The document discusses the management of various types of challenged children. It defines challenged children as those with developmental disabilities causing severe mental and/or physical impairments. It then provides strategies for managing orthopedically challenged children, sensory challenged children, mentally challenged children, and socially challenged children. The management strategies generally involve providing stimulation, developing skills, accepting limitations, preventing challenging behaviors, and creating opportunities for learning and integration.

1. TOPIC: Management of Challenged Children
PREPPARED BY,
KHUSHBU PATEL,ASSISTANT PROFESSOR

2. Challenged children
Definition :
 Developmental disabilities : severe, chronic
 Mental and/or physical impairments
 Effects on an individual’s functional abilities
and
 Need for services

3. 1. Orthopedically challenged
:
Management :
no neurological damage,
train independent and treated
as normal as possible.
cerebral palsy : physiotherapy
and self-management skills.
structured time or supervised
movement.
Establish routines and rules.

4. Conti…..
Teach child to express
anger verbally
Divert mind
Create opportunities for
integration.
Use group work and
cooperative learning.
Influencing the attitudes
of non-handicapped
children towards physically
challenged

5. 2. sensory Challenged Child:
Blindness
 Deafness
Dumb

6. Management:
sensory
stimulation.
Developing motor
skills
accept the child
with his/her defects
Don't panic or
become too anxious.

7. Conti…..
Express her anger
verbally
Encourage, but do
not force
non-verbal
assignments and
responsibilities.
Provide
opportunities praise.
Do not take over.

8. Mentally challenged children:
Mental Retardation :
 Significantly sub
average
General intellectual
functioning
 Originating from
early life
 Manifested during
the developmental
 Deficits in adaptive
behaviour.

10. Management :
Nurse’s role :
 Prevention,
Training and
Education
 Preventing
mental
retardation
 Self help skills

11. Socially challenged children:
 Helping child
Motivating and
teaching child
Speech and
language
development
 Capable leadership
program
Creating an optimal
learning environment

12. Conti…..
 Decisive and
useful handling of
challenging
behaviors
Capitalize on day-
to-day learning
opportunities
Attitudinal
training and
empowerment