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1) 5 To Introduce INTRODUCTION:- Lecture Active Black what to you
Min the topic listening board know about
attention ADHD is one of the most common attention
deficit neurodevelopment disorders of childhood. It is deficit
hyperactive usually first diagnosed in childhood and often hyperactive
disorder lasts into adulthood. Children with ADHD may disorder?
have trouble paying attention, controlling
impulsive behaviors (may act without thinking
about what the result will be), or be overly
active.
ADHD is a behavioral disorder that is
characterized with hyperactivity, impulsiveness,
inattention or a common combination of these
behaviors that are more frequent and severe than
would be expected for the age. It is usually not
diagnosed before the age of four and is more
common in boys than girls.
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2) 3 Definition of DEFINITION:- Lecture Active Chart Difine the
min the topic According to k.p.neeraja:- method listrening topic attention
attention deficit
deficit hyperactive
A chronic condition including attention
hyperactive disorder?
difficulty, hyperactivity and impulsiveness.
disorder
ADHD often begins in childhood and persist into
adulthood.

According to R.srevaani:-

Attention deficit hyperactivity disorder is

marked by an ongoing pattern that interferes with
functioning or development.

According to the American psychiatric

association:-

attention deficit hyperactive disorder is most

common mental disorder affecting children ,
characterized by inattention, hyperactivity, and
impulsivity.
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3) 5 min Types of the TYPES: Lecture cum Lisening and L.C.D. What are the
topic attention discussion questioning types of
deficit attention deficit
There are three different types of ADHD,
hyperactive hyperactive
disorder
depending on which types of symptoms are disorder?
strongest in the individual:

 Predominantly Inattentive
Presentation: It is hard for the individual
to organize or finish a task, to pay
attention to details, or to follow
instructions or conversations. The person
is easily distracted or forgets details of
daily routines.
 Predominantly Hyperactive-Impulsive
Presentation: The person fidgets and
talks a lot. It is hard to sit still for long
(e.g., for a meal or while doing
homework). Smaller children may run,
jump or climb constantly. The individual
feels restless and has trouble with
impulsivity. A person with impulsiveness
may have more accidents and injuries
than other.
 Combined Presentation: Symptoms of
the above two types are equally present.
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4) 3 Causes of the CAUSES- Discussion Active Chart Enlist the
min. attention 1. The causes of adhd is unknown but most method listening Causes of the
deficit research suggest that the causes lies in attention
hyperactive neurobiological. deficit
disorder 2. Genetics hyperactive
3. Biomedical theories disorder?
4. Prenatal causes
5. Environmental factor
6. Food additives
7. Sugar
8. Psychosocial factor

RISK FACTOR What are the

5) 2min Risk factor 1. Drug exposure in utero Lecture Questioning Chart Risk factor of
of the 2. Birth complication cum attention
attention 3. Low birth weight discussion deficit
deficit 4. Lead poisoning hyperactive
hyperactive disorder?
disorder
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6) 5 To explain CLINICAL MANIFESTATION:- Explanation Active Flash card What are the
min the listening symptoms of
symptoms of Inattention:- Attention
Attention deficit
 Be disorganized hyperactivity
deficit
 Lack focus disorder?
hyperactivity
disorder  Have a hard time paying attention to
details and a tendency to make careless
mistakes. Their work might be messy and
seem careless.
 Have trouble staying on topic while
talking, not listening to others, and not
following social rules
 Be forgetful about daily activities (for
example, missing appointments, forgetting
to bring lunch)
 Be easily distracted by things like trivial
noises or events that are usually ignored by
others.
 Have a hard time getting along with others
because they can’t read people’s feelings
and moods
 Daydream a lot
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Hyperactivity

 Fidget and squirm when seated

 Get up frequently to walk or run around
 Run or climb a lot when it's not
appropriate. (In teens, this may seem like
restlessness.)
 Have trouble playing quietly or doing quiet
hobbies
 Always be "on the go"
 Talk excessively

Impulsivity
Symptoms of this include:

 Impatience
 Having a hard time waiting to talk or react
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7) 5 Diagnosis of DIAGNOSIS- Lecture Active L.C.D What are the
min the attention 1. Identify causative factor. cum listening diagnosis of
deficit 2. Complete medical evaluation, with discussion attention
hyperactive emphasis on a neurological examination, deficit
disorder hearing, and vision. hyperactivity
3. A psychiatric evaluation to assess disorder?
intellectual ability, academic
achievement, and potential learning
disorder problem.
4. Developmental history
5. Detailed prenatal history and early
developmental history.
6. Direct observation, teachers, school
report, parents supports.
7. Physical examination
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8) 5 To explain TREATMENT- Lecture Active L.C.D. Explain what
min the GOALS cum listening are the
Treatment discussion treatment and
and goal of 1. A child specific, individualized treatment goal of the
the attention program should be developed for attention
deficit children. deficit
hyperactive 2. Improve relationship and performances at hyperactive
disorder schools disorder?
3. Decreased disruptive behaviours
4. Promote safety
5. Increases independence
6. Improve self esteem
7. To improve attention span
8. Provide intensive support
9. Anger management
10. Counseling
11. Education of the family
12. Parental guidance
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9) 7 To explain MANAGEMENT:- Lecture Active Flip chart What do you
min management 1)PHARMECOTHERAPY: cum listening know about
of the  CNS stimulants: dextroamphetamine, discussion the
attention methylphenidate. management
deficit  Tricycliic antidepressants of the
hyperactive  Antipsychotics attention
disorder  Serotonin specific re uptake inhibitors deficit
hyperactive
 Clonidine
disorder?
2)ADJUCTIVE THERAPIES:
 Cognitive behaviour therapy
 Family therapy
 Social group therapy
 Individual psychotherapy
3)educational technique:
Pscyhoeducation includes
Intensive support
Classroom intervention
Education of the family
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10) 5 To explain ROLE OF NURSE: Discussion Questioning, Chart What are the
min the role of ASSESSMENT method active role of nurse
nurse in the 1. A client history listening in the
attention 2. Physical examination attention
deficit 3. Laboratory investigation deficit
hyperactive Intervention:-: hyperactive
disorder  Develop trusting relationship with child. disorder?
 Convey acceptance of the child, separate
from the unacceptable behaviour. Ensure
that pt. Has a safe environment.
 Remove objects from immediate area in
which patient could injure self due to
random hyperactive movements.
 Ensure child at tension by calling his
name and establishing eye contact,
before giving instruction.
 Ask pt the pt to repeat instruction before
beginning a task.
 Assess parenting skill level.
 Provide information and material related
to the child disorder.
 Provided effective parenting technique
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RECAPTUALIZATION:-
What do you know about ADHD?
what are the definition of ADHD?
Enlist the type of ADHD?
Explain the cause of ADHD?
Enlist the risk factor of ADHD?
Explain the symptoms of ADHD?
What are the diagnosis of ADHD?
What are the treatment you give in ADHD?
What type of management you have to done in
ADHD?
What are the role of nurse in ADHD?

SUMMARY:-
So now I summarize my topic Attention deficit
hyperactivity disorder, introduction, definition,
types, causes, risk factor, symptoms, diagnosis,
treatment, goal, management, role of nurse.
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CONCLUSION:- ?
ADHD diagnosis is influenced by perceptions
of many different members of a child's
community. A lack of clear understanding of
ADHD and the importance of its diagnosis and
treatment still exists among many members of
the community including parents, teachers, and
healthcare providers.
BIBLIOGRAPHY:-

 Kp neeraja” a text book of mental health nursing “published by jaypee”

 “Sreevani R” a text book of mental health nursing “published by jaypee”
 “G konnur” a textbook of psychiatric nursing “published by jaypee brother”
 Blass, R. B. "On Ethical Issues at the Foundation of the Debate Over the Goals of Psychoanalysis
“international journal of alcohol abuse”
 Lombardi, R. "Mental Models and Language Registers in Psychosis.