Mental health lec 6 behavioral disorders.docx - Cognitive...

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Cognitive and Disruptive Behavioral Disorders Intellectual Disability Disorder (IDD) When does an Emotional Problem exist? If behavior: o Is not age appropriate o Deviates from cultural norms o Interferes with adaptive functioning Predisposing Factors Genetic (5%) Intro Onset prior to 18 y/o
Autism Spectrum Disorder Nursing Process Depends on background assessment data (Mild, moderate, sever, profound) ND: o Risk for injury r/t altered physical mobility or aggressive behavior o Self care deficit r/t altered physical mobility/lack of maturity etc Planning/Implementation o Essential for family/PCP to participate in ongoing care of pt o Helps to minimize frustration, scope of condition, set realistic goals, tap into com resources Evaluation o Determine if NCP goals have been met, if not reassess Intro Neurological disorder- interferes with normal brain development Affects the way sensory input is processed Results in deficits with communication, learning, reasoning, social function Results in serious learning, communication, interpersonal issues Characterized by withdrawal of child into self/fantasy world of own creation 1 in 68 children are born with ASD in US 5x more boys than girls Onset of sympt recognized in early childhood (18-24 mo) Diagnosis is adaptive to each individual by specifiers (ex level of severity, verbal Predisposing Factors Neurological implications o Abnormalities in brain structure/function o Role of neurotransmitters under investigation Physiological implications o Certain medical conditions (ex. Tuberous sclerosis, fragile x syndrome, maternal rubella) Genetics o Familial association o Chromosomal involvement Perinatal influences o Maternal asthma/allergies
Risperidone Aripiprazole -Drowsiness -Inc appetite -Nasal congestion -Fatigue -Constipation -Drooling -Dizziness -Wt gain -Sedation -Fatigue -Wt gain -N/V/D -Somnolence -Tremor Attention Deficit/Hyperactivity Disorder Psychopharmacological Intervention Only 2 meds approved by FDA o Risperidone (5-16 y/o) o Aripiprazole (abilify) Targeted for: o Aggression, deliberate self-injury, temper tantrums, quickly changing moods Caution: neuroleptic malignant syndrome, tardive dyskinesia, hyperglycemia, extrapyramidal sx, diabetes Assessment Assess for:

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