mh ch 23 & 28

intellectual development disorder (IDD)

kids don't meet milestones on time and have impaired intellectual development

how to diagnose IDD

IQ test and have the kid perform ADLs

how to measure general intellectual functioning

IQ test

how to measure adaptive functioning

ADLs

predisposing factors for IDD

genetic factors, disruptions in embryonic development, other medical conditions in childhood, other mental disorders

4 levels of IDD

mild, moderate, severe, profound

mild IDD IQ

50-70

moderate IDD IQ

35-49

severe IDD IQ

20-34

profound IDD IQ

below 20

main 3 IDD NANDAs

risk for injury, self care deficit, impaired verbal communication

do intellectual disorders occur more in boys or girls

boys

autism spectrum disorder (ASD)

social difficulties, communication impairments, restricted and repetitive behaviors

ASD IQ

average or above average

neurological implications of ASD

larger amygdala that gets smaller over time (?)

is autism genetic?

kinda? 15% of ASD is related to genetics

4 main ASD NANDAs

risk for self mutilation, impaired social interactions, impaired verbal communication, disturbed personal identity

drugs for ASD

risperidone and aripiprazole

what do ASD meds help with

aggression, self-injury, tantrums, hyperactivity

nonpharmacological interventions for ASD

behavioral and comm therapy, education therapy, family therapy

ADHD 3 types

inattentive, impulsive/hyperactive, mixed

what neurotransmitters are (possibly) involved in ADHD

dopamine, norepinephrine, serotonin

ADHD psychosocial influences

young maternal age, maternal depression, low SES, nonintact/single parent families, history of antisocial behavior

ADHD comorbidities

ODD, anxiety, depression, BD, conduct disorder, substance use disorders

4 main ADHD NANDAs

risk for injury, impaired social interaction, low self esteem, noncompliance

ADHD meds

stimulants

nonpsychopharmacological intervention ADHD

trigeminal nerve stimulation, neurofeedback, cognitive training, CBT, child/parent training, omega fatty acids

tourette's comorbidities

ADHD and OCD

tourette's environmental factors

pregnancy complications, low birth weight, head trauma, infection

palilalia

repeating one's own words

echolalia

repeating what others say

main 3 tourette's NANDAs

risk for violence, impaired social interaction, low self esteem

meds for tourette's

antipsychotics, alpha agonists, neuroleptics

nonpsychopharmacological treatments for tourette's

behavioral therapy, individual therapy, family therapy

coprolalia

involuntary swearing

oppositional defiant disorder (ODD)

persistent pattern of angry mood and defiant behavior

ODD family influences

power struggle between parent and child can lead to ODD

4 main ODD NANDAs

noncompliance, defensive coping, low self esteem, impaired social interaction

3 main separation anxiety NANDAs

severe anxiety, ineffective coping, impaired social interaction

impact of deployment on infants

decreased appetite, weight loss, irritability, apathy

impact of deployment on toddlers

may be sullen, tearful, throw temper tantrums, or develop sleep problems

impact of deployment on preschoolers

may exhibit regressive behaviors, may assume blame for parents departure

impact of deployment on school age children

irritability, aggression, whininess, express fears about parent's safety

impact of deployment on adolescents

rebellion, irritability, challenging authority, sexual acting out, drug or alcohol use

cycle of deployment

Predeployment

Deployment

Sustainment

Redeployment

Postdeployment

4 main military family NANDAs

self care deficit, risk for delayed development, risk for complicated grieving, caregiver role strain