffers from dysthmia, a chronic type of depression in which a person's mood is regularly low (quote). She has been diagnosed with obsessive compulsive disorder, an anxiety disorder in which people have unwanted, repeated thoughts, feelings, ideas, sensations, or behaviors that make them feel pressured to do something (quote). My client has a problem with inattention, hyperactivity, and impulsivity, which has been diagnosed as attention deficit hyperactivity disorder. She also suffers from post-traumatic stress from observing her father's abuse of her mother when she was a child. Her previous medical history includes ADHD, asthma, vaginitis, urinary tract infection, sinusitis, and otitis media. My client is physically within the normal range for her age. Based on the growth chart in the pediatrician's book, his weight is in the 75th percentile and his height is in the 25th percentile. He had a slim physique and no appearance of nutritional deficiencies. The skin appeared smooth, the hair shiny and strong, and the mucous membranes appeared soft and moist. She was dressed casually in school clothes. The purpose of this visit was to initiate therapy to resolve the cycle of conflict between the child and the mother. My client is very hyperactive and instigates conflict with her mother. Due to his low self-esteem he does not want to attend school so he is excessively absent. Hits and kicks mom when she tries to wake her... in the middle of a sheet of paper... coping techniques to increase their ability to deal with frustration, so they can respond calmly to their child's requests. behavior. Children with chronic illnesses experience a changing lifestyle, and various problems arise as the child goes through developmental changes into adulthood. Using knowledge of child development, a nurse can recognize regressions in child development and implement preventative strategies. Nurses can plan and implement treatment regimens such as medication administration. Young people with chronic illnesses and their families must cope with the demands of chronic conditions on a daily basis. Nurses can assist parents with several coping strategies that parents can use to minimize the impact of the diagnosis. For example, they can provide explanations to parents about the diagnosis, family support and encouragement.