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9 Cards in this Set
- Front
- Back
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What is autism?
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Impairment in reciprocal social interaction - self-absorption, lack of affective contact, avoidance of eye contact, disinterest in others
Non-communicative speech Repetitive, bizzare beahvior Deviant development NO hallucinations or delusions Lower intelligence Some show scatter of strengths and unusual capabilities Children with MR can be autistic as well |
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What is the prevalence of autism?
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1 in 50
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What is the etiology of autism?
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Genetics and biology -- No evidence of psychosocial or parenting causes, but dysfunctional parents can impede attainment of ultimate development potential
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Describe the genetic component of the etiology of autism as far as twin (MZ, DZ) and siblings.
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Concordance between 36% of MZ twins and 0% between DZ twins
50% chance of sibling attaining and 15% of autistic sibs have a learning disability AR in some cases |
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What is the biological component of the etiology of autism?
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-Difference in orbitofrontal lobe
-Delayed response to sound on MEG -Autoantibodies to seratonin receptors -decreased urine catecholamines, increased dopamine metabolism in CSF, increased serum seratonin -seizures -occalsional specific medical etiology - PKU, congenital rubella, fragile X |
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How do you dx autism?
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-Good Hx
-Observation -Assessment of language & cognitive skills -Rule out audiology problems -Difficult to dx mild cases |
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What are the treatment options for autism?
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Therapeutic nurses -- work with children and parents to foster positive relationships & educate parents on how to manage the child
-Encouraging social relationships -Special ed programs -Promote adaptation, social relationships, and self-reliance |
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What medications can be used to manage the symptoms of autism.
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-Psychotropic drugs to manage agression
-stimulants, TCA, clonidine for underlying ADHD -Fenfluramine -- encourages self-stimulating behavior but has major SE's -Naltrexone- to manage self-injury -SSRI's & Risperidone for agression & self-injury |
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What is the outcome of autistic children?
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-early intervention is best & seems helpful
-longterm outcomes vary -- 1. higher functioning pts. and those with higher IQ's and supportive families have a better outcome 2. Others may require assisted living arrangements 3. Can learn about feelings and social interactions but may never feel "normal" |
