rhythmic repetitive songs Behaviors Stereotypical ways of exploring objects

rhythmic repetitive songs Behaviors  Stereotypical ways of exploring objects-line up objects, play with some objects over and over and have certain rituals to be performed Eat only certain types of food or colors of food or eat in a specific pattern  Upset if normal routines are disrupted  Frequently cognitively impaired-wide range of intellectual ability and functioning  Impaired social interactions with normal language development for age  pitch tone and other speech characteristics may be abnormal  Verbal skills involving spelling and vocabulary are high; concept formation, language flexibility and comprehension low Rhett’s Syndrome  Early development appears normal; sx’s emerge at 6 - 18 months  Appears only in females as X- linked dominant gene. Gene mutations affects brain development  Ataxia, hand wringing, dementia, and growth retardation show progressive increase  Nursing Assessment  Assess for developmental delays, uneven development, or loss of acquired abilities-use baby books, diaries, photos, films or video tapes  Assess the quality of the parent- child relationship for evidence of bonding, anxiety, tension and quality of caregiver-child temperaments  Be aware that children with behavioral and developmental problems are at risk for abuse  Be knowledgably about community programs providing support services for parents and children Nursing Diagnosis  Altered family process  Delayed growth and development  Impaired social interaction  Impaired verbal communication  Caregiver role strain  Risk for injury Nursing Diagnoses  Lack of responsiveness, interest in other empathy, sharing  Impaired social interaction  Risk for impaired attachment  Language delay/absence; stereotypical or repetitive use of language  Impaired verbal communication  Head banging, face slapping, hand biting  Risk for injury  Catastrophic reactions (severe temper tantrums, rage, reactions)  Risk for other directed violence  Severe behavioral problems creating stress on family members  Risk for caregiver role strain  Stabilize environmental stimuli  Provide supportive care  Enhance communication  Maintain a safe environment  Provide anticipatory guidance  Nursing care in the community Equine Assisted Therapy By definition  Integration of human and horse interactions  Facilitation of physical, communication and rapport building activities specifically chosen and implemented to address impairment and improve function  Utilized to address physical and mental health challenges General Concepts for Equine Facilitated Mental Health  Mental health impairment is just as debilitating as physical impairment  Assumption of a natural connection or identification  The individual is part of choosing which horse to work with- empowerment  Responsibility of care and regard for something else  Safe scenario for developing rapport Considerations for Specific Diagnoses  Learning disabilities  At risk populations  ADHD  Brain injury  Autism Evaluations 