Chapter 11: Childhood and Neurodevelopmental Disorders Flashcards
what are some barriers to treatment
clinicaians and parents wait to see whether symptoms are the result of a developmental lag or trauma that will correct itself
these disorders are a disruption to
normal pattern of childhood development
temperament
overall mood, attitude, and behavior that a child uses to cope with demands and expectations
resilience
capacity to recover quickly from difficulties
relationship between inborn strengths and success in handling stressful environmental factors
what do you need to have to be resilent
experienced something negative
what info should we collect during data collection
HPI
family history
medical history
development history
physical exam
suicide risk
developmental assessment tool
Denver 2 developmental screening tests
therapy types we can use
play
bibliotherapy
expressive arts
music
bibliotherapy
using literature to help the child express feelings in a supportive environment
disruption behavior management
principle of least restrictive intervention
- time out
- quite room
- seclusion and restraint
psychological therapies
CBT
group therapy
receptive language disorder
trouble understanding words that they hear and read
expressive language disorder
trouble speaking with others and expressing thoughts and feelings
tic disorders
sudden nonrhythmic and rapid motor movements or vocalizations
provisional tic disorder
single or multiple motor and or vocal tics for less than 1 year
persisitent motor or vocal tic disorders
single or multiple motor or vocal tics but not both for more than 1 year
tourettes disorder
multiple motor tics and at least one vocal tic for more than 1 year
treating tic disorders
comprehensive behavior intervention for Tics (CBITS)
deep brain stimulation
antipsychotics
alpha 2 adrenergic agonists
dyslexia
reading
dyscalculia
math
dysgraphia
written expression
Autism spectrum disorders
persistent deficits in social ______________ and ______________ across multiple contexts
communication and interaction
autism qualities
restricted, repetitive patterns or behaviors, interest or activities, fixated interests, exec cove adherence to routines, hyper/hypoactivity
autism patients tend to be picky
eaters
autism appears during first 3 years of life and child achieves milestones and then
loses them
autism spectrum
- symptoms must be present in
early developmental periods
autism diagnosis
impaired social interactions
impaired verbal interactions
delayed growth and development
autism treatment plans
behavior management
physical/occupational/speech
autism pharmacotherapy is used to
improve realatedness and decrease anxiety, compulsive behaviors or agitation
autism specific pharm
second gen antipsychotics (risperidone, aripiprazole)
stimulants
SSRI
why use second gen antipsychoits
autism associated agitation
why use stimulants in autism
comorbid ADHD symptoms and may be used to target hyperactivity, impulsivity, or inattention
why use SSRI in autism
improve mood
reduce anxiety
autism psychological therapies
Applied behavior analysis (ABA)
early intensive behavioral intervention (EIBI)
early start Denver model (ESDM)
attention deficit hyperactivity disorder
- inappropriate degree of
inattention
impulsiveness
hyperactivity
what if you have ADHD but have an absence of hyperactivity
still ADHD but classified as primarily inattentive type
how many setting should ADHD present in
at least 2
nursing diagnosis for ADHD
risk for self directed or other directed violence due to impulsivness
outcomes for ADHD
target hyperactivity
impulse control
positive coping skills
ADHD psychological therapies
parent training in behavior therapy
cognitive behavioral therapy
ADHD pharm
upper stimulants (amphetamines)
non stimulants = sedating
stimulants impact
appetite and sleep
when should you take a stimulant
in the morning
