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
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- Fall '16
- Karen Price