Attention Deficit/Hyperactivity Disorder (A D H D)

Attention Deficit/Hyperactivity Disorder (A D H D)

  • Essential features of A D H D include developmentally inappropriate degrees of inattention, impulsiveness, and hyperactivity.
  • Categorized by clinical presentation
    • Combined type (meeting the criteria for both inattention and hyperactivity/impulsivity)
    • Predominantly inattentive presentation
    • Predominantly hyperactive/impulsive presentation
  • Problems with concentration such as making careless mistakes, difficulty remaining focused, being easily distracted by things going around the individual, appearing not to listen when spoken to, lack of follow-through, struggling with organizational and time management skills

The Nursing Process: A D H D

  • Assessment
    • High levels of fidgeting activity in the child and behaviors such as running around the office or jumping on the furniture.
    • Once they start school, teachers may notice difficulty paying attention in the classroom, fidgeting jumping out of the seat, talking at inappropriate times, and inconsistent or messy assignments
  • Diagnosis
    • A child should not be diagnosed until they turn 12 because possible signs or symptoms may come from another disorder.
    • Medication exam: to help rule out other possible causes of symptoms
    • Information gathering such as any current medical issues, personal and family medical history, and school records.
    • Interviews or questionnaires for family members, child’s teachers or other people who know the child well such as baby sitters and coaches.
    • A D H D  criteria from the Diagnostic and Statistical Manual of Mental Disorder (DSM-5)
    • A D H D rating scales to help collect and evaluate information about the child.
  • Outcomes
  • Planning / Implementation
    • Behavioral modification therapy
    • Parent training
    • School accommodation
  • Evaluation

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