NRP/543: Management Of Pediatric And Adolescent Week 7 Discussion

Management Of Pediatric And Adolescent

1. Review the Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F) (see attached) on administering and scoring the M-CHAT tool.
2. Administer the questionnaire to the parent of a child aged 15 months to 3 years old.
3. Write a 175-word minimum reflection on your experience, including a summary of the results.
4. Resources:
M-CHAT Questionnaire (see attached)
M-CHAT Questionnaire (Spanish)
5. Substantive Posts:
A substantive post should follow these criteria:
• At least 175 words
• Integrate theory, research, and/or professional experience
• Include specific examples and/or substantiating evidence
• Include in-text citations and references in 7th edition APA format
• Stay on topic and address the course objectives
• Demonstrate proper spelling, grammar, and scholarly tone You MUST include a question with every post to receive full credit.
Textbook for NRP/543:
Burns, C. E., Dunn, A. M., Brady, M. A., Barber Starr, N., Blosser, C. G., & Garzon, D. L. (2017). Pediatric primary care (6th ed.). Elsevier.

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Solution

Autistic spectrum disorder (ASD) is one of the most well-known neurodevelopmental disorders. It is marked by difficulty in social contact as well as the ability to communicate and a predominance of common and limited hobbies and interests (Bjørklund et al., 2020). Autism spectrum disorder (ASD) has become more common in recent years, with one out of every 88 children expected to be affected. In most circumstances, taking active action early is connected with the best long-term success. According to Coelho-Medeiros et al. (2019), medical practitioners may often detect autism before a child reaches the age of three. The American Academy of Pediatrics advises that children get a specific screening for autism at 18- and 24-month during their hospital visits. On the other hand, the common age of diagnosis is when the child turns four years, and sometimes later for minors from low socioeconomic backgrounds or minorities.

M-CHAT is presently among the most extensively used autistic spectrum disorder testing devices in America and across the globe, according to Coelho-Medeiros et al. (2019). It is a simple and inexpensive alternative for universal toddler screening, and it is one of the most extensively used ASD screening tools in the world.  In my experience with the use of the tool, the M-CHAT that has the Follow-Up (M-CHAT/F) has proven to be sufficient on sensitivity and accuracy. A majority of my patients who were grouped as at risk on the M-CHAT/F were determined to have autistic spectrum disorder, and almost all of those who tested positive for ASD had developmental delays or fears. However, the tool needs to be redesigned. This will help to lower the proportion of patients who initially tested positive and required further testing while retaining high sensitivity.

References

Bjørklund, G., Meguid, N. A., El-Bana, M. A., Tinkov, A. A., Saad, K., Dadar, M., … & Chirumbolo, S. (2020). Oxidative stress in autism spectrum disorder. Molecular neurobiology57(5), 2314-2332.

Coelho-Medeiros, M. E., Bronstein, J., Aedo, K., Pereira, J. A., Arraño, V., Perez, C. A., … & Bedregal, P. (2019). M-CHAT-R/F Validation as a screening tool for early detection in children with autism spectrum disorder. Revista chilena de pediatria90(5), 492-499.

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