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AUTISM
ADHD
PERVASIVE DEVELOPMENTAL
DISORDERS
Characterized by pervasive and usually severe
impairment of reciprocal social interaction
skills, communication deviance, restricted
stereotypical behavioral patterns. 75% are
also mentally retarded.
• Autistic Disorder
• Best known of these disorders
• More prevalent in boys
• Present by age 3
• Child has little eye contact, few facial
expressions, does not communicate verbally or
with gestures, doesn’t relate to peers or
parents, lacks spontaneous enjoyment;
apparent absence of mood and affect; cannot
engage in play or make-believe with toys
• Hand-flapping, body-twisting, head-banging
• Autism may improve, sometimes substantially,
as language and communication skills are
learned.
• Traits persist into adulthood. Few attain
complete independence, marry, or have
children.
• Most autistic children are
mainstreamed in school.
• Medications may be used to target
specific behaviors but do not treat the
autism.
• Goals are to reduce behavioral
symptoms and promote learning,
development, and language skills.
• persistent inattentiveness, over activity, and
impulsiveness for at least 6 months
Inattentiveness includes:
- Carelessness and inattention to details
- Cannot sustain attention and does not appear to be
listening
- Does not follow instructions and unable to finish
tasks, chores, and homework.
- Difficulty with organization and dislikes activities
requiring concentration and sustained effort.
- Loses things; distracted by extraneous stimuli,
forgetful.
ATTENTION DEFICIT
HYPERACTIVITY DISORDERS
Impulsivity includes;
- Blurts out answers, speaks before thinking
- problem waiting his/her turn.
- interrupts or intrudes
Most often diagnosed when child
starts school or preschool
Onset and Clinical Course
ETIOLOGY
Essentially unknown, but likely to be a
combination of factors such as
environmental toxins, prenatal
influences, heredity, damage to
brain structure and function.
TREATMENT
• Combination of behavioral strategies and
psychostimulants (Ritalin)
• Side effects: insomnia, loss of appetite,
weight loss or failure to gain weight
• Behavioral strategies are necessary at home
and school to help the child succeed:
consistent rewards and consequences for
behavior, using time-out, points systems,
structured routine and schedule for activities
Nursing diagnoses include:
• Risk for Injury
• Ineffective Role Performance
• Impaired Social Interaction
• Compromised Family Coping
Data Analysis
Intervention
Can be used in variety of settings and
taught to parents, teachers, and
caregivers:
• Ensuring safety
• Improved role performance
• Simplifying instructions, breaks commands
into simple steps
• Providing a structured daily routine
• Providing client and family education
and support
-Time outs may be needed for cooling down
- Role-playing – helpful in teaching friend-friend
interaction; helps child prepare for interactions
and understand how intrusive behaviors annoy
and drive friends away
- Inform school about the disorder
- Support desired behaviors and immediately
respond to undesired behaviors with
consequences.
- Natural consequences – (loses bicycle) do not
replace; has to save own money to replace it

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AUTISM AND ADHD PPT.pptx

  • 2. PERVASIVE DEVELOPMENTAL DISORDERS Characterized by pervasive and usually severe impairment of reciprocal social interaction skills, communication deviance, restricted stereotypical behavioral patterns. 75% are also mentally retarded. • Autistic Disorder • Best known of these disorders • More prevalent in boys • Present by age 3
  • 3. • Child has little eye contact, few facial expressions, does not communicate verbally or with gestures, doesn’t relate to peers or parents, lacks spontaneous enjoyment; apparent absence of mood and affect; cannot engage in play or make-believe with toys • Hand-flapping, body-twisting, head-banging • Autism may improve, sometimes substantially, as language and communication skills are learned. • Traits persist into adulthood. Few attain complete independence, marry, or have children.
  • 4. • Most autistic children are mainstreamed in school. • Medications may be used to target specific behaviors but do not treat the autism. • Goals are to reduce behavioral symptoms and promote learning, development, and language skills.
  • 5. • persistent inattentiveness, over activity, and impulsiveness for at least 6 months Inattentiveness includes: - Carelessness and inattention to details - Cannot sustain attention and does not appear to be listening - Does not follow instructions and unable to finish tasks, chores, and homework. - Difficulty with organization and dislikes activities requiring concentration and sustained effort. - Loses things; distracted by extraneous stimuli, forgetful. ATTENTION DEFICIT HYPERACTIVITY DISORDERS
  • 6. Impulsivity includes; - Blurts out answers, speaks before thinking - problem waiting his/her turn. - interrupts or intrudes
  • 7. Most often diagnosed when child starts school or preschool Onset and Clinical Course
  • 8. ETIOLOGY Essentially unknown, but likely to be a combination of factors such as environmental toxins, prenatal influences, heredity, damage to brain structure and function.
  • 9. TREATMENT • Combination of behavioral strategies and psychostimulants (Ritalin) • Side effects: insomnia, loss of appetite, weight loss or failure to gain weight • Behavioral strategies are necessary at home and school to help the child succeed: consistent rewards and consequences for behavior, using time-out, points systems, structured routine and schedule for activities
  • 10. Nursing diagnoses include: • Risk for Injury • Ineffective Role Performance • Impaired Social Interaction • Compromised Family Coping Data Analysis
  • 11. Intervention Can be used in variety of settings and taught to parents, teachers, and caregivers: • Ensuring safety • Improved role performance • Simplifying instructions, breaks commands into simple steps • Providing a structured daily routine • Providing client and family education and support
  • 12. -Time outs may be needed for cooling down - Role-playing – helpful in teaching friend-friend interaction; helps child prepare for interactions and understand how intrusive behaviors annoy and drive friends away - Inform school about the disorder - Support desired behaviors and immediately respond to undesired behaviors with consequences. - Natural consequences – (loses bicycle) do not replace; has to save own money to replace it