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on the smooth muscle of the bladder)
                                                                as prescribed to increase bladder
                                                                capacity and improve continence
                                                             d. Implement a bowel program, including
                                                                a high-fiber diet, increased fluids, and
                                                                suppositories as needed.
                                                             e. The child is at high risk for allergy to
                                                                latex and rubber products because of
                                                                the frequent exposure to latex during
                                                                implementation of care measures.
                    IX. Attention-Deficit Hyperactivity Disorder
                                A. Description

                                             1.        Behavior disorder characterized by

                                                developmentally inappropriate degrees of inattention,
                                                overactivity, and impulsivity
                                             2. Childhood problems include lowered intellectual
                                                development, some minor physical abnormalities,
                                                sleeping disturbances, behavioral or emotional
                                                disorders, and difficulty in social relationships.
                                             3. Early diagnosis is important to prevent impaired
                                                emotional and psychological development.
                                             4. Diagnosis is established on the basis of self-reports,
                                                parent and teacher reports, and use of assessment
                                                tools.

                                        B. Assessment

                                             1. Fidgets with hands or feet or squirms in the seat
                                             2. Easily distracted with external or internal stimuli
                                             3. Difficulty with following through on instructions
                                             4. Poor attention span
                                             5. Shifts from 1 uncompleted activity to another
                                             6. Talks excessively
                                             7. Interrupts or intrudes on others
                                             8. Engages in physically dangerous activities without
                                                considering the possible consequences
                                C. Interventions
                                             1. Provide parents with information about the disorder
                                                and treatment plan; encourage support groups for
                                                parents.

                                                      2. Treatment includes behavioral therapy,

                                                medication, maintaining a consistent environment,
                                                and appropriate classroom placement.
                                             3. Behavioral therapy focuses on preventing undesirable
                                                behavior.
                                             4. Maintain a consistent home and classroom



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