Pervasive developmental disorders - Childhood Autism


Pervasive developmental disorders
            Group of disorders characterized by abnormalities in communication and social interaction and by restricted repetitive activities and interests.
      Prevalence- 60-70/10000 population around the world(Fombonne E . 2009)
      Autism 62/10000 population
      Male:Female-5:1 ratio
v  Childhood autism
v  Rett’s disorder
v  Asperger’s syndrome
v  Childhood disintegrative disorder
v  other PDD
Childhood autism

Autistic disorder is characterized by symptoms from each of the following three categories: qualitative impairment in social interaction, impairment in communication, and restricted repetitive and stereotyped patterns of behavior or interests.
v  Sibilings
v  Monozygotic twins-36%
v  Fragile X chromosome
v  Mental retardation
v  Seizure disorder
v  Congenital rubella
v  Phenyl ketonuria
v  Maternal antibodies directed to fetus
v  Respiratory distress
v  Neonatal anemia
v  Post term delivery
      Neuro anatomical
v  Increased brain volume
v  Temporal lobe damage
v  Elevated plasma serotonin
      Parental factors
v  Parental rejection
v  Family break up
v  Family stress
v  Insufficient stimulation
v  Lack of warmth and affectionate behaviour
v  Fixation in pre symbiotic phase
      Theory of mind
v  Mind blind- Children with autism lack ability to put themselves in the place of another person.
Clinical features
      Behavioural characteristics
v  Autistic aloofness- Unresponsiveness to affection
v  Gaze avoidance
v  Poor eye contact
v  Anxious on disruptions of regular routine
v  No separation anxiety when left alone with strangers
v  Inappropriate social play
v  Limited or no friends
v  Lack of empathy and feelings to others
v  Anger or fear without reason
v  No fear of danger
      Communication and language
v  Poor language development
v  Lack babbling in infantile period
v  Produce noises like clicks and nonsense syllabels
v  Difficulty in articulation of speech
v  Echolalia
v  Absence of imaginative play
v  Abnormality in production of speech.
v  Rigid, repetitive and monotonous play
v  Restricted, repertoire of activities
v  Pre occupation with parts of objects
v  Fear or panic when there is change in environment
v  Response to stimuli
v  Reluctance to change
v  Over or under responsive to stimuli
v  Altered response to pain
v  Enjoy vestibular stimulation
       Instability of mood and affect
v  Sudden mood changes
      Other behavioural symptoms
v  Hyperkinesis
v  Self injurious behaviour
v  Poor attention span
v  Idiot Savant syndrome
v  CNS stimulants
v  Antipsychotics
v  Anti epileptics
v  SSRIs
Psychological Management
v  Contingency management
v  Special schooling
v  Supportive Counselling
Nursing management
v  Nursing interventions
v  Work on one to one basis
v  Diversion of attention to reduce anxiety
v  Ensure warmth and care
v  Familiar toys
v  Positive reinforcements
v  Identify and fulfill the needs
v  Encourage expression verbally
v  Teach self care needs
v  Language training
v  Teach by naming own body parts
v  Involve family in care.



anaphysio,4,ASEPSIS AND INFECTION CONTROL,9,audio,1,biochemistry,2,blog,1,BSN Notes: Assessment in Psychiatry,6,BSN Notes: Burns,11,BSN Notes: Care of Terminally Ill Patients,6,BSN Notes: Childhood and Developmental Disorders,6,BSN Notes: Common Behavioural and Social Problems,4,BSN Notes: Common Childhood Diseases,7,BSN Notes: Common Signs And Symptoms,32,BSN Notes: Community Mental Health Nursing,12,BSN Notes: Critical Care,12,BSN Notes: Disaster and Emergency,15,BSN Notes: ENT,8,BSN Notes: Eye,25,BSN Notes: History and Assessment,24,BSN Notes: Introduction of Psychiatry,27,BSN Notes: Legal Issues In Psychiatry,4,BSN Notes: Medication Administration,24,BSN Notes: Neuritic_Stress related and Somatization Disorders,10,BSN Notes: Neurology,6,BSN Notes: Oncological Nursing,8,BSN Notes: Organic Brain Disorders,1,BSN Notes: Oxygenation,3,BSN Notes: Personality_Sexual and Eating Disorders,5,BSN Notes: Principles and Concepts of Psychiatry Nursing,2,BSN Notes: Psych-pharmacology and Other Treatment Modalities,30,BSN Notes: Psychiatry Emergencies and Crisis Intervention,4,BSN Notes: Psychosocial Needs,5,BSN Notes: Schizophrenia and othe Psychotic Disorders,4,BSN Notes: The healthy child,5,BSN Notes: TNPR,9,BSN Notes: Urinary Elimination,14,chn,41,clinicalkannada,4,clinicals1,40,clinicals2,13,clinicals3,33,clinicals4,17,Code of Ethics,3,community,7,Critical thinking,7,drugs,3,Epidemiological Approach,4,Equipment & Linen,9,Equipments & Linen,1,Etics and Legal,1,exa,1,exam,11,featured,19,fon,142,fon3,142,fun,1,geriatric,1,goingbacktodraft,673,graphic,1,Growth and Development,5,he,115,hotspot,6,kannada,63,language,1,Machinery,10,Medications,1,Memory Tools,9,mhn,127,microbiology,3,misc,2,mnemonics,48,msn,137,NCLEX,13,ncp,27,news,4,obg,28,OBG Medications,1,Peri- operative Nursing,2,pharma,29,Physical Examination and Assessment,9,Psychology,2,Pulse,7,resources,1,Respiration,4,Transitional care,1,Ventilators,5,voice,2,
item Pervasive developmental disorders - Childhood Autism
Pervasive developmental disorders - Childhood Autism
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy