The document discusses various types of challenges children may face including physical, mental, and social handicaps. It defines key terms like impairment, disability, and handicap according to the WHO. It then covers specific physical handicaps like blindness, deafness, dumbness, and crippled conditions. Mental handicaps like mental retardation are also examined. The document discusses the causes, signs and symptoms, diagnosis, and management of various challenges. It concludes by looking at welfare services and facilities available to support challenged children.
handicap develops as the consequence of the disability. It is defined as a disadvantage for a given individual resulting from impairment or a disability that limits and prevents the fulfillment of a role which is normal for that individual, depending on age, sex, social and cultural factors.
handicap develops as the consequence of the disability. It is defined as a disadvantage for a given individual resulting from impairment or a disability that limits and prevents the fulfillment of a role which is normal for that individual, depending on age, sex, social and cultural factors.
Developmental delay is the spectrum of problems encompassing delay in the cognitive, social, emotional, sexual and physical developmental skills. This presentation briefs the Cognitive developmental delay
INTRODUCTION
Handicapped child is
one who deviates from
normal health status
either physically,
mentally or socially
and requires special
care, treatment and
education.
PHYSICALLY HANDICAPPED
A child is considered physically handicapped or challenged if he cannot, for physical reasons, participate in social, recreational, educational, or vocational activities on fairly equal terms with other children of his age.
CLASSIFICATION
Orthopedically handicapped:
Club foot
Deformity in the joints
Sensory handicapped:
-Blindness
-Deafness
-Speech impairement
Neurologically handicapped:
Handicapped condition due to chronic systemic condition
Multiple physically handicapped
PREVENTION
Primary prevention
Individual:
Immunization of pregnant mothers and infants
Vitamin A drops to children (1-6 years) 6 doses at 6 months interval
Iron and folic acid tablets to pregnant mothers.
Syrup iron- folic acid to children
Genetic counseling
Community:
Health education regarding high risk pregnancy
Antenatal, natal and post natal care
Avoid early age or late pregnancy
Avoid consanguious marriage
Delivery by trained birth attendants
Iodised salt .
Secondary
Growth monitoring by field workers
Early detection of trachoma, night blindness and treatment
School health check up program
Mobile health check up vans
Early detection of disease and treatment.
Tertiary Prevention
Extensive campaign to create favorable opinion and attitude of people toward handicap.
Create mass and community efforts to limit disability.
Special schools for blinds, dumb and deaf, and mentally retarded children.
Physiotherapy and occupational therapy training institutions.
Grant in aid to voluntary organizations for handicap welfare.
MANAGEMENT
RIGHTS OF THE CHALLENGED CHILD
MENTALLY CHALLENGED
A mental handicapped is an impairment in an individual’s ability to function cognitively, emotionally or physically due to the presence of a psychiatric condition
Mentally handicap children include Mental retardation and Cerebral Palsy
MENTAL RETARDATION
Mental retardation is defined as significantly sub average general intellectual functional, resulting in association with concurrent impairment in adaptive behaviour, which manifests during the developmentperiod.
( American Association on Mental Deficiency)
LEVEL OF MENTAL RETARDATION
Mild MR= 50- 70
Moderate MR= 35- 50
Severe = 20- 35
Profound < 20
EFFECTS ON CHILDREN
Failure to achieve developmental milestones
Deficiencies in cognitive functioning such as inability to learn or to meet academic demands
Expressive or receptive language problem
Psychomotor skill deficits
Difficulty performing self care activities
Neurologic impairments
Medical problems, such as seizures
Low self esteem, depression and labile moods
Irritability when frustrated or upset
Lack of curiosity
TREATMENT MODALITIES
-Behaviour management
-Environmental supervision
-Monitoring the child’s developmental needs and problems
-Family thera
The term “mentally handicap” is now used for the conduction “mental retardation”.
At least 2 to 3 % of Indian population are mentally handicapped in any form.
Mental handicapped is the significantly sub average general intellectual functioning existing concurrently with deficits in adaptive behavior manifested during the developmental period.
It includes the learning disability, poor maturation and social mal adjustment in combination.
Mental retardation{intellectual disability} is a condition of arrested or incomplete development of mind, which is specially characterized by impairment of skills manifested during the developmental period, which contribute to the overall level of intelligence, i.e cognitive, language, motor and social abilities.
Prevalence of mental disorders is 4-5 times higher in person with intellectual disability
CAUSES-
GENETIC
ENVIORNMENTAL/SOCIO-CULTURAL
PRENATAL,PERINATAL AND POSTNATAL FACTOR
COMBINED Behavior management
Monitoring the child’s development needs & problems.
Programs that maximize speech, language, cognitive, psychomotor, social, self-care, & occupational skills.
Ongoing evaluation for overlapping psychiatric disorders, such as depression, bipolar disorder, & ADHD.
Family therapy to help parents develop coping skills & deal with guilt or anger.
Provide day schools to train the child in basic skills, such as bathing & feeding.
A special tribute to special children and it is important to note that extra care is needed for their proper growth because as i mentioned earlier they are special
Developmental delay is the spectrum of problems encompassing delay in the cognitive, social, emotional, sexual and physical developmental skills. This presentation briefs the Cognitive developmental delay
INTRODUCTION
Handicapped child is
one who deviates from
normal health status
either physically,
mentally or socially
and requires special
care, treatment and
education.
PHYSICALLY HANDICAPPED
A child is considered physically handicapped or challenged if he cannot, for physical reasons, participate in social, recreational, educational, or vocational activities on fairly equal terms with other children of his age.
CLASSIFICATION
Orthopedically handicapped:
Club foot
Deformity in the joints
Sensory handicapped:
-Blindness
-Deafness
-Speech impairement
Neurologically handicapped:
Handicapped condition due to chronic systemic condition
Multiple physically handicapped
PREVENTION
Primary prevention
Individual:
Immunization of pregnant mothers and infants
Vitamin A drops to children (1-6 years) 6 doses at 6 months interval
Iron and folic acid tablets to pregnant mothers.
Syrup iron- folic acid to children
Genetic counseling
Community:
Health education regarding high risk pregnancy
Antenatal, natal and post natal care
Avoid early age or late pregnancy
Avoid consanguious marriage
Delivery by trained birth attendants
Iodised salt .
Secondary
Growth monitoring by field workers
Early detection of trachoma, night blindness and treatment
School health check up program
Mobile health check up vans
Early detection of disease and treatment.
Tertiary Prevention
Extensive campaign to create favorable opinion and attitude of people toward handicap.
Create mass and community efforts to limit disability.
Special schools for blinds, dumb and deaf, and mentally retarded children.
Physiotherapy and occupational therapy training institutions.
Grant in aid to voluntary organizations for handicap welfare.
MANAGEMENT
RIGHTS OF THE CHALLENGED CHILD
MENTALLY CHALLENGED
A mental handicapped is an impairment in an individual’s ability to function cognitively, emotionally or physically due to the presence of a psychiatric condition
Mentally handicap children include Mental retardation and Cerebral Palsy
MENTAL RETARDATION
Mental retardation is defined as significantly sub average general intellectual functional, resulting in association with concurrent impairment in adaptive behaviour, which manifests during the developmentperiod.
( American Association on Mental Deficiency)
LEVEL OF MENTAL RETARDATION
Mild MR= 50- 70
Moderate MR= 35- 50
Severe = 20- 35
Profound < 20
EFFECTS ON CHILDREN
Failure to achieve developmental milestones
Deficiencies in cognitive functioning such as inability to learn or to meet academic demands
Expressive or receptive language problem
Psychomotor skill deficits
Difficulty performing self care activities
Neurologic impairments
Medical problems, such as seizures
Low self esteem, depression and labile moods
Irritability when frustrated or upset
Lack of curiosity
TREATMENT MODALITIES
-Behaviour management
-Environmental supervision
-Monitoring the child’s developmental needs and problems
-Family thera
The term “mentally handicap” is now used for the conduction “mental retardation”.
At least 2 to 3 % of Indian population are mentally handicapped in any form.
Mental handicapped is the significantly sub average general intellectual functioning existing concurrently with deficits in adaptive behavior manifested during the developmental period.
It includes the learning disability, poor maturation and social mal adjustment in combination.
Mental retardation{intellectual disability} is a condition of arrested or incomplete development of mind, which is specially characterized by impairment of skills manifested during the developmental period, which contribute to the overall level of intelligence, i.e cognitive, language, motor and social abilities.
Prevalence of mental disorders is 4-5 times higher in person with intellectual disability
CAUSES-
GENETIC
ENVIORNMENTAL/SOCIO-CULTURAL
PRENATAL,PERINATAL AND POSTNATAL FACTOR
COMBINED Behavior management
Monitoring the child’s development needs & problems.
Programs that maximize speech, language, cognitive, psychomotor, social, self-care, & occupational skills.
Ongoing evaluation for overlapping psychiatric disorders, such as depression, bipolar disorder, & ADHD.
Family therapy to help parents develop coping skills & deal with guilt or anger.
Provide day schools to train the child in basic skills, such as bathing & feeding.
A special tribute to special children and it is important to note that extra care is needed for their proper growth because as i mentioned earlier they are special
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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3. INTRODUCTION
Challenged children are one who deviated from normal health
status either physically, mentally or socially and requires special
care, treatment and education.
4. DISEASE- accident
IMPAIRMENT- loss of limb
DISABILITY- cannot walk
HANDICAP-unemployed
5. DEFINITION
According to World Health Organization (WHO) the sequence
of events leading to disability and handicapped conditions are
as follows:
IMPAIRMENT
It is defined as any loss or abnormality of psychological,
physiological or anatomical structure or function, e.g. loss of
vision, hearing.
DISABILITY
It develops as the consequence of impairment, e.g. loss of
limbs results inability to walk. Disability is the inability to carry
out certain activities which are considered as normal for the
6. HANDICAP
It develops as the consequence of the disability. It is defined as a
disadvantage for a given individual resulting from impairment or a
disability that limits and prevents the fulfillment of a role which is
normal for that individual, depending on age, sex, social and
cultural factors.
8. PHYSICAL HANDICAPS
INTRODUCTION
Physical handicap is loss of or failure to develop a specific bodily
function or functions, whether of movement, sensation,
coordination, or speech, but excluding mental impairments or
disabilities.
9. BLINDNESS
DEFINITION
WHO (1975) defined blindness as, "visual acuity of less than 3/60
(Snellen) or its equivalent". If visual acuity chart (Snellen) is not
available, then the criteria that inability to count fingers at 3 meters
distance in day light is followed, which is equal to a visual acuity of
3/60 or less.
United state
Legal blindness
Visual acuity-20/200
10. CAUSE
• Ocular trauma
• Corneal ulcer
• Congenital
glaucoma
• Xerophthalmia
Refractive
errors
Cataract
unknown
Diabetic
retinopat-
hy
12. Problems of a Blind Child
Physical aggresion
Throwing toys or objects.
Inconsolable crying.
Yelling or screaming.
Falling to the ground or on the furniture.
Excited and active one minute and sad or angry the next.
13. Program for Multi-Disabled Visually Impaired
(MDVI)
Early
Interventio
n
Functiona
l
assessm
ent
Academic
Training
Picnics and
Outings
14. MANAGEMENT
Refractive errors are managed by corrective lenses and cataract is
treated by surgery.
Macular degeneration is treated with medications that slow down
the progression of the wet (hemorrhagic) form.
Lowering eye pressure with medication, laser, and/ or surgery
controls glaucoma.
Corneal transplants can correct many types of corneal opacities due
to scarring or swelling.
Anti VEGF medications like ranibizumab, aflibercept are given for
diabetic retinopathy. Laser treatment is also done for diabetic
retinopathy.
Eye surgery - to remove blood or scar tissue from the eye, if laser
treatment isn't possible.
16. cause
Birth complications
Premature birth
nervous system or brain disorder
Use of ototoxic medication
Infection of mother during pregnancy
Maternal diabetes
Drug or alcohol abuse
18. MANAGEMENT OF A DEAF CHILD
Early diagnosis is essential for treatment and the proper development
of speech.
All babies should therefore be given a screening test for hearing
around the age of two to six months.
Particular attention to be given to those babies on the 'at risk' register.
Mothers are extremely competent at appreciating the inability of their
young children to hear normally.
19. The ability to learn auditory discrimination diminished as the child
grows older. Therefore, the child must be taught to hear as early
as possible.
Delays cause diminished capacity for hearing the consequent
impairment of speech being seen in its most severe form in the
deaf mute.
Total deafness is exceptional and only 1-2% of deaf children have
no hearing at all.
All children should therefore have to hear period of auditory
training before being regarded as totally deaf.
20. DUMBNESS
The state of being dumb (either mute or dim-witted), not
communicating vocally, whether from selective mutism (refusal to
speak) or from an inability to speak is called dumbness. Also
known as Muteness, silence or abstention from speech.
22. Impact of speech impairment
includes:
Poor communication skills.
Less social interactions.
Behavioral problem like shame, anger, frustration, depression,
etc.
Poor academic performance.
23. MANAGEMENT
Early identification of speech impairment.
Elimination of hearing impairment.
Medical and surgical interventions for underlying cause.
Psychological counseling.
Voice or speech therapy.
Physical therapy.
Cognitive rehabilitation.
24. CRIPPLING
A cripple is a person with a physical disability. particularly one
who is unable to walk because of an injury or illness.
Cripple is also a transitive verb, meaning "cause a disability or
inability.
25. MANAGEMENT
Correction of deformities.
Physical therapy.
Occupational therapy.
Massage therapy.
Prosthetics.
Devices for positioning and mobility.
26. MENTAL HANDICAPS
INTRODUCTION
Mental handicap is a condition in which the intellectual of a child is
permanently lowered or under capacity of a developed to an extent
which prevents normal function in society.
27. MENTAL RETARDATION
DEFINITION
Mental retardation is a particular state of functioning that begins in
childhood and is characterized by significant limitations in both
intellectual functioning and adaptive behavior skills.
31. Causes of Mental Retardation
1. Infections (present at birth or occurring after birth):
Congenital rubella
Congenital toxoplasmosis
Encephalitis
HIV infection
Meningitis
32. 2. Chromosomal abnormalities:
Chromosome deletions.
Chromosomal translocations
Defects in the chromosome or chromosomal inheritance.
Errors of chromosome numbers (such as Down's
syndrome).
3. Genetic abnormalities and inherited metabolic
disorders:
Phenylketonuria
Tuberous sclerosis
Rett's syndrome
33.
34. Signs and Symptoms
Developmental delay in motor mile stones and cognitive skills.
Delay in urine and toilet training.
Delay in oral language development.
Deficits in memory skills.
Difficulty in learning social rules.
Difficulty with problem solving skills.
Delays in the development of adaptive behaviors such as self-
help or self-care skills.
Lack of social inhibitors.
35. Diagnostic Evaluation
According to the Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV), three criteria must be met for a diagnosis of
mental retardation:
Significantly sub-average intellectual functioning: An IQ of
approximately 70 or below on an individually administered IQ test
(for infants, a clinical judgment of significantly sub-average
intellectual functioning).
Concurrent deficits or impairments in present adaptive functioning.
The onset is before age of 18 years
36. management
The treatment plan should:
Include community caregivers and hospital staff.
Formulate specific treatment goals
Avoid (as much as possible) treatments that cannot be continued
in the community, such as medications taken as required or
seclusion and restraint.
Use therapy, activity groups or both to bring out the person's
capacity for learning and participation
37. SOCIAL HANDICAPS
INTRODUCTION
Social handicap can refer to any disorder that leads to the inability
to make progress socially and emotionally, meaning the impact of
the disorder degrades a person's quality of life.
38. ORPHANS
DEFINITION
An orphan is a child who has one or two deceased parents. In
common usage, only a child who has lost both parents due to death
is called an orphan.
40. Central adoption resource authority
It is a autonomous and statutory body of ministry of women and
child development in the govt. of India. It was set up in 1990.
It is statutory body under juvenile justice( care and protection of
children) act, 2015.
Counselling of prospective adoptive parents focus on
1. pre adoption counselling- psychological preparation
2. Counseling during process of adoption
3. Post adoption counselling
41. Eligibility criteria
The consent of both the spouse for the adoption shall be required, in the
case of a married couple
A single female can adopt a child of any gender
A single male shall not be eligible to adopt a girl child
No child be given in adoption to a couple unless they have at least two years
of stable marital relationship expect in the cases of relative or step-parent
adoption.
42. Age of child Maximum age of
couple
Maximum age of
single parent
Upto 2 yrs 85 yrs 40 yrs
> 2 to 4yrs 90 yrs 45 yrs
>4 to 8 yrs 100yrs 50 yrs
>8 to 18yrs 110 yrs 55 yrs
43. The Hindu adoptions and maintance
act
HAMA was established in the year 1956 as part of the Hindu code bills.
CRITERIA
A person who is a Hindu by religion in any of its form or development
A person belong to a buddhist, jain can adopt a child
A person who has been convert to Hindu, buddhist, jain religion
44. NEGLECTED CHILDREN
Child neglect is defined as a type of maltreatment related to the
failure to provide needed, age-appropriate care. Unlike physical
and sexual abuse, neglect is usually
45. 1. Physical neglect: Failing to provide for a child's basic
needs such as food, clothing or shelter. Failing to adequately
supervise a child ,or provide for their safety.
2. Nutritional neglect: Failing to achieve the proper growth
of the child. The main causes of neglect in nutritional needs
are female child, working parents, too many children in a
family and disharmony among parents.
3. Emotional neglect: Failing to meet a child's needs for
nurture and stimulation, perhaps by ignoring, humiliating,
intimidating or isolating them. It's often the most difficult to
prove.
46. 4. Educational neglect: Failing to ensure a child receives an
education.
5. Medical care neglect: Failing to provide appropriate health care,
including proper immunization, exclusive breastfeeding, weaning,
dental care and refusal of care or ignoring medical
recommendations.
47. CHILDREN OF DIVORCED PARENTS
Many families face the challenge of divorce or separation. the
causes of the separation, and whatever the circumstances, it's
hard for everyone involved. Divorce can be painful for parents,
but eventually, each person involved starts to heal.
48. Reaction of a Young Child to Parent's
Divorce
1. Fear
2. Sadness
3. Temper tantrum
4. Guilt
5. Loneliness
6. Rejection
7. Regression
8. Sleep problems
49. Reaction of Adolescents to Parent's
Divorce
1. Academic problems, like poor grades.
2. Trouble sleeping.
3. Increased stress.
4. Sadness or anger at one parent or both.
5. Defiance and non-compliance.
6. Substance abuse.
7. Depression.
8. Suicidal ideation and attempts.
9. Behavior problems at school.
10. Trouble getting along with siblings, peers, and parents.
50. Causes of Handicaps
Preconceptual factors:
Genetic conditions
Chromosomal abnormalities
Antenatal factors:
Rh incompatability.
Maternal infections such as
rubella, cytomegalovirus,
toxoplasmosis, syphilis.
Drugs such as thalidomide,
stilbestrol, anticonvulsants,
Advanced age at
conception.
Toxemia of pregnancy.
Maternal diseases such as
diabetes, cardiac failure.
Irradiation
52. Diagnosis/Assessment of Handicaps
Physical assessment reveals deviation in physical functioning.
Neurological assessment reveals mental and neurological
impairment.
Absence of normal reflexes and feeding problems.
Child's postures are normal.
53. Family Reactions towards Handicapped
Children
Denial
Anger
Bargaining
Depression
Acceptance
54. WELFARE SERVICES FOR CHALLENGED
Deendayal Disabled Rehabilitation Scheme (DDRS)
objectives
To create an enabling environment to ensure equal
opportunities, equity, social justice and empowerment of
persons with disabilities.
To encourage voluntary action for ensuring effective
implementation of the People with Disabilities (Equal
Opportunities and Protection of Rights) Act of 1995.
55. Assistance to Disabled Persons for Purchase/Fitting of
Aids and Appliances (ADIP)
This scheme is in operation since 1981 with the main objective
to assist the needly disabled persons in procuring durable,
sophisticated and scientifically manufactured modern,
standard aids and appliances that promote their physical,
social and psychological rehabilitation by enhancing their
economic potential thereby reducing the effects of disabilities.
The National Handicapped Finance and Development
Corporation (NHFDC)
The National Handicapped Finance and Development
Corporation provides concessional credit to persons with
disabilities for setting up income generating activities for self
56. Scheme for Implementation of Persons with Disabilities
(Equal Opportunities, Protection of Rights and Full
Participation) Act, 1995 (SIPDA)
The SIPDA Scheme has been formulated 2016. Provision of
following activities have been provided under the SIPDA
Scheme:
To provide barrier free environment for the persons with
disabilities which include access to built environment in
schools, colleges, academic and training institutions, offices
and public buildings, recreational areas, health
centres/hospitals, etc.
57. FACILITIES FOR DISABLED
Educational facilities for handicapped:
The disabled child shall have the right to free education till the age of 18 years
in integrated schools or special schools.
Employment scheme:
Department of empowerment of person with disabilities, Ministry of Social
Justice and Empowerment, and Government of India have been introducing
the several facilities to enhance self employment to handicapped people.
58. REHABILITATION SERVICES FOR
DISABLED
Medical rehabilitation: Restoration of function
Vocational rehabilitation: Restoration of the capacity to earn a
livelihood.
Social rehabilitation: Restoration of family and social
relationships.
Psychological rehabilitation: Restoration of personal dignity
and confidence.
59. Examples of rehabilitation are:
Establishing schools for the blind.
Provision of aids for the crippled.
Reconstructive surgery in leprosy.
Muscle re-education.
Graded exercises in neurological disorders.
60. CONCLUSION
Handicap is a major problem in pediatric health today. Disability
occurs as a part of the continuum of health and illness which
can influence quality of pediatric life today. Disability occur as a
result of the disease, congenital or genetic condition or some
type of impairment of health or physical function of children
61. SUMMARY
So far we have seen about definition of challenged children, its
type, mentally challenged, physically challenged, socially
challenged causes, signs and symptoms, diagnostic evaluation,
management and facilities provided for challenged children.
62.
63. BIBLIOGRAPHY:
BOOK REFERENCE:
RimpleSharma,’’Essential Of Paediatric Nursing,’’2 nd edition,Jaypee
publication Pg No:502-504.
Parul Data ‘’Pediatric Nursing’’ 2 nd edition(2009),Jaypee Brothers
medical Publication Pg No:483-485.
Ghai, ‘’Essential Pediatrics’’7 th Edition(2009),Cbs Publisher Pg No:371-
374 .
NET REFERENCE:
https://www.who.int/health-topics/breastfeeding
https://www.ncbi.nlm.nih.gov/books/NBK153471/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5052805/