3060 Neurodevelopmental Disorders

What are interventions for children that have neurodevelopmental disorders

play, art, music, family therapy, CBT, group therapy, meds, safety

Assessment points for neurodevelopmental disorders in children

history, physical, developmental assessment, obs, multiple sources, play

What neurodevelopmental disorder is related to the following clinical presentations:

o   6.1 million children (9.4%)

§  Inattention, impulsiveness, and/or hyperactivity

§  Must be present in >2 setting & occur before 12

·      School, work, sports, etc.

ADHD

What is the treatment for ADHD?

parenting therapy, CBT, stimulants, SNRI, antiadrenergic, physical activity

What neurodevelopmental disorder does the following describe?:

o   1 in 31 in the US

§  Increasing in frequency; usually diagnosed around 4; can diagnose @ 1.5

§  Spectrum: Mild to severe

Autism (ASD)

What neurodevelopmental disorder is related to the following symptoms?:

·      Deficits in social interactions & communication: BIGGEST PROB

·      Repetitive speech, ritualized patterns, difficulty with change in routines, hyperreactive/hyporeactive to sensory input (eye contact, exploding, engaging, etc.)

Autism 

What is treatment for ASD?

early intervention, family intervention, meds to help other symptoms

What meds are used for ASD? what specific drug from each class?

Antipsychotics, SSRIs, and stimulants: risperidone, fluoxetine, methylphenidate

What are the three main learning disorders

Dyslexia, dyscalculia, dysgraphia

What is the nursing plan related to learning disorders

early screening, IEP

What are two examples of intellectual disabilities

Down syndrome, Prader-Willi Syndrome

What stage of intellectual disability do the following clinical presentations fall under?:

·      May not be able to live independently

·      Lower academic/intellectual ability

·      9-12 yrs

Mild 85%

What stage of intellectual disability do the following clinical presentations fall under?:

·      Requires some assistance

·      Can perform basic ADLs

·      6-9 yrs

Moderate

What stage of intellectual disability do the following clinical presentations fall under?:

·      Basic language ability

·      ADLs with assistance

·      3-6 yrs

Severe 

What stage of intellectual disability do the following clinical presentations fall under?:

·      Nonverbal

·      24/7 care

·      <3 yrs

Profound

What are people with intellectual disabilities at risk for?

aspiration, early dementia, heart disease, accelerated aging (down syndrome)

What neurodevelopmental disorder has the following clinical features?:

§  May be genetic; anoxia at birth; injury; infection

§  Intellectual functioning:

·      Learning, reasoning, problem-solving

Intellectual disability

What neurodevelopmental disorder is related to the following clinical features?:

o   6% of children

§  can be outgrown & managed.

Communication disorders

What neurodevelopmental disorder do the following symptoms align with?:

·      Fluency- stuttering

·      Receptive disorder: children don’t understand what is being said

·      Expressive disorder: children can’t express emotions

·      Social communication disorder: autism; trouble with ques; sadness, anger, etc.

Communication disorder 

What is receptive communication disorder?

  children don’t understand what is being said

What is expressive communication disorder?

Children can’t express emotions

What are causes of communication disorders

 Hearing loss, intellectual disability, drug exposure, brain injuries, congenital causes, abuse, and unknown cause

what is developmental coordination motor disorder

affecting motor skills, leading to difficulties in coordination and movement. can’t kick, stand on one leg, etc

What is stereotypic movement motor disorder

head banging, rocking, rhythmic movement;   Related w developmental & intellectual disabilities/ severe neglect

What neurodevelopmental disorder does the following describe?:

§  Any movement or sound that is involuntary can feel coming on

§  Blinking, vocalizing, nose scrunching, etc.

Tic disorder

What is Provisional tic disorder

lasting less than a year with motor and/or vocal tics.

what is Persistent motor or vocal tics

tics lasting over a year that may be either motor or vocal.

What neurodevelopmental disorder does the following treatment align with?:

o   PT/OT

o   Injury prevention

o   Treat co-occurring disorders

o   NALTREXONE

o   Deep brain stim

o   Habit reversal

o   Antipsychotics: (HALDOL, ARIPIPRAZOLE, RISPERIDONE)

o   CLONIDINE, CLONZEPAM, Botox

Tic disorders