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Adhd disorder
1. ADHD (Attention Deficit
Hyperactivity Disorder)
Dr. Rahul Sharma
Associate Professor
H.O.D. of Mental Health Nursing
Ph. D Coordinator
Seedling School of Nursing,
Jaipur National University, Jaipur
2. Introduction
β’It is the most common disorder of
childhood is characterized by deficit in
attention, concentration & impulse control.
3.
4. Definition
β’ Excessive psychomotor activity that may be purposeful or
aimless. Accompanied by physical movement & verbal
utterances that are usually more rapid than normal.
Inattention and distractibility are common with hyperactive
behaviour.
5. Cause :
β’ [1] GENETIC : it is believed that ADHD result from the combined effect of
several genes
β’ [2] BIO CHEMICAL : it is believed that certain neurotransmitter particularly
dopamine, norepinephrine and serotonin are producing will impaired attention
regulation.
6. [3] Anatomical influence :
β’ Recent studies have implicated alteration in specific
areas of the brain in individual with ADHD
β’ These region include the prefrontal lobes, parietal and
temporal.
7. [4] prenatal, perinatal and postnatal factor :
β’ Prenatal studies have linked maternal smoking during pregnancy exposure to toxic
substance including, alcohol can produce effect on behaviour.
β’ Perinatal influences that may contribute to ADHD are prematurity or low birth
weight and low APGAR score.
β’ Postnatal factor that have been implicated include cerebral palsy, seizures& other
CNS abnormalities resulting from trauma, infection & other neurological disorder.
8. [5] diet factors :
β’ The possible link between good dyes and additives such as
artificial flavorous and preservatives.
β’ To give fruit drink of some children and some children
should be given place to drinks, compared that whose given
fruit drinks children are more active/ hyperactive
9. [6] Psychosocial influences
β’ Disorganized Environment in family. A higher
degree of psychosocial stress, maternal mental
disorder low socioeconomic status , living in
poverty.
10. Clinical Manifestation
[1] In attention
π make careless mistake in school work
π difficulty in play activities
π not listen when spoken to directly
πdoes not follow instruction
π forget in daily activities
11.
12. Clinical manifestation
[2] Hyperactivity
π run or climb excessively, in which is inappropriate.
π feeling of restlessness
π difficulty in playing
π talk excessively
π give answer before question have been completed.
π impaired in social academic or occupational functioning.
13. D/E
β’ Collect history from parents, teachers and other
children.
β’ Physical examination
β’ Identify the causative factor.