Flashcards in 5 - Paeds - Safeguarding - CAMHS - Tantrums, Aggressive behaviour + Conduct disorder Deck (10):
Tantrums are a ...
what guides your history?
ordinary response to failure
take history and analyse with ABC :
-Antecedents - what happened in minutes before
-Behaviour - what did episode consist of?
-Consequences - what happened as result? eg what parent did and outcome of that
Tantrums - After history..? what medical factors could contribute?
global/language delay, hearing impairment and meds with bronchodilators/anticonvulsants
MGMT - before tantrum?
affection/attention before, distraction, avoid antecedents
MGMT - during tantrum?
ignore with no surrender
time out for + reinforcement (go away and return when quietens)
use naughty chair/sibling separation
hold firmly if acting dangerously
star chart to prevent future episodes
Aggressive behaviour - how to manage? what is 1-2-3 principle?
same rules as tantrums apply
1 - stop doing that because ..
2 - if you don't stop that, you must go to your room
3 - go to your room
Conduct disorder - what is it? things they may do?
antisocial behaviour so severe it handicaps general functioning
steal, lie, disobey, light fires, destroy things and pick fights
Conduct disorder - typically from where?
homes of discord, with coercive r'ships and poor supervision/limited boundaries
Conduct disorder - 1st intervention? problems with this?
parent mgmt training - minimal benefit if poor parental cooperation
Conduct disorder - what other mgmt options are there?
anger mgmt, indiv/group based interventions focused on problem solving