Saturday, January 25, 2020

A Case Study Of Anita Brown Nursing Essay

A Case Study Of Anita Brown Nursing Essay During the last 15 years there has been a substantial rise in the number of newly diagnosed patients with acute kidney injury especially whilst an inpatient Yaklin, 2011. This is despite every effort to prevent AKI in clinical practice (Venkataraman, 2008). Anita Brown is one such patient, having been diagnosed with AKI following routine surgery. AKI occurring after surgery is associated with a significant increase in patient morbidity and mortality (Chertow, Levy, Hammermeister, Grover, Daley, 1998; Praught Shlipak, 2005). Here I will discuss the nursing management of Anita Brown over a 48 hours period. I will start by exploring the pathophysiology of AKI and identifying the type of injury Anita has sustained. Thereafter, in order to formulate an optimised, tailored 48-hour care plan, I will describe two different but complimentary assessment methods to identify Anitas priorities of care, namely the ABCDE framework (Resuscitation Council, 2010) and the Roper, Logan and Tierney (1980) model of nursing. The nursing interventions subsequently proposed will be justified in relation to Anitas pathophysiology and will be supported by professional literature. Finally, the findings will be incorporated into a 48-hour care plan based on six of Roper et al.s activities of living (ALs) and a brief conclusion presented. Background Anita Brown is a 45-year old woman who has been diagnosed with AKI as a result of severe dehydration, following insufficient fluid administration during/after her cholecystectomy operation. Anita has been experiencing intractable vomiting despite receiving nil by mouth. She is borderline hypotensive, tachycardic and tacypnoeic and has been oliguric for 6 hours. Current management includes fluid replacement. Anitas pain is being controlled by a patient controlled analgesia (PCA) pump of morphine. Pathophysiology of Acute Renal Injury AKI is an extremely complicated disorder (Martini, Nath Bartholomew, 2011). The definition of AKI is a decline in the functions performed by the kidneys resulting in increased levels of serum creatinine and urea detectable in the blood (Dirkes, 2011). Indeed, the condition is most easily recognised by a rise in serum creatinine plus a decreasing urine volume, however, these symptoms are also accompanied by other physiological changes, as will be seen later (Guidelines and Audit Implementation Network [GAIN], 2010). There are three general categories of AKI (relative prevalence shown in parentheses): pre-renal (~55%), intrinsic (~30%) and post-renal (~15%) (Marieb, 2010). Pre-renal kidney injury is the most common form and is generally reversible when renal perfusion pressure is swiftly restored. It has a number of causes, the most common being intravascular volume depletion (haemorrhage, dehydration, burns, gastrointestinal losses) or decreased cardiac output (myocardial infarction or cardiac arrhythmias) (Cheung, Ponnusamy, Anderton, 2008), all leading to hypo-perfusion within the kidneys (Gotfried, Wiesen, Raina and Nally 2012). Drugs that are vasoactive can also cause pre-renal kidney injury (Barber Robertson, 2009), since intra-renal vasoconstriction can ultimately lead to hypo-perfusion (Murphy Byrne, 2010). Anitas surgery was complicated since the planned laparoscopic cholecystectomy had to proceed to an open cholecystectomy, thus she probably suffered considerable intra-operative fluid loss. If inadequate replacement ensued, the reduced blood flow within Anitas kidneys could have caused hypovolemic or cardiogenic shock (Garretson and Malber ti, 2007). Indeed, inadequate intravascular volume arising from significant fluid/blood loss is a common cause of hypovolemic shock (Hand 2001, Bench 2004). A further cause of AKI, intrinsic kidney injury, is associated with injuries that structurally harm vessels, the glomerulus, or kidney tubules (Ali Gray-Vickrey, 2011). Prolonged or severe pre-renal hypoperfusion may lead to such injury through ischaemia. Alternatively, infectious elements or pollutants are a further cause of such damage (Murphy Byrne, 2010). Notably, tubular cells within Anitas kidneys would have been severely damaged if blood flow had been reduced to 20% of normal (Cheung et al., 2008), although the actual extent of her injury is currently unknown. This type of injury is termed acute tubular necrosis (ATN), and is a common reason for AKI in hospitilised patients (Ali Gray-Vickrey, 2011). ATN is characterised by decreased consciousness, reduced urine output resulting from tubular damage, and nausea and vomiting. Like prerenal injury, ATN is often reversible, however, early intervention and distinguishing the mechanism of damage, whether prerenal or intrinsic, is vitally important to improve patient outcome (Gotfried et al. 2012). Other less common causes of intrinsic injury are acute interstitial nephritis (AIN) arising from allergic drug reactions or systemic disease, and contrast-induced nephropathy (CIN) arising from toxicity associated with radiological contrast media administration (Fry, Farrington, 2006; Hilton, 2011; Thomas, 2008). Risk factors for CIN in patents undergoing radio-contrast include age and pre-existing renal impairment plus simultaneous administration of metformin to treat diabetes (Porth, 2007). Consequently, diabetic patients with renal impairment and taking metformin (a drug which is 100% renally excreted), when undergoing radio contrast should be closely monitored, and medication stopped 48 hours before and after the procedure (Royal College of Radiologists, 2009). Finally, post-retinal kidney injury arises from urinary tract obstruction, the resultant back-pressure inhibiting glomerular filtration rate and causing ischemia (Leach, 2009; Hsu Symons, 2010). ABCDE Approach: Airway, Breathing, Circulation, Disability and Exposure Nurses play a vital role in effectively managing acute-care patients such as Anita, with timely intervention resulting in the prevention of life-threatening complications (Clarke Ketchell, 2011). The use of a systematic approach that identifies the priorities of care is essential (Thompson, 2008). Comprehensive Clinical Assessment Guidelines exist for AKI (Lewington Kanagasundaram, 2011), which emphasise that it is essential to consider the underlying cause of AKI since certain origins, such as AIN, would need specialised therapy. Initial clinical orientation requires nurses to ensure that necessary tests are performed and relevant assessment/monitoring is undertaken swiftly (Henneman, Gawlinski, Giuliano, 2012). Antia has already been diagnosed with AKI arising from insufficient fluid replacement during surgery, thus prerenal kidney injury has arisen from renal hypo-perfusion and ischemia, due to an inadequate intravascular volume. Although the extent of the damage remains to be seen, restoring intravascular volume is key to Anitas recovery. A useful approach in assessing and managing a patient who may deteriorate, such Anita, is the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach (Resuscitation Council, 2010). This would be highly useful for Anita, as it would break down the complex assessment procedure for AKI into a systematic process, whereby assessment and treatment algorithms would allow provision of a prioritised care plan. The ABCDE framework also serves as a valuable tool in identifying/eliminating critical conditions (Thim, Krarup, Grove, Rohde, Lofgren, 2012). Anitas assessment will now be considered under the five separate headings. Airway The patency of Anitas airway would be checked, to ensure there is no obstruction. Anita is overweight and upper airway obstruction through narrowing of the airways can occur in obese patients especially during sleep (sleep apnoea) (Hillman, Platt and Eastwood, 2003). If Anitas PCA is causing sedation, she will be drowsy. Consideration should thus be given to providing adequate pillows to ensure her posture and positioning on the bed would be conducive to a patent airway, similar to a head-tilt and chin-lift position (Thim et al, 2012). Frequent repositioning would also guard against pressure sores. Breathing Assessment of Anitas breathing involves respiration rate coupled with observations regarding whether her breathing is noisy, or laboured; movements of the thoracic wall and use of auxiliary muscles are clues to look for (Thim et al., 2012). Assessing Anitas risk of post-operative sleep apnea would mean observing her when sleeping, and noting if she snores or is apnoeic (Thim et al., 2012). To alleviate such symptoms correct positioning would be vital, indeed it is known that poor positioning of obese patients in bed may impede lung expansion (Moore, 2007). Breathing difficulties could require oxygen administration or in severe cases, assisted ventilation (Thim et al., 2012). Anitas is slightly tacypnoeic (respiration rate=22/min); this needs monitoring. Anita has endured severe dehydration and the underlying cause of the tacypnoea is probably related to the ensuing reduced circulating volume, which in turn causes a numbers of associated physiological changes including increased respi ration rate (Large, 2005); other vital signs are also affected, as seen below. Circulation Anita is borderline hypotensive (BP=105/60 mm/Hg) and slightly tachycardic (pulse=108 beats/minute). The severe dehydration Anita has suffered means her heart tries to compensate for the reduced volume by pumping harder (increase in cardiac output) and faster (increased heart rate) (Large, 2005). Concurrently, the low fluid volume leads to a fall in BP. Consequently AKI-related dehydration, has resulted in adverse outcomes including hypotension, tachycardia, and tacypnoeic; weak pulse and cold hands and feet are further signs to look out for (Large, 2005). Additionally, level of mental status, dry oral mucous membranes, sunken eyes and reduced capillary refill/skin (or tongue) turgor are all secondary markers of dehydration (Merck Manuals, 2012) whilst ankle and sacral oedema are signs of fluid overload. Capillary refill time involves pressing on the pad of the middle finger for five seconds then measuring the time for normal colour to return (Large, 2005). Skin turgor involves pinch ing a fold of skin and observing if it falls back to normal position immediately (Scales and Pilsworth, 2008). Rapid restoral of Anitas circulating volume is vital, with additionally the need for close and continuous monitoring of fluid levels (input vs output) and hemodynamics (Dirkes, 2011). Anita is nil by mouth and iv fluid input is being controlled at a rate of 1000mls dextrose/saline over 12 hours. Dextrose/saline is primarily used to replace water losses post-operatively. Normally fluid intake and loss are balanced (Scales and Pilsworth, 2008), yet Anita has been oliguric for 6 hours. Normal urine output is 1ml/kg body weight per hour, the minimum acceptable being 0.5ml/kg/hr (Scales and Pilsworth, 2008). Thus Anita should have a minimum output of 50ml per hour. Obviously Anita is still suffering a fluid deficit. The kidneys can normally concentrate or dilute urine in response to fluid changes. If Anitas kidneys are conserving water any urine excreted will be concentrated and dark (Scales and Pilsworth, 2008). The colour should be noted, in addition to the actual volume, on the fluid b alance chart. Accurate records are critical in assessing Anitas fluid balance. The level of iv fluid needed to restore Anitas fluid balance depends upon an accurate assessment of her volume status, based on the following equation: Fluid required = pre-existing deficit + normal maintenance + ongoing losses. Fluid replacement calculations are challenging since Anitas precise deficit is unknown, also her frequent vomiting represents a variable, on-going fluid loss, which must be estimated and added to her maintenance fluid intake. A patient with a pre-existing deficit normally received rapid fluid resuscitation comprised of an initial large volume (~250ml) of iv saline, repeated as necessary. According to the Merck Manuals (2012) patients with intravascular volume depletion without shock can receive infusion at a controlled rate, typically 500 ml/h. Anitas fluid resuscitation status should be urgently established since Anita appears to be receiving maintenance fluids rather than rescue therapy. During Anitas recovery phase her clinical response to iv fluids will guide the rate of fluid replacement, her vital signs and urine output should return to normal once normal hydration is achieved. A urine output of > 0.5 to 1 ml/kg/h is required (Scales and Pilsworth, 2008). But in addition to urine volume, monitoring electrolyte status is a further part of patient management in the recovery phase of AKI (UK Renal Association, 2011; Abdel-Kader and Palevsky, 2009). Urea, creatinine and sodium are elevated in volume-depleted individuals but to differing extents (Thomas, Tariq, Makhdomm, Haddad Moinuddin, 2003). A full blood count is a further useful piece of information (Lewington Kanagasundaram, 2011). Disability Anitas state of consciousness has been evaluated through the Glasgow Coma Scale and is currently 15, indicating she is fully conscious and in no danger of disability pertaining to consciousness (Gabbe, Cameron, Finch, 2003). Nevertheless, her mental alertness should continue to be monitored. Nurses need to ensure Anita can communicate adequately, especially since AKI can affect mental status because of hypernatremia, as a result of low fluid volume. This happened because the vascular space becomes hypertonic and results in extracellular migration of water away from brain cells, hence accounting for neurologic symptoms (Lee, 2010). Also, Anita may be drowsy due to the morphine. Any mental status deficit should improve when Anita responds to treatment and stops opiate analgesia. Anitas repeated vomiting is disabling and is contributing to dehydration and electrolyte imbalances (Golembiewski, Chernin, and Chopra 2005; Gan, 2006), and clearly requires immediate attention. The underlying cause must be determined if appropriate interventions are to be used. Vomiting is common following anaesthesia, but is also linked to opioid treatment and also hypotension. There are a large number of drugs available to treat post-operative and opiate induced vomiting (Stevenson, 2006), however, Anitas renal status means that administering antiemetic medications  may be unwise. Anita is self-administering morphine, therefore the frequency of her usage, her level of pain control and alertness all need monitoring. In addition to sometimes causing sedation, nausea and vomiting, morphine can produce hypotension and respiratory depression, and obese patients, such as Anita, are at higher risk of these side effects. Therefore the risk/benefit of continuing PCA with this drug over n urse-controlled analgesia should be established; if continued Anitas respiration rate should be frequently assessed and she should be monitored for signs of opiate toxicity. Exposure Anitas wound must be checked regularly to ensure it is clean and there are no signs of opening or infection, especially given the trauma of her vomiting. Surgical drains and urine drains likewise must be kept patent and clean; whilst regular temperature checks would monitor pyrexia. The results of Anitas initial ABCDE assessment can now be put in to perspective by identifying key information to help devise her care plan through application of a second nursing framework. The Roper, Logan and Tierney Model (1980) Nursing Model and Care Plan The Roper, Logan and Tierney model (1980) can be applied to the case of Anita Brown in order to devise a tailored care plan. This model takes a holistic approach and allows the impact of Anitas morbidities on her activities of living (ALs) to be considered. The model identifies twelve activities ALs namely eating and drinking, working and playing, sleeping, elimination, washing and dressing, communication, breathing, expressing sexuality held in relation to lifespan and the dependence/independence continuum. The framework is simplistic, yet provides a means to develop a logical and systematic care plan that is based on teamwork and mutual coordination (Murphy et al., 2000). It allows systematic collection of information from a patients biological, physiological, sociocultural, environmental, and politico-economic, perspective (Roper, Logan, Tierney, 2000). The model is especially applicable in patients requiring acute care such as Anita, helping to highlight the priorities of care t hat must be undertaken (Murphy et al., 2000). Once assessment is complete, a plan of care can be formulated which takes into account lifespan and level of dependence but may not necessarily cover all ALs (Beretta, 2003). Here I will consider six of the most pertinent ALs which are relevant for Anitas 48-hour care. I will highlight Anitas problems in relation to the AL and describe the necessary nursing interventions and their goals as part of a 48-hour nursing care plan. Safe Environment Anitas skin should be healthy and in tact: Check integrity of wound; Anitas retching could rupture her stitches. Also check for infection or swelling following surgery using aseptic techniques. Record temperature regularly to ensure Anita remains apyrexial. Anitas vital signs are out of range: Closely monitor haemodynamic status, urinalysis and fluid balance status; these should be returned to normal through appropriate interventions. Check peripheral insertion line is patent, the fluid is running fast enough and the fluid is provided as prescribed. Accurately recording input (and output: see below). Anitas is vomiting: Anitas vomiting will be distressing. Treat the underlying cause of the vomiting, and immediately adopt simple interventions to alleviate symptoms e.g. provide adequate bowls and tissues, open a window or provide a fan. Anitas oral health may be compromised since she is vomiting and receiving nil by mouth. Offer assistance with oral hygiene. Anita is self-administering morphine: The potential for unwanted opiate side effects warrants investigation regarding level of usage and pain control. Discuss this with Anita and switched to nurse controlled non-opiate analgesia is possible. Breathing Anita respiration should be 15-20/min: Anita is slightly tacypnoeic. Regularly monitor vital signs and observations post-operatively. Since Anita is overweight she may easily get out of breath during minor exertion so encourage her to ask for nursing assistance if she needs help. Communication Anita should be coherent and respond appropriately to questions: talk to Anita about how she is feeling and ensure her AKI, post-operative status and/or analgesia is not adversely affecting her mental abilities. Be aware of non-verbal transmission of information such as facial expression of pain/discomfort. Elimination Anitas urine must be properly collected: regularly check the urine drainage bag and tubing to ensure patency and cleanliness and to record output. Similarly, if there is a wound drain in place. Provide bedpan/commode: It is unlikely that Anita will need to open her bowels, however, she should be encouraged to seek assistance and request a bedpan/commode should she need one. Anitas privacy and dignity must be respected throughout. Sleeping Anita may be sleepy: Anita may be drowsy from the morphine and want to sleep a lot. She is overweight, which may make her more prone to post-operative sleep apnea. Observe her when sleeping for signs of snoring or apnoea. Anitas posture and positioning on the bed is important, especially since she is at higher risk of pressure sores. Nurses would need to ensure Anita is not slumped but positioned in a semi-upright position and frequent repositioned. Mobilisation Anita must regain mobility: Anita is relatively young, but overweight which would hamper her everyday mobility. She should by encouraged to mobilise if possible such as assistance to a sitting position in a chair; this would reduce chances of post-operative thombosis. All of these nursing actions have been formulated in a 48-hour care plan, a proposal for which is shown in the Appendix. Although relatively young, and presumably previous to surgery largely independent, Anita is currently considerably dependent on nursing staff for many ALs. This is reflected in her care plan. The ultimate aim of the Roper model is to achieve goals that promote independence in all ALs. Achieving this objective requires regular evaluation of Anitas plan, which in turn requires accurate baseline data against which improvement or deterioration in her progress can be measured. The plan can then be adjusted accordingly (Holland, 2003). Conclusion Anita Brown has suffered AKI probably due to insufficient fluid replacement inter/post operation. The resultant drop in circulating volume has manifested in a number of adverse physiologic and haemodynamic events. Anitas symptoms are consistent with pre-renal AKI (although ATN cannot be ruled out (Cheung et al., 2008) necessitating swift intervention. The pathophysiology of AKI reveals that it is a multifaceted condition requiring complex clinical assessment (Lewington Kanagasundaram, 2010). Here I have described a simplified, logical approach to Anitas care, through the application of two systematic methodologies. The approaches advocated ensured all relevant assessments were performed and that appropriate and effective interventions were employed in the formulation Anitas 48-hour care plan. The ABCDE mnemonic was used since it represents a strong clinical tool for rapid assessment and treatment of patients such as Anita requiring swift and effective interventions. Whilst the Roper , Logan and Tierney (1980) model provided a holistic approach to patient care since it allowed assessment of the patient as a whole (OConnor and Timmins, 2002), and has thus taken into account Anitas specific needs and preferences, whilst ensuring she is treated appropriately (Clarke Ketchell, 2011). Adhering to such tried and tested formulae allowed delivery of an optimised, tailored care plan, which will improve Anitas prognosis and enhance overall outcomes.

Friday, January 17, 2020

Everyday Leadership

Drew Dudley believes leadership is not a characteristic reserved for the extraordinary. He works to help people discover the leader within themselves, so he posted this video on Feb 2012 about discovering the meaning of leadership. He is a leadership educator. Drew Dudley's interest in developing people's leadership began when he was the leadership development coordinator at University of Toronto, Scarborough. In 2010, he founded Nuance Leadership Development Services Company creates leadership for communities, organizations and individuals- a subject on which he also speaks widely. How many of you are completely convinced calling her or him a leader? According to Drew's video, he always ask this kind of question, and huge of audience prevent to raise their hands. Thus, he became to realize that we made leadership something bigger than us, we made it something beyond us, and we made it something changing the world. We spend so much time celebrating amazing birthdays that anyone can do, and we persuade that is the only thing we can celebrate with, and starting to ignore things we can do every day. He told us a short story which is made difference of his life, and led him to change the meaning of leadership. This was the crucial reason for posting this amazing video by drew since he wants to discover the exact meaning of leadership. Before start talking about the most important points for this video, I prefer to share with you a short story in my life which encouraged me to chosen this great topic that I am interested with. For two years ago, my best friend –REHAM- who is younger than me about approximately two years. She told me that she consider me as the only person in her life who made changing in her life. She told me a very short attitude happened once between us. For ten years ago, at elementary school, when I was in the last years at this school, and she was years before. We were prepared for the graduation ceremony, and I was the main presented for most of songs. She was shy to stand up in front of audience, and I did not know that before. Also, she always watched my actions since we were together at school, because she cares about me and she loves me so much. Just as I am a person who feels more confident since I was child, I am interested in most of activities in the school until I graduated from university. I just hold her hand and I keep her beside me when we sung. Reham said â€Å"in that moment I felt so proud of you and you made me feel more confident about myself and since that time, I decided to get over fear of standing in front of public†. She became very confident about herself. We are more than sister now. Furthermore, I am so lucky to hear that, and I did changing on her life. All of you changed something of others people's life without being realizes. Moreover, we need to make redefinition of leadership in our lives. Leadership is making one big decision, positive decisions on others people's life. How many we create? , how many we pay for it? , and how many we say thank for? As long as keeping leadership bigger than us, as long as keeping leadership beyond us, we will give us excuse not to expected everyday from ourselves and each others. Consequently, we need to get over our fears about changing other people's life. To conclude, it is important to recognize the profoundly positive impact that can come from insignificant actions more than money, power, and tittles. That will make a difference for others people's life. Simple idea, but I do not think is a small one.

Thursday, January 9, 2020

The Prayer Nursery School Is A Private Christian School

In the classroom that I observed at Redemption Nursery School, the bulletin board in the classroom did support multiculturalism and diversity, their bulletin were very colorful and displayed the children artwork that they have done at the time. When I observed my classroom it was in the beginning of October, so the bulletin board still had Welcome to Pre-k and on the bulletin board there were children on the board who were all different races, Caucasian, Asian, Indian etc. Redemption Nursery school is a private Christian school and there are only about five classes at this school, so they do not have assembly programs, the only assembly like program the school has the children go to church once a month, so they children that are Christian are embracing their culture. They do go on trips, but the trips do not embrace the cultures of others. I thought the assignment and projects were reflective of multiculturalism because in the classroom I observed the children were different races, from Caucasian, African American, Chinese and Indian and when the teacher had her students draw a picture of themselves and their family and she told her class that everyone is different and you can color yourself any color you want to. When the teacher would do a assignment the teacher would tell the students to color their pictures as you want to color it and they had a variety of different colors like brown, black, white, yellow for the students to color the picture of themselves. 7.Show MoreRelatedThe Roles of Nigerian Association of Model Islamic Schools (Namis) in the Development of Education in Oyo State: a Case Study of Namis, Egbeda Local Government Area Chapter7207 Words   |  29 PagesTHE ROLES OF NIGERIAN ASSOCIATION OF MODEL ISLAMIC SCHOOLS (NAMIS) IN THE DEVELOPMENT OF EDUCATION IN OYO STATE: A CASE STUDY OF NAMIS, EGBEDA LOCAL GOVERNMENT AREA CHAPTER. BY SHITTU, AFUSAT OMOBONIKE (MRS) (MATRICULATION NUMBER 04/060854) BEING A PROJECT REPORT SUBMITTED TO THE DEPARTMENT OF ARTS SOCIAL SCIENCES, EMMANUEL ALAYANDE COLLEGE OF EDUCATION, OYO. IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE AWARD OF NIGERIA CERTIFICATE IN EDUCATION (N.C.E) JANUARY, 2009. 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Philosophy of Education†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Student Teachers Prayer†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. Chapter One- Cooperating School’s Description †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Holy Child College of Davao†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Sta. Ana National High School†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 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Wednesday, January 1, 2020

Autism Spectrum Disorder Term Paper - 2272 Words

DSM-IV-(TR) : Autism Spectrum Disorders Type 299.0 Autistic Disorder Type 298.0 Asperger’s Syndrome Type 298.0 Pervasive Developmental Disorder Not Otherwise Specified Abstract Autism is a complex developmental disability that causes problems with social interaction and communication. Symptoms usually start before age three and can cause delays or problems in many different skills that develop from infancy to adulthood. Disorders included in the Autism Spectrum are Autistic Disorder, Asperger’s Syndrome, and Pervasive Developmental Disorder Not Otherwise Specified. Rett’s syndrome and Childhood Disintegrative Disorder are among the list of related disorders, but are not included in this spectrum. There are no treatments bio-medically,†¦show more content†¦Often, certain behaviors become more noticeable when comparing children of the same age. In some cases, babies with ASD may seem different very early in their development. Even before their first birthday, some babies become overly focused on certain objects, rarely make eye contact, and fail to engage in typical back-and-forth play and babbling with their parents. Other children may develop normally until the second or even third year of life, but then start to lose interest in others and become silent, withdrawn, or indifferent to social signals. Loss or reversal of normal development is called regression and occurs in some children with ASD. (National Institute of Mental Health, 2012). According to the Diagnostic and Statistical manual, symptoms include making little eye contact, tendency to look and listen less to people in their environment or failure to respond to other people, do not readily seek to share their enjoyment of toys or activities by pointing or showing things to others, responding unusually when others show anger, distress, or affection. Children wit h autism spectrum disorders often have difficulty with communication. These symptoms include, failure or slow to respond to their name or other verbal attempts to gain their attention, failure or slow to develop gestures, such as pointing and showing things to others, coo and babble in the first year of life, but then stop doing so, develop language at a delayed pace, learn to communicateShow MoreRelatedAutism Spectrum Disorder ( Autism ) Essay1739 Words   |  7 Pagesconventions (Lai, 2014). These two observations would be the beginning of a disorder known as the Autism Spectrum Disorder. This developmental disorder, characterized by a range of deficits in different areas, is increasingly prevalent in society and in the media. While the exact numbers vary from country to country, according to Lai (2014), 1% of the general population is diagnosed with an Autism Spectrum Disorder. The range of this disorder has a detrimental effect on society, specifically the educationalRead MoreA utism Spectrum Disorder1409 Words   |  6 Pagesboys and 1 in 189 girls are diagnosed with autism in the United States (Autism Speaks, n.d.). Can be diagnosed in all racial and ethnic groups, as well as every age group. In the 2013 publication of DSM-5 diagnostic manual, Asperger syndrome, Autistic disorder, childhood disintegrative disorder, and Pervasive Developmental Disorder- not otherwise specified (PDD-NOS) were merged into one category of ASD. This paper will explain what Autism Spectrum Disorder is, causes, signs and symptoms, diagnosisRead MoreAutism Spectrum Disorder And Autism1492 Words   |  6 Pageslife there are several different disorders that have been well known from many years ago. There is one disorder that was diagnosed in the early 1800’s but it wasn’t until a few years ago that it gained lots of attention. What used to be known as Autism was later renamed in the DSM to Autism Spectrum Disorder meaning, a neurodevelopmental disorder rather t han a pervasive developmental disorder (Gargiulo, 2015). Autism spectrum disorder is a developmental disorder characterized by abnormal or impairedRead MoreAutism Spectrum Disorder ( Asd )885 Words   |  4 PagesBACKGROUND Autism spectrum disorder (ASD) is a condition that affects a group of complex disorders of brain development. Autism is a developmental disorder characterized by difficulties with social interactions, social communication and an unusually restricted range of behaviors and interest (David R. Simmons, 2009). It seems that autism is a new condition because most of research about this condition has occurred since the 1980. However, Autism has been around for a much longer time than that, peopleRead MoreEssay about Autism Spectrum Disorder and the Theories of Vygotsky1423 Words   |  6 Pagesdecade has acknowledged the impacts of characteristics and life-functioning for individuals on the autism spectrum. Models of support or interventions strategies have been researched but little, or limited practical or resourced models appeared as accessible for families of older youth. The intention of this research paper was to investigate a specific activity group for youth on the autism spectrum. The group runs concurrently with a parent group and is funded through a respite funding provisionRead More Genetics and the Possible Causation of Autism Spectrum Disorders1477 Words   |  6 PagesSwiss psychiatrist, began using the term â€Å"autism†, which stems from the Greek word â€Å"autos†, meaning â€Å"self.† Bleuler used the term to describe a group of symptoms seem in patients suffering from schizophrenia. Essentially, the term means an â€Å"isolated self† or a person excluded from social interactions. In the 1940s, researchers in the United States modified the term to describe children who experienced emotional or social problems. Thus, relinquishing the word â€Å"autism† from its connection to schizophreniaRead MoreAutism Is A Matter Of Passionate National Debate1197 Words   |  5 Pages Introduction: †¢ In the past two decades or so, autism has changed from being a condition nobody had even heard about to widely recognized mental health condition. Due to widespread use of internet, social media and smartphones everybody knows something about autism. Just searching for autism in Google brings up more than 68 million results. Autism has become a matter of passionate national debate among different stake holders such as government, public health agencies, mental health associationsRead MorePervasive Development or Autistic Spectrum Disorders Essay1056 Words   |  5 PagesDefinition of Pervasive Development Disorder: Any of a group of disorders of infancy, childhood, or adolescence that are characterized by distortions in the development of the basic psychological functions such as language, social skills, attention, perception, reality testing, and movement. http://dictionary.reference.com/browse/pervasivedevelopmentaldisorder Pervasive developmental disorder was first used in the 1980’s to describe this class of neurological disorders that can impair social and communicationRead MoreA Research Study On Autistic Spectrum Disorder802 Words   |  4 PagesAutistic spectrum disorder, also known as ASD can be defined as a group of complex developmental disorders characterized by impairment in verbal and nonverbal communication, behavioral challenges, impaired cognitive abilities, and impaired social interactions. Nurse practitioners providing primary health care to children should be familiar with ASD for early identification, evaluation, and management as this is significantly important to the well-being of children and their families. The purposeRead MoreAutism Spectrum Disorder ( Asd ) And Autism1544 Words   |  7 PagesAUTISM SPECTRUM DISORDER â€Å"Autism spectrum disorder (ASD) and autism are both general terms for a group of complex disorders of brain development.† Those with autism may have a number of difficulties such as in social interactions, verbal and nonverbal communication, and repetitive behaviors. It is a severe neurodevelopmental disorder with impairments that have lifelong consequences. This paper will discuss how it is found in people, what the effects are, the levels of autism, and how you can help