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In: Nursing

Create an in depth informational table comparing and contrasting the different types of autism along the...

Create an in depth informational table comparing and contrasting the different types of autism along the spectrum, including symptoms, social behaviors, treatments/therapies.

Solutions

Expert Solution

Answer =

** Autism = Autism is commplex neurobehavioural disorder that includes impairments in social interactions, verbal and non verbal communication combined with restricted and repetitive behaviour .

Etiology = Genetics factors = The higher concordance in monozygotic than dizygotic twins suggests a genetics factor.

Biological factors = At least 1/3 patient with autistic disorder have elevated plasma serotonin.

Medical factors = There is an elevated incidence of early development problems such as postnatal neurological infections , conginatal rubella and cytomegalovirus and rarely perinatal asphyxia.

Electrophysiological changes - Brain stem auditory evoked response of autistic children showed impairment in sensory modulation at brainstem level.

Clinical feature =

  - Autistic aloofness.

- Gaze avoidance or lack of eye to eye contact.

- Dislikes being touched or kissed.

- No seperation anxiety on being left in an unfamiliar environment with strangers.

- No or abnormal social paly.

- Failure to develop empathy.

- Marked lack of awareness of the existance or feelings of other.

- Anger or fear without apparent reasons and absence of fear in the presence of danger.

- Gross deficits and deviances in langauge development.

- No mode of communication such as babbling, facial expression, gestures, mime etc.

- Marked restricted repertoire of activities and interests.

Types =

1. Atypical autism = A parvasive development disorder that differs from autism in terms of either age of onset or failure to fulfill diagnsotics criteria i,.e - Disturbance in reciprocal social interactions,

2. Aspergers syndrome = The condition is characterized by severe and sustained abnormalities of social behaviour similar to those of childhood autism with stereotyped and repetitive activities and motor mannersims, suchas hand and finger- twisting or whole body movement. it differs from autism in that there is no general delay or retardation of cognitive development or language.

Treatments =

Pharmacotherapy = It is a valuable treatment for associated symptoms like aggression, temper tantrums , self injuries behavior, hyperactivity, some drugs used risperdone, sertonin specific reuptake inhibitors, and lithium.

Behaviour method = Contingency managment may control some of the abnormal behaviour of autistic children . then the parents instructs and supervised by a clinical psychologist often carry out this method at home.

- Most autism children require special schoolism and require vocational training


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