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CHILD DISORDERS

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Autism

Characterized by impairment in communication

skills, or the presence os stereo-typed

(repeated) behavior, interest and activities with

associated impairment in social interactions.

Common to boys

MAIN PROBLEM: Impaired interpersonal

functioning.

Cause: Biologic Brain anoxia pregnancy

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Signs and Symptoms

Crying tantrums

Loves to spin objects

Attachment to

inanimate objects Echolalia

Silly laughing

Acts as deaf

No fear of Danger

Insensitive to pain

Not cuddly

Odd play

Difficulty interacting

with others No eye contact

Points to anything

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Drugs

Pharmacologic treatment with antipsychoticssuch as haloperidol (Haldol) or risperidone(Risperdal) may be effective for specific target

symptoms such as temper tantrums,aggressiveness, self-injury, hyperactivity, andstereotyped behaviors.

Other medications such as naltrexone (ReVia),clomipramine (Anafranil), clonidine (Catapres),and stimulants to diminish selfinjury andhyperactive and obsessive behaviors have hadvaried but unremarkable results

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Attention Deficit Hyperactivity

Disorder (ADHD) Characterized by persistent pattern of

inattention, hyperactive and impulsive(acts

on sudden) Occurs before the age of 7

More common in boys

MA

IN PROBLEM:

IHI

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Etiological Factors

Neurologic Impairment

Pre-natal Trauma

Early malnutrition

Frontal lobe hypoperfusion

Use of drugs by mother during pregnancy

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Signs and Symtoms

D difficulty remaining seated

E easily distracted by extraneous stimuli

F fidgeting (absent-minded) I Intrudes/Interrupts others

C child exhibits hyperactivity

I indulges in destructive behavior T talks excessively

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Nsg. DxRISK FOR INJURY

PRIORITY NEEDS

NutritionSafety

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Drugs

CNS stimulant - methylphenidate (Ritalin),

dextroamphetamine (Dexedrine),amphetamine (Benzedrine){ decreases

hyperactivity).

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CLIENT/FAMILY TEACHING

Include parents in planning and providingcare.

Refer parents to support groups.

Focus on childs strengths as well asproblems.

Teach accurate administration of

medication and possible side effects. Inform parents that child is eligible for

special school services.