Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
21 Cards in this Set
- Front
- Back
|
What is the nursing developmental focus?
|
Focus on the child's developmental level rather than the chronological age or diagnoses. Also focus on strengths rather than disabilities.
|
|
|
How should a nurse provide information to the family?
|
Repeatedly and clarify all questions so the family can process the information and understand.
|
|
|
What is normalization?
|
It refers to behaviors and intentions of the disabled to integrate into society by living life as persons without a disability would.
|
|
|
What is early intervention?
|
A sustained and systematic effort to assist children from birth to 3 years who are disabled and developmentally vulnerable.
|
|
|
What is the major goal when working with a family of a child with special needs?
|
To support the family's coping and promote their optimal level of functioning throughout the child's life.
|
|
|
What are approach behaviors?
|
Behaviors that are coping mechanisms that result in movement towards adjustment and resolution the crisis. Such as: Asking for info., seeks help and support and anticipates future problems
|
|
|
What are avoidance behaviors?
|
Results in movement away from adjustment and represent maladaptation to the crisis. Such as: fails to recognize the seriousness of the child's condition, avoids staff or family and refuses to agree to treatment.
|
|
|
What is the usual reaction at the initial time of diagnoses?
|
Intense emotion characterized by shock, disbelief, and sometimes denial especially if the disorder is not obvious.
|
|
|
Signs of shock and denial are?
|
Physician shopping, attributing s/s of the actual condition to a minor one, refusing to believe the diagnostic test, delaying consent for treatment, acting happy despite the the diagnoses, refusing to tell or talk to anyone about the condition
|
|
|
Why is denial for the child therapeutic?
|
The child may use denial as an adaptive mechanism to maintain hope in the face of overwhelming odds. This may be a coping mechanism for the family as well
|
|
|
What are the four types of parental reactions that influence the child's eventual response to the condition?
|
Overprotection, Rejection, Denial, and Gradual Acceptance
|
|
|
What are the two maladaptive coping mechanisms for the child?
|
Feels different and withdraws
Is irritable, moody and acts out |
|
|
What are the three coping mechanisms that are adaptive for the child?
|
Seeks support
Develops competence and optimism Complies with treatment |
|
|
What are some important factors to the informing session of the diagnoses?
|
Both parents should be there, the room should be a private room, comfortable and free of distractions and interruptions.
They should be in a setting where they can express themselves freely |
|
|
What kind of information should the session end with?
|
Do not end the conference with devastating news but the child's strengths and appealing behaviors and potential for development is stressed.
|
|
|
What is cerebral palsy?
|
A group of permanent disorders of the development of movement and posture causing activity limitation, that are attributed to non progressive disturbances that occurred in the developing fetal or infant brain
|
|
|
What are some clinical manifestations of the spastic type of CP?
|
hypertonicity (increased muscle tone, difficulty with fine motor skills, increased deep tendon reflexes (clonus), knee contractures, scoliosis common, typical gait is crouched, intoeing and scissoring
|
|
|
What are some clinical manifestations of the dyskinetic type of CP?
|
uncontrollable movements, contractures are rare, normal deep tendon reflexes, increased movements with stress and voluntary movements absent during sleep
|
|
|
What are the clinical manifestations of the ataxia type of CP?
|
disturbed coordination, lack of equilibrium, unsteady gait, few orthopedic problems, hyporeflexia, hypotonioc muscles and slurred speech
|
|
|
What is the goals of therapy of children with CP?
|
early recognition and promotion of optimal development to enable affected children to attain normalization and their potential WNL of their existing condition.
|
|
|
What are some treatment measures for CP?
|
Orthopedic surgery for conctratures and spastic deformities
For pain from spams would require, baclofen, diazepman and dantrolene sodium Botox may be used to reduce spasticity in targeted muscles Mobilization devices such as braces or ankle foot orthoses, wheeled scooter boards and wheeled go carts Antiepileptic drugs such as carbamazepine Physical therapy |
