Solutions
ADHD diagnosis
-no single test
-comprehensive evaluation
-assess academic, social, emotional, and
developmental functioning
-strict adherence to DSM-5 criteria
ADHD treatment
-diagnosis that affects the whole family
-requires education, behaviour management
training, and meds
-school programs and support are critical to
academic success
-support to family
-plan tailored to each childs individual needs
ADHD meds
-stimulants
-enhanced dopamine/norepinephrine effects
-improved attention and task performance
traumatic brain injury
-blunt force to head or penetrating injury that
disrupts normal brain functioning
-brain tissue bruised, tearing of nerves, fibres,
blood vessels
,-impairment of blood flow, inflammatory response
increases permeability of the blood-brain barrier
autism
-persistent deficits in social communication and
social interaction across multiple contexts
-deficits in social-emotional reciprocity, ranging
from abnoraml social approach and failure of
normal back-and-forth conversation
autism expereinces
-difficulty with bonding and forming relationships
-delay or difficulty with speech development
-wide range of intellectual abilities
-unexpected reactions to sensory input or
situations
-extreme resistance to change
autism supportive strategies
-intensive early intervention
-PT and OT
-educating parents
-structuring play sessions with other children
adolescents health promotion/maintenance
1. nutrition
2. physical activity
3. oral health
,4. mental health
5. relationships
6. disease prevention
7. ax and maintenance
8. injury prevention
adolescents
13-18 years
adolescents communication
-all parts of speech are understood
-trying out new rules
adolescents health
-privacy for ax
-temperament trajectory (self-regulated, easily
stimulated, disorganized, rebellious)
-nutrition
-sleep
-injury prevention
adolescents brain development
-maturation of prefrontal cortex is extended
-takes years for brain to reach full maturity
-this area helps people measure risk and inhibit
impulsive or risky behaviour
-development continues throughout adolescence
into the early 20s and then slows down
, 5 years
prints some letters and their first name
5 years
pours fluids well and uses hands to catch the ball
A&P Head
-larger relative to body surface area
-posterier and anterior fontabels
-nose breathers
-periorbital subcutaneous tissue
-protruding occiput
Head: physical and physiological implications
-more heat loss
-heavier so higher incidence of head injuries
-fontanels good assessment if hydrated
-nose breather
-edema in eyes
-occiput makes it harder to keep airway open
Head: nursing assessment considerations
-monitor temperature control
-assess fontanel size, softness, sunken
-assess patency of nares
-assess position of head
Head: nursing intervention considerations