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Non Communicable Diseases - Causes, Risk factor, Signs and Symptoms, Diagnosis, Management, Complication - Behavioural Disorders | 12th Nursing : Chapter 3 : Non Communicable Diseases

Chapter: 12th Nursing : Chapter 3 : Non Communicable Diseases

Behavioural Disorders

Dyslexia, Alcoholism - Behavioural Disorders - Non Communicable Diseases

BEHAVIOURAL DISORDERS

 

·         Dyslexia

·         Alcoholism

 

1. Dyslexia

Dyslexia means difficulty in reading or learning to read accompanied by difficulty in writing and spelling correctly.

‘Dys’ means difficulty

‘lexia’ means words


Causes

·            Congenital

·            Acquired brain damage

·            (Birth trauma use of medication like phenobarbitone)

Signs and Symptoms

Difficulties with

Concentration

Perception

Memory

Verbal skills

Abstract Reasoning

Hand eye co ordination

·            Lazy

·            Rebellious

·            Isolation

·            Discouragement

·            Low – self esteem

Dealing with dyslexia

·            Professional testing is necessary for the accurate diagnosis of dyslexia

·            A different examination criteria has to be checked out

·            The uses of computers and calculators are very beneficial to these children

·            There are children who need to be identified early and taught in way they can understand and learn which is not of the normal teaching style

·            Since language is a problem, these children are to be extempted

·            A dyslexia must have to one training to first develop basic skills. This allows the student to stay focused

Parent and teacher handling of dyslexia child

Parent:

·            Manage his or her time

·            To put things in its place

·            Help him with his or her homework  Help him with his or her reading  To focus his or her attention  To take right book to school

·            By giving precise clear instruction

·            By not punishing him or her for his or her childishness delay in completing his work

·            By giving him or her constant positive inputs

·            By instructing him or her with more do’s than don’ts

·            By imparting social skills, like interaction communication giving respect to elders etc

Teachers:

·            The teachers can try to meet the special needs of the children by identifying the areas of special interest and talents and help the child to build on strengths. They can help by:

·            Giving less written class work and home work

·            Testing them orally

·            Giving marks for content without reducing marks for grammatical and spelling errors

·            Marking less red lines in the note book

·            Introducing abstract ideas through pictures and objects

·            Giving precise, clear and short instructions  Giving extended time to finish tests

·            Reading the question paper during the class  Maintaining eye contact during the class

·            Not punishing the child for messy work and poor handwriting

·            Emphasising on quality work rather than quantity

·            Avoiding punishments for minor misbehaviours in the class

Management

·            Remedial education

·            Medical approach

·            Psychological approach

Remedial education:

Remedial education is the most effective therapy. Various types of cognitive perceptual skills training, For example, sensory integration training, perceptual motor training, occupational therapy, auditory memory training, vestibular stimulation, hemisptieric stimulation and optometric training.

Medical approach:

Medical approaches to treating dyslexia include stimulant medication, anti – anxiety medication, motion sickness medication, vitamins and special diets.

Psychological approach:

Psychological approaches to dyslexia include supportive psychotherapy, parent guidance and training, social skill training, relaxation training and behaviour modification approaches.

 

2. Alcoholism

Alcoholism is a disease characterised by the habitual intake of alcohol and it interferes with physical or mental health or with normal social or work behaviour.


Signs & Symptoms

·            Confusion

·            Memory loss

·            Slow or irregular breathing

·            Cold or clammy hand due to hypothermia

·            Falling unconscious and not waking up

·            Cyanosis

·            Seizures

Causes

·            Environmental factors

Pathophysiology

Alcohol affects almost all cells of the body. It changes levels of neurotransmitters in the central nervous system (CNS), affecting all areas and functions of the CNS. These include centers that control our impulses, mood and behaviour, coordinate motor activity and promote respiratory and cardiac function. The immediate effects of alcohol depend on a person’s susceptibility to alcohol and their BAC (Blood Alcohol concentration).

Management

·            Complete abstinence from alcohol

·            Punishment such as heavy fine, imprisonment

·            Using medicines

·            Destroying craving for use of stimulating alcohol

·            Meeting of alcoholic anonym 

·            Psychotherapy include

Advice and Suggestion

Moral encouragement

Hypnotism

Complications of alcoholism

·           Hepatitis

·           Cirrhosis of liver

·           Pancreatitis

·           Stroke

·           Osteoporosis

·           Hypertension

·           Myocardial Infarctions

·           Angina

·           Vitamin deficiency

·           Accidents and injuries

·            Increased risk of cancer

 

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