1 / 18

Mental Health Nursing II NURS 2310

Mental Health Nursing II NURS 2310. Unit 11 Psychiatric Conditions Affecting Children and Adolescents. Objective 1. Identifying etiology and characteristics of specified childhood/adolescent psychiatric illnesses. Disorders Affecting Children/Adolescents ____________________________________

rmays
Download Presentation

Mental Health Nursing II NURS 2310

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Mental Health Nursing IINURS 2310 Unit 11 Psychiatric Conditions Affecting Children and Adolescents

  2. Objective 1 Identifying etiology and characteristics of specified childhood/adolescent psychiatric illnesses

  3. Disorders Affecting Children/Adolescents ____________________________________ Intellectual Developmental Disorder Autism Spectrum Disorder Attention-Deficit/Hyperactivity Disorder Oppositional Defiant Disorder Conduct Disorder Tourette’s Disorder Separation Anxiety Disorder

  4. Intellectual Developmental Disorder • Involves deficits in general intellectual functioning and adaptive functioning • General intellectual functioning = measured by an individual’s performance on IQ tests • Adaptive functioning = refers to the person’s ability to adapt to the requirements of daily living and the expectations of age and cultural group • IQ is 70 or below • Deficits/impairment in communication, self-care, self-direction, leisure, and safety

  5. Intellectual Developmental Disorder (cont’d) • Predisposing factors: • Hereditary • Approximately 5% of cases • Down’s syndrome, Tay-Sachs disease • Early alterations in embryonic development • Drug/alcohol toxicity • Maternal illnesses/infections • Pregnancy and prenatal problems • Birth injuries • General medical conditions acquired in infancy or early childhood • Environmental influences and other mental disorders

  6. Autism Spectrum Disorder • Characterized by a withdrawal into the self and into a fantasy world of one’s own creation • Development in social interaction and communication is markedly abnormal or impaired • Activities and interests are restricted; may be considered bizarre • Prevalence of approximately 1 in 150 children in the U.S. • Onset occurs before age 3

  7. Attention-Deficit/Hyperactivity Disorder (ADHD) • Persistent pattern of inattention and/or hyperactivity-impulsitivity that is more frequent and severe than is typically observed in individuals at same developmental level • Hyperactivity = excessive psychomotor activity that may be purposeful or aimless, accompanied by physical movements that are usually more rapid than normal • Impulsitivity = acting without reflection and without thought to the consequences

  8. ADHD (cont’d) • Onset of disorder difficult to diagnose in children younger than age 4 • ADHD often not recognized until child enters school • Five to nine times more common in boys than in girls • Believed to have strong genetic component • Parent with ADHD may have child with ADHD • Sibling string • Possible link to high serum lead levels

  9. Oppositional Defiant Disorder (ODD) • Characterized by a pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures that occurs more frequently than is usually observed in individuals of same age/developmental level • Typically begins by age 8, and usually not later than early adolescence • May precede a conduct disorder • “Normal” oppositional phases occur in older infancy, toddlerhood, and adolescence

  10. Conduct Disorder • Repetitive and persistent pattern of behavior in which basic rights of others or major age-appropriate societal norms or rules are violated • Physical aggression common • Childhood-onset = begins prior to age 10; more likely to have continued problems during adolescence, and antisocial as adult • Adolescent-onset = absence of any criteria characteristic of conduct disorder before age 10

  11. Tourette’s Disorder • Presence of multiple motor tics along with one or more vocal tics • Tics may appear simultaneously or at different periods during the illness • Causes marked distress or interferes with various areas of functioning • Onset occurs before the age of 18 • Characterized by periods of remission • Symptoms usually diminish during adolescence and adulthood

  12. Separation Anxiety Disorder • Involves excessive anxiety concerning separation from the home or from those to whom the person is attached • Considered in excess of what would be expected for developmental level • Interferes with social, academic, and occupational levels of functioning • More common in girls than in boys • Etiological factors may include stressful life events and/or family influences

  13. Objective 2 Examining medical treatments and nursing interventions for clients experiencing a childhood/adolescent psychiatric disorder

  14. Behavior Therapy • Classical conditioning, operant conditioning • Useful for disruptive behavior disorders • Family Therapy • Family Education • Behavior modification techniques • Consistency • Group Therapy • Opportunity to interact with peers • Learning of appropriate social behaviors • Psychopharmacology

  15. Objective 3 Exploring concerns associated with providing psychiatric care to children and adolescents

  16. Medication issues • Dosing problems • Addiction • Legal issues • Guardianship concerns • Safety • Developmental issues • Appropriateness of behaviors compared to norms of life stage • Parental/caregiver issues • Manipulation of health care system • Knowledge deficits

  17. Objective 4 Applying the nursing process to the treatment of special populations

  18. Assessment • Nursing Diagnosis • Planning • Implementation • Evaluation

More Related