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
PRESENTED BY –MISS MANJOT KAUR GILL
MENTAL RETARDATION
Intellectual disability, also known as general learning disability and mental retardation is a generalized neurodevelopment disorder characterized by significantly impaired intellectual and adaptive functioning.
Mental retardation is defined as significantly sub average general intellectual functioning and impairment in cognitive and adaptive functioning.
CAUSES
Prenatal/antenatal causes- infection- syphilis, meningitis, rubella.
Physical damage – injury, hypoxia
Intoxications- lead poisoning, certain drugs
Placenta dysfunction- toxemia, nutritional growth retardation.
Prenatal causes- birth asphyxia
Prolonged birth
Difficult birth
Obstructed labour
Premature birth
Birth injury
Instrumental delivery
Postnatal causes – injury
Accident
Child abuse
Infection e.g. encephalitis, meningitis
malnutrition
Genetic causes
Social-cultural causes- deprivation of socio-cutural stimulation
Isolation
TYPES OF MENTAL RETARDATION
MILD – I.Q.= 50-70
MODERATE- I.Q. 30-50
SEVERE- less than 30
PROFOUND – Less than 15
PROBLEMS DE TO MENTAL RETARDATION
Personal
Social
Educational
Sexual and marital
PREVENTION OF MENTAL RETARDATION
Primary prevention-
Good antenatal, intranatal and postnatal care
Improve the socio-economic status of the community.
Education of the public.
Genetic counseling to at risk patients.
Syphilis and AIDS screening.
Vaccination of girls with rubella vaccine.
Avoiding consanguinal marriage.
Prevention measures to reduce child abuse, road traffic accident and home accidents.
Secondary prevention-
Early detection and treatment of preventable disorders.
Amniocentesis and medical termination of pregnancy .
Early detection of correctable disorders.
Prevention of further damage of impaired children.
Tertiary prevention- treatment of physical and psychological problems by drugs , by behavior modification.
Hospitalization and custodial care of severe mentally retarded or those with psychological problems.
Education and training of mentally retarded to avoid handicaps.
Make plans according to the problems and capacity of mentally retarded child.
REHABLITATION AND NURSING CARE
Assessment of the needs
Education
Training
Custodial care
THANKS
MENTAL RETARDATION
PRESENTED BY –MISS MANJOT KAUR GILL
MENTAL RETARDATION
Intellectual disability, also known as general learning disability and mental retardation is a generalized neurodevelopment disorder characterized by significantly impaired intellectual and adaptive functioning.
Mental retardation is defined as significantly sub average general intellectual functioning and impairment in cognitive and adaptive functioning.
CAUSES
Prenatal/antenatal causes- infection- syphilis, meningitis, rubella.
Physical damage – injury, hypoxia
Intoxications- lead poisoning, certain drugs
Placenta dysfunction- toxemia, nutritional growth retardation.
Prenatal causes- birth asphyxia
Prolonged birth
Difficult birth
Obstructed labour
Premature birth
Birth injury
Instrumental delivery
Postnatal causes – injury
Accident
Child abuse
Infection e.g. encephalitis, meningitis
malnutrition
Genetic causes
Social-cultural causes- deprivation of socio-cutural stimulation
Isolation
TYPES OF MENTAL RETARDATION
MILD – I.Q.= 50-70
MODERATE- I.Q. 30-50
SEVERE- less than 30
PROFOUND – Less than 15
PROBLEMS DE TO MENTAL RETARDATION
Personal
Social
Educational
Sexual and marital
PREVENTION OF MENTAL RETARDATION
Primary prevention-
Good antenatal, intranatal and postnatal care
Improve the socio-economic status of the community.
Education of the public.
Genetic counseling to at risk patients.
Syphilis and AIDS screening.
Vaccination of girls with rubella vaccine.
Avoiding consanguinal marriage.
Prevention measures to reduce child abuse, road traffic accident and home accidents.
Secondary prevention-
Early detection and treatment of preventable disorders.
Amniocentesis and medical termination of pregnancy .
Early detection of correctable disorders.
Prevention of further damage of impaired children.
Tertiary prevention- treatment of physical and psychological problems by drugs , by behavior modification.
Hospitalization and custodial care of severe mentally retarded or those with psychological problems.
Education and training of mentally retarded to avoid handicaps.
Make plans according to the problems and capacity of mentally retarded child.
REHABLITATION AND NURSING CARE
Assessment of the needs
Education
Training
Custodial care
THANKS
Personality disorder are a group of mental health conditions that are characterized by inflexible and atypical patterns of thinking, feeling, and behaving.
Dementia is a broad term which describes symptoms affecting memory, thinking ability that creates hindrance in performing daily activities. Two important brain functions are badly hit namely- memory and judgement.
Beliefs about mental illness have been characterized by superstition, ignorance and fear. Although time and advances in scientific understanding of mental illness have dispelled many false ideas, there remain a number of popular misconceptions.
The word ‘Autism’ is derived from Greek word ‘autos’ means ‘self’.
Autism is a developmental disorder that is characterized by impaired development in communication, social interaction, and behavior.
A phobia is an excessive and irrational fear reaction. If you have a phobia, you may experience a deep sense of dread or panic when you encounter the source of your fear. The fear can be of a certain place, situation, or object. Unlike general anxiety disorders, a phobia is usually connected to something specific
Personality disorder are a group of mental health conditions that are characterized by inflexible and atypical patterns of thinking, feeling, and behaving.
Dementia is a broad term which describes symptoms affecting memory, thinking ability that creates hindrance in performing daily activities. Two important brain functions are badly hit namely- memory and judgement.
Beliefs about mental illness have been characterized by superstition, ignorance and fear. Although time and advances in scientific understanding of mental illness have dispelled many false ideas, there remain a number of popular misconceptions.
The word ‘Autism’ is derived from Greek word ‘autos’ means ‘self’.
Autism is a developmental disorder that is characterized by impaired development in communication, social interaction, and behavior.
A phobia is an excessive and irrational fear reaction. If you have a phobia, you may experience a deep sense of dread or panic when you encounter the source of your fear. The fear can be of a certain place, situation, or object. Unlike general anxiety disorders, a phobia is usually connected to something specific
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
This slide contains information regarding Childhood Psychiatric Disorders (Mental Retardation and Attention Deficit Hyperactive Disorder). This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Mental retardation (MR) is a generalized disorder appearing before adulthood, characterized by significantly impaired cognitive functioning and deficits in two or more adaptive behaviors.
It is estimated that 1 3 rd of the world’s population is infected with Mycobacterium tuberculosis
Each year, about 9 million people develop TB, of whom about 1 5 million die
WHO has estimated that around 10 of global tuberculosis case load occurs in children( 0 14 years) of these childhood cases, 75 occur annually in 22 high burden countries that together account for 80 of the world’s estimated incident cases.
Cystic fibrosis is a disease passed down through families that cause thick, sticky mucus to build up in the lungs, digestive tract and other areas of the body
It is one of the most common chronic lungs disease in children and young adults
What is grief? Dictionaries define grief as “an emotion of great sadness associated with loss or bereavement”, or “deep and intense mental anguish following a bereavement”. Another grief definition might be: “Keen mental distress or suffering especially after the death of someone close”. As such, grief is related to the loss of a valued someone or something and is an emotional process to deal with this loss that is typically not ordered or predictable. Bereavement includes grief and mourning, which is the outward and sometimes ritualized expression of loss.
Children and adults differ physically and mentally.
As a nurses it is necessary to learn the differences to deliver the care accordingly.
CLASSIFICATION:
Anatomical differences
Physiological differences
Psychological differences
Children are more prone to dehydration than adults. At the same time, exposure to many chemical agents and some biological agents leads to vomiting and diarrhea.
As a result, children may be more symptomatic and show symptoms earlier than adults.
Children have a higher proportion of rapidly growing tissues than adults, and some agents, including ionizing radiation and mustard gas, significantly affect rapidly growing tissues.
As a result, children are more prone to ionizing radiation and other agents that affect rapidly growing tissue than adults.
Children have relatively small airways compared with adults. The smaller the caliber of the airway, the greater the reduction in airflow as a result of increased pulmonary secretions that occur following exposure to chemicals or edema from inhalation of hot gases
As a result, children suffer more pulmonary pathology than adults at the same level of exposure.
Prevention of disease.
Promotion of physical, mental and social well-being of children so that each child may achieve the full genetic potential with which he/she is born.
Primary Prevention
Secondary Prevention
Tertiary Prevention
Challenged children are one who deviated from normal health status either physically, mentally or socially and requires special care, treatment and education.
Definition
Children with special health care needs are those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally.” (McPherson,1998)
Anemia is a reduction in RBCs
which in turn decreases the oxygen
carrying capacity of blood.
Anemia is not a specific
disease state but a sign of an
underlying disorder.
The child is one of the most important assets of the nation.
Effort should be exerted to promote a child’s well-being and enhance his/her opportunities for a useful and happy life.
His/her traits and capabilities should be developed for the betterment of society.
Generally parents have the autonomy to make health care decisions for their child . In certain situations older children have autonomy to give assent to care& in special situations adolescents are granted a autonomy to consent without parents knowledge.
National Health Policy for children, Special laws relating to children RAVI RAI DANGI
The universal declaration of human rights adopted way back in 1948, proclaimed that childhood is entitled to special care and assistance. It was only during the twentieth century that the concept of children’s rights emerged. Rights perspective is em-bodied in the United Nations convention on the rights of child in 1989, which is a landmark in international human rights legisla-tion. Children being the most vulnerable section of the society need care, protection and affection for their survival and for all round development.
Trends and Modern concepts of Pediatric Nursing RAVI RAI DANGI
In India, pediatric nursing was not given due in recognition in syllabi in the earlier periods of nursing training but with the introduction of under graduate degree programme in nursing in madras university CMC vellor,RAK Delhi, pediatric nursing as a course was introduced date back from 1950s.Child health nursing is undergoing tremendous advancement just like pediatric medicine and surgery. The current trends in the practice are based on researches that have taken make place in the field of pediatric nursing
Cost containment is a management technique utilized to reduce the cost of hospitalization. It is reduced in many ways in hospitals either by cutting nursing positions or by improving process of care and tightening non labour resources.
Refractive error means that the shape of your eye does not bend light correctly, resulting in a blurred image. The main types of refractive errors are myopia (nearsightedness), hyperopia (farsightedness), presbyopia (loss of near vision with age), and astigmatism.
Glaucoma is a group of ocular conditions characterized by optic nerve damage. The optic nerve damage is related to the IOP caused by congestion of aqueous humor in the eye.
Congenital glaucoma is a rare form of glaucoma. Affected infants may be born with a high intraocular pressure or may develop an increased IOP within the “first weeks of life".
It may develop in pre term infants (less than 33 week of gestational age) due to retinal immaturity and hyperoxia resulting from high construction of O2 therapy. It is a bilateral complication of pre term infants.
A congenital opacity of the crystalline lens. Cloudiness in the lens of the eye that is present at, or develops shortly after birth. Congenital cataracts are also the most frequent cause of leukocoria (white pupil) in children.
The important diseases recognized as responsible for visual impairment and blindness in India are cataract, refraction errors, glaucoma, conjunctivitis.
Mal nutrition and systemic disease are also important contributing factors.
Other causes include are eye injury, congenital disorders, retinal detachment, tumors, leprosy etc.
The visual disorder can be found as the following problems.
Amblyopia or subnormal vision in one or both eyes in spite of correction of significant refractive error.
Night blindness – it means inability to well at night or in faint light. It may occur in retinitis, choroidoretinistis, Vit A deficiency, retina toxic drugs.
Double Vision – It is found in squint, ptosis. It may be warning sign of increase IOP, brain tumor, orbital or myasthenia gravis.
Color blindness – It is a genetically determine condition in which color perception is defective or absent. Red and green color deficiency is the usual found. It can be detected at the age of 5 to 6 years’ age.
It is found in about 8% of the male population and is inherited as sex linked recessive trait. Color blindness may be total or partial there is no specific treatment.
Some main responsible disease for visual impairments in India :-
Conjunctivitis
Cataract
Refractory errors
Glaucoma
Retinopathy of Prematurity
Hearing is the important for the development of speech and verbal communication. Impairment of hearing may be congenital or acquired.
It may be temporary or permanent, organic or inorganic, central or peripheral in origin. Hearing defect can be mild, moderate, severe or profound. It is the most common handicapped conditions in children. It is found about 9 to 15 % among Indian school children.
The high risk neonate is defined as one who has a greater than average chance of morbidity or mortality during the prenatal ,peri natal and postnatal periods..
Residual damage to heart valves following recurrent ARF
Valves become scarred, stiff, thickened
Blood leaks (blood flows backwards through valves which do not close properly)
Blood is blocked (blood can not flow through valves which do not open properly)
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
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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
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.
2. Mentally challenged
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.
3. 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.
4. Cause/Etiology of Handicap
Perinatal factors
Birth asphyxia
Prolonged and difficult birth
Pre maturity
Kernicterus
Instrumental delivery resulting in head injury
8. Environmental and social factors
Poverty
Broken family
Faulty parenting
Child abuse and neglecting
Parental psychopathology
Environmental deprivation
9. Classification
Mild mental retardation
Approximately 85% of the mentally retarded
population is in the mildly retarded category. Their IQ score
ranges from 51-70, and they can often acquire academic
skills up to about the sixth-grade level.
They can become fairly self-sufficient and in some
cases live independently, with community and social
support.
10. Moderate mental retardation
About 10% of the mentally retarded population is
considered moderately retarded. Moderately retarded
persons have IQ scores ranging from 36-50. They can
carry out work and self-care tasks with moderate
supervision.
They typically acquire communication skills in childhood
and are able to live and function successfully with in the
community in such supervised environments as group
homes
11. Severe mental retardation
About 3-4% of the mentally retarded population is
severely retarded. Severely retarded persons have IQ
scores of 20-35.
They may master very basic self-care skills and some
communication skills. Many severely retarded
individuals are able to live in a group home.
12. Profound mental retardation
Only 1-2% of the mentally retarded population is
classified as profoundly retarded. Profoundly retarded
individuals have IQ score under 20.
They may be able to develop basic self-care and
communication skills with appropriate support and
training.
Their retardation is often caused by an accompanying
neurological disorder. Profoundly retarded people need a
high-level of structure and supervision.
13. CLINICAL SIGN AND SYMPTOMS
In infancy
The child manifested with poor feeding, weak
un-coordinated sucking, leading to poor weight gain,
delayed or decreased visual alertness and auditory repose,
reduce spontaneous activity delayed head and trunk control,
hypotonic or spastic muscle tone and poor mother child
interaction.
14. In Toddler
The presentation is delayed speech and language
disabilities, delayed motor mile stone (standing and
walking), failure to achieve independence (like self-
feeding, dressing, toilet training), short attention span and
distractively, clumsiness, hyperactivity, poor memory,
poor concentration, emotional instability, sleep problems,
impressiveness and low frustration tolerance.
Convulsion
Muscular skeleton defect
Vision and hearing defect
Psychiatric illness
22. Adequate diagnostic facilities to detect associated
problems and appropriate management of the specific
condition should be arranged.
Family members and parents need counseling regarding
various aspects of the condition and necessary
management.
23. Parents should be explained, informed and discussed
about the long term care at home situation according to
the child’s IQ level and associated problems
Importance to be given on promotion of self-care ability
and independence of the child
24.
25. Necessary drug therapy should be discussed with
parents
Psychological and emotional support needed for
parents and family members.
The child needs love, affection, appreciation, discipline
and minimal criticism for tender loving care from
parents and family members.
26. The child may be send to day care center or special
school or vocational centers or workshop.
The child needs support to develop potentials to the
maximum and to become independent as possible for
self-help.
Special educational arrangement and available facilities
should be discussed with the parents.