Chapter 28 Developmental Disorders Delmar Learning Copyright 2003
- Slides: 27
Chapter 28 Developmental Disorders Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company
Developmental Disorders • Severe, chronic disability • Attributable to mental or physical impairment • Results in functional limitations Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Mental Retardation Classification of Disorders • • • Autism spectrum disorders Autistic disorder Rhett’s disorder Childhood disintegrative disorder Asperger’s disorder Pervasive developmental disorder Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Role of IQ Tests • Score < or = 70 • Score determines severity of mental retardation • Classified as § Mild, moderate, severe, or profound Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Mental Retardation • Characteristics § § Slow to develop speech and language Slow motor development • Prevalence § § 6. 2 to 7. 5 million 2. 5% – 3% Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Etiology of Mental Retardation • • • Unexplained Trauma Infectious Chromosomal Genetic Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Etiology of Mental Retardation (cont. ) • • Metabolic Toxic Nutritional Environmental Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Mental Retardation • Prevention § § § Immunizations Child safety Avoidance of alcohol when pregnant Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Mental Retardation (cont. ) • Treatment and management § § Treat cause (if known) Maintain health Correct associated conditions Special education Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Epilepsy • • Characteristics Prevalence Etiology Treatment and management Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Epilepsy (cont. ) • Types of seizures § Generalized • Absence • Tonic-clonic § Partial • Most common type of seizures Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Cerebral Palsy (CP) • Chronic, non-progressive condition • Affecting body movement and muscle coordination • Frequently occurs before, during, or immediately after birth Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Characteristics of Cerebral Palsy • Types § § Spastic Athetoid Ataxic Mixed Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Prevalence of Cerebral Palsy • 5000 infants diagnosed each year • CP affects 500, 000 children and adults Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Common Etiologies of CP • • Prenatal Perinatal Acquired Unknown Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Treatment and Management of CP • Goal: assist individual to achieve maximal potential • Multidisciplinary approach to treatment • Medications to reduce spasticity Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Attention Deficit/Hyperactivity Disorder • One of the most common childhood disorders • Affects more than 2 million children and adolescents Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Commonalities of Developmental Disorders • • Originate in nervous system Permanent disorders Holistic treatment Treatment goals § Maximize health, quality of life, and productivity Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Principles and Perspectives • Civil rights • Normalization Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Developmental Perspective • Emphasizes similarities, not differences • Developmental stages are same • Rate of developmental progression varies Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Interdisciplinary Services • Continuum of Care • Case Management Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Nursing Role in Developmental Disabilities • Prenatal diagnosis • Early identification of developmental problems § § § Newborn screening Developmental surveillance Developmental assessment • Interdisciplinary evaluation Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Planning with the Family • • Nursing health care plan Cultural factors Self-care education Family support Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Early Years • • Age birth to 3 years Early intervention is key Thorough assessment of needs Health care Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
School Years • • Legal supports Health care Self-care education Transition services Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Transition to Adulthood • Residential services • Health care • Nursing process Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
Behavior Disorders and Mental Illness • Behavior disorders • Nursing care • Family life Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company
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