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