ADH D

ATTENTION DEFICIT HYPERACTIVITY DISORDER  Previously known as hyperkinesis, one of the most common behavioral disorder  seen in 3-5% of all children, more common among boys than girls, usually evident before 7 years old.

ADH D
Assessment: The most common behaviors fall into 3 categories:  1. Inattention- having a hard time keeping their mind on any one thing, does not pay attention to details, makes careless mistakes often does not seem to listen when spoken to avoids/ reluctant to engage in tasks that require sustained mental attention such as school work or homework

ADH D
 2. Hyperactivity – always “in motion”, “on the go”, can’t sit still, feeling restless, often fidgeting with hands and feet  running, climbing, or leaving a seat in situations where sitting or quiet behavior is expected amd often talks excessively

ADH D
3. Impulsivity- do not seem to think before they act, having difficulty waiting in line or for a turn, interrupts/ intrudes on others; may hit other child when they’re upset

ADH D
4. Behavior must appear before age 7, and persists for at least 6 mos. Behaviors must create an impairment or problem in at least 2 areas of person’s life such home,work,school, or social setting.

ADH D
Nursing Intervention: 1. Build self-esteem  Provide creative outlets but decrease distractions while child is involved in task  Provide short task that the child can finish in short time

ADH D
Nursing Intervention: 2. Education needs  Children with ADHD needs some special accommodations to help them learn

ADH D
Treatments Behavior modification therapy- using positive and negative reinforcement Psychotherapy- to help people to like and accept themselves despite the disorder. Cognitive-behavioral therapy- supports people directly in changing their behavior Social skills training, support groups, parenting skills training

ADH D
Drugs – The class known as stimulants increase alertness and attention span, reduce hyperactivity, improves ability to focus, work and learn  Methylphenidate (Ritalin)  Dextroamphetamine (Dexedrine)  Pemoline(Cylert)