neurodevelopment d/o (329 E3) Flashcards
(46 cards)
speech disorders
problems in making sounds
language disorders
-difficulty understanding or in using words in context & appropriately
-may be evidence by inability to follow directions
-expressive language disorder
-social communication disorder
expressive language disorder
impairment or inability to develop the skills to communicate verbally or through sign language
social communication disorder
problems communicating socially -> interrupts others, being minimally verbal
motor disorders: developmental coordination disorder
-Impairments in motor skill development
-Coordination below the child’s developmental age
motor disorders: stereotypic movement disorder
Repetitive, purposeless movements for 4 weeks or more
motor disorders: tic disorders
Sudden nonrhythmic and rapid motor movements or vocalizations -> 3 types
1) Tourette’s disorder
2) Persistent motor or vocal tic disorder-more than one year
3) Provisional tic disorder-less than 1 year
what is the most severe tic disorder
tourettes -> involves multiple motor tics and one or more motor tics throughout the day for over a year, impairs functioning
treating tic disorders
-Behavioral techniques (like habit reversal)
-Relaxation Strategies
-Medications: antipsychotics, clonidine, klonopin, fluoxetine and sertraline
-Deep brain stimulation (DBS)
specific learning disorders
Dyslexia (reading)
Dyscalculia (math)
Dysgraphia (written expression)
IDDs create deficits in
- intellectual functioning
- social functioning
- daily functioning
when do we like to start interventions for IDD
around age 3, do better in the long term if started before age 5
Application of the Nursing Process
-Assessment guidelines
Assess for delays
Assess for signs of potential neglect or
abuse
-Diagnosis
-Outcomes identification
Use spoken language, engages in simple
social interactions and accepts assistance
or feedback without frustration, refrains
from acting impulsively or harming self or
others
-Implementation
Psychosocial interventions: social skills
training & therapy (Individual, Family, &
Cognitive).
-Evaluation
autism spectrum disorders
non progressive, pervasive developmental disorder that exhibits symptoms in 3 areas: socialization, communication and behavior
individuals with autism…
may be withdrawn and react unusually to other people, frequently engage in repeated body movements (like hand flapping, rocking), they have unusual attachments to selected specific objects, can be aggressive towards others or themselves, thrives with routine
review application of nursing process
for autism spectrum disorder
what screening should be done during ASD eval because intoxication can show similar signs to autism
lead
review effective treatments
for autism
ADHD
Persistent pattern of inattention, hyperactivity, and impulsiveness that is pervasive and inappropriate for developmental level. In at least 2 settings: causing work, social, or educational difficulties for at least 6 months before age 12
3 types:
-Hyperactivity-impulsivity type
-Inattentive type
-Combined type
ADHD Hyperactivity-impulsivity Type
6 or more present for 6 months
Hyperactivity behaviors:
-Often fidgets; moves feet; squirms in seat; can’t sit still
-Leaves seat before excused
-Runs about/climbs excessively or at inappropriate times
-Difficulty playing quietly (e.g. Board games)
Is often “on the go” or often acts as if “driven by a motor”
-Often talks excessively/ non-stop talkers
Impulsivity behaviors:
-Often blurts answers before questions finished; speaks before thinking
-Often interrupts or intrudes on others (Butts into conversations or games)
-Problem waiting for his/her turn
ADHD: Inattentive Type
6 or more present for 6 months
-Does not give attention to details or makes repeated careless mistakes
-Trouble keeping attention on tasks or activities
-Often does not seem to listen when spoken to directly
-Does not follow through with completion of task/activity
-Often has trouble organizing activities
-Avoids, dislikes doing tasks that involve mental effort
-Loses things, distracted, or forgetful
-Easily bored
-Disorganized
ADHA: combined type
has behaviors from hyper, impulsive & inattentive
treatment of ADHA
-behavioral mgt + meds
-parent management training
-inc problem solving skills & coping mechanisms
-group therapy
ADHA treatment emphasizes
self regulation, social functioning, concentration, attention & focus
