Week 11: Caring for Kids w/ complex needs, chronic illness, end of life Flashcards

1
Q

mental deficiency/difficulty

A

intellectual disability

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2
Q

What are the effects of an intellectual disability?

A

imapirment of intellectual function, social skills, adptive behaviour

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3
Q

How can you diagnose an intellectual disability

A

when children of less thna 5 yrs have delays in 2+ domains

gross/fine motor skills
speech/language
cognition
social/personal
activities of daily living

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4
Q

NC: Intellectual Disability

A

developmental milestone
educating the child and family
teaching the child self-care skills
promoting the child’s optimal development
encourage play + exercise

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5
Q

Methods of communication for kids with intellectual disabilities

A

AAC communication
speech board
eye gaze
buzzers

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6
Q

What is down syndrome?

A

nonfamilial trisomy 21
extra 21 chromosome

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7
Q

How can you diagnostically determine if a child has down syndrome?

A

1-S/S:
- square head, upwards slant to eyes
- flat nasal bridge, protuding tongue
- hypotonia

2-chromosomal analysis
3-physical problems:
- CHD
-hypothyroidism
-leukemia

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8
Q

Mgt of Down Syndrome

A

surgery to correct congenital abnormalities
evaluation of hearing & sight
periodic testing of thyroid function

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9
Q

Autism Spectrum Disorders (ASD)

A

neurodevelopmental disorders
- imapair social communication, patterned behavior, unusual sensory sensitivity or intersts

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10
Q

What are early signgs of ASD

A

Emotional disconnectiokn
sensitivity
lack of empathy, limited emotions
unresponsive to human interactions
difficulty controlling emotions
delayed language development
tendency to use nonverbal communication
diminished ability to decipher expresions/demeanor
repetitive behavior

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11
Q

Therapeutic Management of ASD

A

medications
non-pharmacolgical interventions
hormonal therapy

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12
Q

When should kids with special needs continue schooling?

A

as soon as their condition permits

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13
Q

Home care Interventions

A

as-neeeded home visits
assistance with transportation
regular visits
assessment of patient status
assessment of family status

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14
Q

Services that support effectice home care

A

social and psychological support
high quality respite care
home renovation
telephone service
internet, compute access
transportation
local emergency facilities
case management services
safe environment (clean, electricity)

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15
Q

Family-Centred Home Care: 3 concepts

A

home as familliar: where one is most comfortable
home as centre: location of rewarding everyday experiences
home are protector: privacy, safety, identity

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16
Q

treatment options for terminally ill patient

A

hospital, home care, hospice

17
Q

Physical Signs of Approaching Death

A

Loss of senses
- tactile sensation decreasing
-light sensitivity
- hearing is last sense to fail

confusion, LOC, slurred speech
- decreased appetite

change in respiratory pattern
- cheyne-stokes respirations
- death rattle

weak, slow pulse, decreased BP