attention%20deficit_hyperactivity%20disorder
ATTENTION DEFICIT/HYPERACTIVITY DISORDER
Attention Deficit/Hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by the presence of impairing levels of inattention, disorganization &/or hyperactivity-impulsivity.
Symptoms that suggest ADHD includes hyperactivity, acting without thinking, inattention/daydreaming, fidgety, restless, excessive talking, aggressive behavior, academic underachievement, disorganized and has difficulty in completing task.

Patient Education

Parent/Caregiver and Patient Education
  • Provide information about attention deficit/hyperactivity disorder
    • Identify and eliminate the trigger factors that cause inattention, hyperactivity, or impulsivity
    • Provide information about the disorder, common features, neurologic mechanisms and associated conditions
    • Discuss the expected clinical course and intervention strategies including risks and benefits
    • Review how it can affect behavior, learning, social skills, confidence and family life
    • Inform parents about other ways of learning management skills through support groups, advocacy groups and parenting skills training
  • Parent/caregiver is encouraged to:
    • Spend at least 10-15 minutes with child
    • Assure child that he or she is not the problem but his or her behavior
    • Have clear, concise household rules with use of reward and punishment
    • Limit to giving 1-2 clear instructions at a time and child should be able to repeat instructions back
    • Allow child to experience consequences of actions as consistent & predictable
    • Give appropriate disciplinary measures for challenging behavior
    • Have consistent schedules
    • Have a private, quiet place for homework or projects
    • Allow the child to have choices
    • Use of time-out to contain child's emotional dysregulation
  • Parent skills training
    • May be done through reading books and individual counseling, or in formal classes
  • Family therapy
    • May be advised for families with extremely disruptive children or presence of significant family pathology thought to be related to the child’s presenting problem
  • For child, tailor attention deficit/hyperactivity disorder education to age
    • Include discussion of the child’s strengths and attributes
School Personnel Education
  • Do not assume teacher has knowledge of attention deficit/hyperactivity disorder
  • Provide information relevant to teacher/school about how attention deficit/hyperactivity disorder may affect the child in the classroom
    • Should include intervention strategies attention deficit/hyperactivity disorder modifications for dealing with behavior issues
  • School personnel is encouraged to:
    • Have an orderly and predictable classroom
    • Have clear and concise rules
    • Have classroom strategies eg written notices for homework, schedules
    • Have very interesting multi-sensory learning activities
    • Use of positive reinforcements for good behavior
    • Establish parent-teacher communication
    • Help students with self-monitoring, self-reinforcement and development of compensatory/adaptive strategies
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