Group 1 - Report

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Autism Spectrum Disorder (ASD)

Autism spectrum disorder is a developmental disability


caused by differences in the brain.
It refers to a broad range of conditions characterized by
challenges with social skills, repetitive behaviors, speech
and nonverbal communication. Signs of autism usually
appear by age 2 or 3. Signs and symptoms of ASD are
delayed language skills, delayed cognitive or learning skills,
delayed movement skills, epilepsy or seizure disorder,
unusual eating and sleeping habits, etc.

People with ASD often have problems with social


communication and interaction, abd restricted or repetitive
behaviors or interests. People with ASD may also have
different ways of learning, moving, or paying attention.
Several factors may influence the development of autism
and it is often accompanied by sensory sensitivities and
medical issues such as gastrointestinal (GI) disorders,
seizures or sleep disorders, as well as mental health
challenges such as anxiety, depression and attention issues.
For now, the researchers don't know the exact cause of
autism however the research suggests it's a combination of
developmental, genetic and environmental factors.

• Nursing Considerations •

•Schedule ample time for communication.


- language and social skills vary widely among
people with ASD

•Reinforce consistency.
- people with autism often have trouble
adjusting to changes in routines, schedules,
and environments.

•Participate in emotional preparation.

•Give them personal space.

•Remain calm and patient.

•Address him or her as you would any other adult, not a


child.
•Avoid using words or phrases that are too familiar or
personal.

•Say what you mean.

•Take time to listen.

•If you ask a question, wait for a response.

•Provide meaningful feedback.

Deafness and Hearing Impairment

Deafness is a hearing impairment that is so severe that a


person is impaired in processing linguistic information
through hearing with or without amplification. Deaf people
mostly have profound hearing loss which implies very little
or no hearing. A deaf person often use sign language for
communication.

Hearing impairment can be defined as a reduced ability to


hear sounds in the same way as other people. A hearing
impaired person occasionally use hearing aids. So what are
the difference between the two?

The difference between the two is that hearing impairment


is the inability of an individual to hear sounds adequately
while deafness have profound hearing loss which implies
very little or no hearing.

You can identify a person with this impairments if you


communicate with them, they frequently asking to speak
slowly, clearly and loudly. A person with this impairments
has difficulty in understanding words especially against
background noise or in a crowd. A person with this
impairments usually withdraw from conversations.

• Nursing Considerations •

•Face the hearing-impaired person directly, on the same


level and in good light whenever possible for lip reading.

•Do not talk from another room.


•Speak clearly, slowly, distinctly, but naturally, without
shouting or exaggerating mouth movements.

•Make sure you have your patient's attention before


talking.

•Use normal lip movement.

•Maintain eye contact whilst communicating.

•Use gestures and objects to help with verbal


communication.

•Touch the person to get his or her attention before talking.

•Speak into the person's "good ear".

•Evaluate the person's ear canals regularly and assist with


cerumen removal.

•Sugggest hearing testing for further evaluation and


consideration of an assistive device.

Visual Impairment

Visual impairment is a term experts use to describe any


kind of vision loss, whether it's someone who cannot see at
all or someone who has partial vision loss. Visual
impairment means that a person's eyesight cannot be
corrected to a "normal" level.

Visual impairment may be caused by a loss of visual acuity,


where the eyes does not see objects as clearly as usual. It
may also be caused by a loss of visual field, where the eye
cannot see as wide an area as usual without moving the
eyes or turning the head.

There are different ways of describing how severe a


person's vision loss is. The World Health Organization
defines "low vision" as visual acuity between 20/70 and
20/400, with the best possible correction, or a visual field of
20 degrees or less. "Blindness" is defined as a visual acuity
worse than 20/400, with the best possible correction, or a
visual field of 10 degrees or less.

A person can be identified with visual impairment if their


eyes move quickly from side to side (nystagmus) and their
eyes don't follow your face or an object. It can be also
identified if they don't seem make eye contact and their
eyes don't react to bright light.

• Nursing Considerations •

•Make sure the objects are in the patient's visual field, and
do not move objects around.

•Use large lettering to label medications and any


distributed written information.

•Allow the person more time to focus and adjust to the


environment.

•Use nightlights to help with dark adaptation problems.

•Use the color red and yellow to stimulate vision.


•Encourage yearly eye examination if visual changes persist.

Speech Impairment

A speech impairment refers to an impaired ability to


produce speech sounds and may range from mild to severe.
It may include an articulation disorder, characterized by
ommisions or distortions of speech sounds, a fluency
disorder, characterized by atypical flow, rhythm, and/or
repetitions of sounds; or a voice disorder, characterized by
abnormal pitch volume, resonance, vocal quality, or
duration.

Some known symptoms are repetition of sounds, words, or


parts of words or phrases. A person with speech
impairment usually makes word longer, pausing during
sentence or words, often with lips together and has tension
in the voice or sounds.

• Nursing Considerations •
•Use aids and devices.

•Sign language.

•Use an interpreter.

•Pay attention to nonverbal cues and gestures.

•Display proper speech etiquette.

•Incorporate speech-language therapy.

•Try short questions with short answers.

Submitted by:

GROUP 1

Keanu Reeve C. Baguio


Cris Adrian M. Dominguez
Joberth Apelaña
Jimwell Alejid

Submitted to:

Mrs. Christine A. Pablico

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