Habit Disorders.pptx

child health nursing : behavioural disorders - habit disorders (stereotypic movement disorder )
common habit disorder : thumb sucking, nail biting, tics, enuresis, encopresis, stealing , telling lie .
their definition , etiology, types , adverse effects management ( role of parents , assessment ,role of nurse , pharmacological and non pharmacological management . responsibilities of nurses.

1. ARMY COLLEGE OF NURSING SUBJECT - CHILD HEALTH NURSING - I TOPIC - HABIT DISORDERS SUBMITTED BY - NIKETA THAKUR (29) BSC NURSING II YEAR

2. BEHAVIOURAL DISORDERS HABIT DISORDERS

3. OUTLINE INTRODUCTION MANAGEMENT PROBLEMS CAUSES DISORDERS DEFINITION SUMMARIZATION RECAPTULIZATION

4. INTRODUCTION HABIT DISORDERS is the term used to describe several related disorders linked by the presence of repetitive and relatively stable behaviors that seem to occur beyond the awareness of the person performing the behavior. It may be associated with anger, anxiety or sleepiness.

5. DEFINITION Habit disorder, also known as stereotypic movement disorder, is a childhood onset neurodevelopment disorder that causes various types on nonproductive motor behavior that causes interference with normal activities and has the potential for self-harm.

6. COMMON HABIT DISORDERS THUMB SUCKING NAIL BITING TICS ENURESIS ENCOPRESIS STEALING TELLING LIE

7. THUMB SUCKING It is the non nutritive thumb sucking behavior. Repeated forceful sucking of thumb associated with stong buccal and lip contraction If thumb sucking continues up to 5 years or above indicates emotional problems.

8. ETIOLOGY WORKING MOTHER AGE OF THE CHILD PARENTS OCCUPATION ORDER OF BIRTH OF CHILD NO. OF SIBLINGS FEEDING PRACTICES SOCIAL ADJUSTMENT AND STRESS

9. ADVERSE EFFECTS ANTERIOR OPEN BITE MALIGNED TEETH MALFORMATION OF UPPER PALATE SPEECH DISORDERS LISPING AND THRUSTING MOUTH BREATH

10. MANAGEMENT ROLE OF PARENT ( PHYSIOLOGIC ) REMINDER THERAPY CHEMICAL THERAPY MECHANICAL THERAPY Extra approach : Splints, Adhesives. Intra approach: Fixed palatal crib Hay rakes Quad helix Oral screen

11. Thumb guard Hay rake Blue grass Oral screen Palatal crib

12. NAIL BITING Also known as onychophagia. It is a common compulsive habit in children and adult. It can be seen in the children around 5 years of age.

13. ETIOLOGY Out of curiosity Stress Successor of Thumb sucking Feeling of insecurity ADVERSE EFFECTS Rotation Alteration of incisal edge of incisor Inflammation of nail bed

14. MANAGEMENT ASSESSMENT OF PSYCHOLOGICAL ENVIRONMENT : stress, emotional problems NO PUNISHMENT BITTER SUBSTANCE USE : such as nail polish USE OF LOTION AND WARM OIL : to prevent injury. ASEPSIS : parents should take care of child hand cleanliness.

15. TICS Tic is an abnormal involuntary movement which occurs suddenly, repetitively, rapidly and is purposeless in nature. ONSET: 2- 15 years. 75%cases of Tourette's disorder: age 11 years

16. TYPES SIMPLE COMPLEX MOTOR PHONIC MOTOR PHONIC

17. ETIOLOGY BIOLOGICAL FACTORS Genetics (autosomal dominant) Dopamine dysregualtion Autoimmunity SOCAIL AND PSYCHOLOGICAL FACTORS Some life event Low birth weight child Exposure to high level of caffeine in utro

18. MANAGEMENT GENERAL MEASURES Psychoeducation Collaboration with school PHARMACOLOGICAL MANAGEMENT ALPHA adrenergic receptor agonist : clonidine, guanfacine Typical antipsychotics : haloperidol, pimozide Atypical antipsychtics : resperidone, clozapine PSYCHOLOGICAL TREATMENT Cognitive behavioral therapy Relaxation therapy Habit reversal training

19. ENURESIS Also known as bed wetting . It is a disorder of involuntary micturition in children w ho are beyond the afe when normal bladder control should have been acquired. Commonly during 4 -12 years

20. TYPES SECONDARY PRIMARY Refers to the condition where no successful training to control urination is given to child. Successfully trained but revert bed wetting in response to stress.

21. ETIOLOGY INAPPROPRIATE TOILET TRAINING NEUROLOGICAL DEVELOPMENTAL DELAY GENETICS EMOTIONAL FACTORS ORGANIC CAUSES CLINICAL FEATURES INCONTINENCE DYSURIA CONTINOUS DAMPNESS STRAINING ON URINATION

22. MANAGEMENT PHARMACOLOGIC : Tricyclic antidepressants- Amitriptyline., imipramine PO × 2 mo Desmopressin (ADH) - reduce urine production during sleep. NON PHARMACOLOGIC - Behavioural modification Parental counselling Bladder exercise Alarm device

23. ENCOPRESIS Also known as paradoxical diarrhea. It is an involuntary fecal soiling in children who are past the age of toilet training.

24. ETIOLOGY INEFFICIENT INTESTINAL MOTILITY AGGRESSIVE AND PROLONGED MEDICAL TREATMENT STRESS DIETARY MANIPULATION

25. MANAGEMENT BEHAVIOURAL TECHNIQUES TRAINING INITIAL COUNSELLING DIETARY MANAGEMENT

26. STEALING When a child take something that belong to somebody else without permission is called stealing. ETIOLOGY POOR IMPULSE CONTROL TO BE COOL AND IMPRESS OTHERS STRESS

27. MANAGEMENT USE DISAPPROVAL TALK WITH CHILD TALK ABOUT ETHICS AND VALUE RESTITUTION BEHAVIOUR WATCHING

28. TELLING LIE To make an untrue statement with intent to deceive. Occur in 4-6 years of age. ETIOLOGY TO COVER SOMETHING EXPERIMENT ATTENTION TO GET SOMETHING THEY WANT AVOID TO HURT SOMEONE'S FEELINGS

29. MANAGEMENT Make conversation about lying or telling. Help your child to avoid situation where they need to lie. Praise your child or owning upto doing wrong. Be a role model for telling truth.

30. BRUXISM It is characterized by non - functional repeated grinding of teeth with high pitched sound, usually during sleep. Begins in first 5 years of age.

31. ETIOLOGY ABNORMAL SLLEP ACTIVITY FAMILIAL BEHAVIOUR PATTERN PINWORM INFESTATION NEUROLOGICAL DISEASE MANAGEMENT BEHAVIOURAL MODIFICATION PARENTAL COUNSELLING PSYCHOTHERAPY PHARMACOTHERAPY (DIAZEPAM?) DENTAL REFERRAL NECESSARY

32. NURSING RESPONSIBILITIES THE FOLLOWING ARE THE NURSING RESPONSIBILITIES WHILE CARING CHILDREN WITH HABIT DISORDERS : Comprehensive assessment Eduacte child and family about the course of disoder. Completion of necessary diagnostic tests. Psychotherapy and behavioural therapies. Parental counselling. Use of mechanical devices. Setting timetable. Provide medication to the child. Encourage for dietary modification.

33. Thank YOU THANK YOU EVERYONE