Early Identification, Assessment and Interventions in Children with Developmental Disabilities: A Review on Autism

Enow V. A. Eta
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Abstract

Developmental disabilities are a set of disorders which occur during the child’s developmental stages affecting his or her language, physical and mental abilities or behavior. These include autism and other related disorders which all negatively influence the way the child achieves normal developmental milestones. Nurses are expected to work in collaboration with parents and other health care professionals to monitor each child’s growth and development during each well-child visit or Infant Welfare Clinics (IWC) as well as during illness episodes. Generally, parents’ concerns regarding developmental delays are discussed and the child is followed up accordingly through developmental screening. A brief test is conducted on the child while the parent/caregiver completes a questionnaire or checklist regarding the child’s developmental history. The American Academy of Pediatrics (AAP) recommends that developmental and behavioral screening be conducted for all children during regular IWC or well-child visits at nine, 18 and 30-months. Early diagnosis together with early treatment can make a major difference in a child’s life and also decrease the possibility for costly interventions in future. Several programs have been designed to deal with the variety of social and behavioral difficulties associated with autism, focusing on reducing problem behaviors in children with autism. Once an individual is given a confirmed autism diagnosis by a qualified professional, the parents need to seek further information immediately on how to support their child. Early intervention treatment services have been shown to greatly improve a child’s development. Thus, diagnosing autism early and instituting treatment and support promptly is mandatory for better prognosis.
发育障碍儿童的早期识别、评估与干预:自闭症研究综述
发育障碍是发生在儿童发育阶段影响其语言、身体和心理能力或行为的一系列障碍。这些障碍包括自闭症和其他相关障碍,它们都会对儿童达到正常发育里程碑的方式产生负面影响。护士应与家长和其他卫生保健专业人员合作,在每次健康儿童访问或婴儿福利诊所期间以及在疾病发作期间监测每个儿童的生长和发育。一般来说,父母对发育迟缓的担忧会被讨论,并通过发育筛查对孩子进行相应的随访。当父母/看护人完成一份关于孩子发育历史的问卷或检查表时,对孩子进行一个简短的测试。美国儿科学会(AAP)建议在9个月、18个月和30个月的常规IWC或健康儿童访问期间对所有儿童进行发育和行为筛查。早期诊断和早期治疗可以对儿童的生活产生重大影响,也可以减少未来采取昂贵干预措施的可能性。已经设计了几个项目来处理与自闭症有关的各种社会和行为困难,重点是减少自闭症儿童的问题行为。一旦一个人被合格的专业人士确诊为自闭症,父母需要立即寻求进一步的信息,如何支持他们的孩子。早期干预治疗服务已被证明可以极大地改善儿童的发育。因此,早期诊断自闭症并及时进行治疗和支持是获得更好预后的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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