Chapter 28 Developmental Disorders Delmar Learning Copyright 2003

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Chapter 28 Developmental Disorders Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning

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 •

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

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

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

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

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

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

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)

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

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 §

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

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

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,

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 ©

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 •

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

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

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

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

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

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

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

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

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

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

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

Behavior Disorders and Mental Illness • Behavior disorders • Nursing care • Family life Chapter 28 Copyright © 2003 Delmar Learning, a Thomson Learning company