Peds behavioral.txt

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Peds behavioral.txt
2013-10-06 15:18:40
Peds behavioral

Peds behavioral
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  1. Autism
    abnormality in brain structure or function; strong evidence of genetic component; boys 4X higher risk; onset usually before 3; big concern is safety
  2. Clinical manifestations of autism
    do not form interpersonal relationships, difficulty organizing and redirecting, aversion to physical contact, inpaired verbal and nonverbal contact, extreme response to environmental change, impaired imaginative play
  3. Realistic outcome for someone with Autism
    establishing trust with a caregiver
  4. Goal of tx for Autism
    promote positive reinforcement, increase social awareness of others, teach verbal communication skills, decrease unacceptable behavior
  5. Signs of autism
    no eye contact, no share of enjoyment, lack of verbal communication, headbanging, no interaction with others, inflexibility
  6. Nursing DX for autism
    impaired social interaction r/t inability to trust, neurological alterations; impaired verbal communication r/t neurological alterations, inadequate sensory stimulation, withdrawal into the self; self-mutilation r/t neurological alteration
  7. ADHD diagnostic criteria
    must not be a symptom of another disorder, must be present at home and school, more common in boys; symptoms must be present before the age of 7; inappropriate inattention, impulsivity and hyperactivity; genetic link
  8. ADHD treatment
    maintain consistency; behavior therapy using reward system; CNS meds (Ritalin-methylphenidate, Adderall), Antidepressant-Wellbutrin; nor pei transport inhibitor-Strattera
  9. Signs of ADHD
    careless mistakes, fails to finish schoolwork, misplaces assignment, squirms in seat, does not pay attention, blurts out answers, can’t wait turn
  10. ADHD nursing DX
    Impaired social interaction; low self esteem; noncompliance; risk for injury
  11. Priority nursing DX for ADHD
    risk for injury r/t impulsive behavior and inability to perceive self-harm
  12. Conduct disorder
    physically aggressive, poor peer relationships with little concern for others and lack of guilt or remorse, “tough” image, most likely will develop antisocial personality disorder or alcohol dependence in adulthood
  13. Symptoms of conduct disorder
    males-fight, steal, vandalize; females lie, skip school, run away, sexually risky behaviors
  14. Therapeutic mgmt. of conduct disorder
    behavior modification, anger mgmt., coping skills, meds, therapy
  15. Nursing interventions of conduct disorder
    observe behavior frequently, redirect behavior, therapeutic communication, administer meds, provide positive feedback for acceptable behavior, educate
  16. Priority nursing action
    recognize escalating behaviors and intervene before violence occurs
  17. Nursing DX for conduct disorder
    risk for other-direction violence, impaired social interaction, defensive coping, low self-esteem
  18. Priority nursing diagnosis for conduct disorder
    risk for other-directed violence r/t characteristics of temperament
  19. ODD
    usually evident <8 years old and no later than adolescence
  20. ODD definition
    recurrent pattern of negativistic, disobedient, hostile, defiant behavior toward authority figures without the serious violations of the basic rights of others; may be precursor to conduct disorder; has to persist for at least 6 months, may be only at home, more common in males until puberty then equal
  21. Signs of ODD
    loses temper, argues with adults, deliberately annoys others, blames others for mistakes, angry, resentful, spiteful and vindictive, low self esteem, labile moods, low frustration tolerance, swearing, early alcohol use
  22. Issues of ODD
    careless behaviors, tantrums, testing the limits, school avoidance, school underachievement, running away, disobedience
  23. Nursing DX of ODD
    noncompliance with therapy, defensive coping, low self esteem, impaired social interaction