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Assessment, Nursing Diagnosis and Interventions for ADHD

Nursing Care Plan for Attention Deficit Hyperactivity Disorder

Nursing Assessment

1. Assess family history through interviews or genogram.
  • Data were obtained whether the child was born prematurely, lower weight, anoxia, other pregnancy complications or genetic factors are suspected as the cause of hyperactivity disorder in children.

2. Assess the child's behavior history
  • Assess the developmental history of the child, where the baby had a nimble, active and demanding responses that have deep and strong, accompanied by difficulties eating and sleeping, often in the first months of life is hard to be calm at the time of going to sleep and slow to form a diurnal rhythm. Colic reported somewhat common in them.
  • Reports from teachers about issues of academic and behavior in the classroom.


Nursing Diagnosis for Attention Deficit Hyperactivity Disorder
  1. Impaired Social Interaction related to developmental disabilities (hyperactivity).
  2. Altered thought processes related to personality disorders.
  3. Risks for Parental Role Conflict related to children with attention deficit hyperactivity disorder.
  4. Risk for injury related to psychological (orientation ineffective).
  5. Risk for growth and development related to mental illness (hyperactivity), lack of concentration.


Nursing Interventions for Attention Deficit Hyperactivity Disorder

1. Assist parents in implementing the program of positive reinforcement behavior.

a). Train to focus the child.
Do not hit the child, accept the situation. Treat children with warm and patient, but consistent and firm in applying norms and duties. If children can not stay in one place, try to hold her hands gently, then invited to sit down and be quiet. Ask the child's eyes when talking or talk. Give landing with a soft tone.

b). Painstaking
If a child has been sitting at home for longer, guide children to practice hand-eye coordination by connecting the dots that make up the numbers or letters. Furthermore, children are given practice drawing simple shapes and coloring. Can also be started counting exercise with a variety of addition, subtraction, multiplication, and division. Start by addition or subtraction with numbers under 10. After that the newly introduced concept of numbers from 0 to true.

c). Generate confidence in children.
Use behavior management techniques, such as using positive reinforcement. For example, give praise when the child eat with orderly. The goal is to increase the child's confidence.

d). Identify the direction of interest.
If the child moves on do not panic, Include only and note well, where exactly is the purpose of activity of the child. The most important thing is to recognize talent early child.

e). Ask the children to talk.
Hyperactive children tend to be difficult to communicate and socialize. Therefore help children to socialize him to learn the values ​​of what is acceptable in the group.


2. Provide Daily Activity Structure.
  • Children should have a list of daily activities that run regularly according to a set schedule and should soon follow and carry out the routine activities for the children rewarded with words of praise.

3. Repatriation Planning ( Discharge Planning) and Home Care.
  • Educate and help parents and family members.
  • Collaborate with teachers and involve parents. Encourage parents to ensure that teachers and school nurses know about the name, dosage and time of taking the medication.
  • Make sure that children get the evaluation and academic guidance is needed. Incorporating children in special education classes are often required.
  • Monitor progress and the child's response to treatment.
  • Refer to behavioral specialists and parents to develop and implement a behavior plan.

Pediatric Nurses