Parish Nurse

October is:

7 Facts You Need To Know About ADHD

Download your own 7 Facts Handout and Posters.

Citation List

1. ADHD is Real

Nearly every mainstream medical, psychological, and educational organization in the United States long ago concluded that Attention-Deficit/Hyperactivity Disorder (ADHD) is a real, brain-based medical disorder. These organizations also concluded that children and adults with ADHD benefit from appropriate treatment. [1,2,3,4,5,6,7]

2. ADHD is a Common, Non-Discriminatory Disorder

ADHD is a non-discriminatory disorder affecting people of every age, gender, IQ, religious and socio-economic background.

In 2011, the Centers for Disease Control and Prevention reported that the percentage of children in the United States who have ever been diagnosed with ADHD is now 9.5%. [8] Boys are diagnosed two to three times as often as girls.

Among adults, the Harvard/NIMH National Comorbidity Survey Replication found 4.4% percent of adults, ages 18-44 in the United States, experience symptoms and some disability. [9]

ADHD, AD/HD, and ADD all refer to the same disorder. The only difference is that some people have hyperactivity and some people don’t.

3. Diagnosing ADHD is a Complex Process

In order for a diagnosis of ADHD to be considered, the person must exhibit a large number of symptoms, demonstrate significant problems with daily life in several major life areas (work, school, or friends), and have had the symptoms for a minimum of six months.

To complicate the diagnostic process, many of the symptoms look like extreme forms of normal behavior. Additionally, a number of other conditions resemble ADHD. Therefore, other possible causes of the symptoms must be taken into consideration before reaching a diagnosis of ADHD.

What makes ADHD different from other conditions is that the symptoms are excessive, pervasive, and persistent. That is, behaviors are more extreme, show up in multiple settings, and continue showing up throughout life.

No single test will confirm that a person has ADHD. Instead, diagnosticians rely on a variety of tools, the most important of which is information about the person and his or her behavior and environment. If the person meets all of the criteria for ADHD [10,11], he or she will be diagnosed with the disorder.

4. Other Mental Health Conditions Often Occur Along With ADHD

  • Up to 30% of children and 25-40% of adults with ADHD have a co-existing anxiety disorder. [12]
  • Experts claim that up to 70% of those with ADHD will be treated for depression at some point in their lives. [13]
  • Sleep disorders affect people with ADHD two to three times as often as those without it. [14]

 

5. ADHD is Not Benign

ADHD is not benign.[15] Particularly when the ADHD is undiagnosed and untreated, ADHD contributes to:

  • Problems succeeding in school and successfully graduating. [16,17]
  • Problems at work, lost productivity, and reduced earning power. [18,19,20,21]
  • Problems with relationships. [22,23]
  • More driving citations and accidents. [24,25,26,27]
  • Problems with overeating and obesity. [28,29,30,31]
  • Problems with the law. [32,33]

According to Dr. Joseph Biederman, professor of psychiatry at Harvard Medical School, ADHD may be one of the costliest medical conditions in the United States: “Evaluating, diagnosing and treating this condition may not only improve the quality of life, but may save billions of dollars every year.” [34]

6. ADHD is Nobody’s FAULT

ADHD is NOT caused by moral failure, poor parenting, family problems, poor teachers or schools, too much TV, food allergies, or excess sugar. Instead, research shows that ADHD is both highly genetic (with the majority of ADHD cases having a genetic component), and a brain-based disorder (with the symptoms of ADHD linked to many specific brain areas). [35]

The factors that appear to increase a child’s likelihood of having the disorder include gender, family history, prenatal risks, environmental toxins, and physical differences in the brain. [36]

7. ADHD Treatment is Multi-Faceted

Currently, available treatments focus on reducing the symptoms of ADHD and improving functioning. Treatments include medication, various types of psychotherapy, behavioral interventions, education or training, and educational support. Usually a person with ADHD receives a combination of treatments. [37,38]

———————

Back to the top

  1. Mental Health: A Report of the Surgeon General, Chapter 3, Section 4: Attention-Deficit/Hyperactivity Disorder. www.surgeongeneral.gov/library/mentalhealth/chapter3/sec4.html
  2. National Institute of Mental Health: Attention Deficit Hyperactivity Disorder. www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/
  3. Center for Disease Control and Prevention: Attention-Deficit/Hyperactivity Disorder. www.cdc.gov/ncbddd/adhd/
  4. U.S Department of Education Research: Attention Deficit Hyperactivity Disorder. www2.ed.gov/rschstat/research/pubs/adhd/
  5. American Academy of Pediatrics Children’s Health Topics: ADHD. www.aap.org/healthtopics/adhd.cfm
  6. Phelan, K. (2002). World of Distraction: Adult Attention-Deficit/Hyperactivity Disorder. www.ama-assn.org/amednews/2002/03/18/hlsa0318.htm
  7. American Academy of Child & Adolescent Psychiatry: ADHD Resource Center. www.aacap.org/cs/ADHD.ResourceCenterBack to Fact 1
  8. Akinbami, L.J., Liu, X., Pastor, P.N., Reuben, C.A. (2011). Attention Deficit Hyperactivity Disorder Among Children Aged 5–17 Years in the United States, 1998–2009. www.cdc.gov/nchs/data/databriefs/db70.htm
  9. National Institute of Mental Health. (2006). Harvard Study Suggests Significant Prevalence of ADHD Symptoms Among Adults. www.nimh.nih.gov/science-news/2006/harvard-study-suggests-significant-prevalence-of-adhd-symptoms-among-adults.shtmlBack Fact 2
  10. Center for Disease Control and Prevention: Attention-Deficit/Hyperactivity Disorder Symptoms and Diagnosis. www.cdc.gov/ncbddd/adhd/diagnosis.html
  11. Searight, H.R., Burke, J.M., Rottnek, F. (2000). Adult ADHD: Evaluation and Treatment in Family Medicine. www.aafp.org/afp/20001101/2077.htmlBack to Fact 3
  12. National Resource Center on ADHD. (2008). What We Know: AD/HD and Coexisting Conditions. www.help4adhd.org/documents/WWK5.pdf
  13. National Resource Center on ADHD. (2008). What We Know: AD/HD and Coexisting Conditions: Depression. www.help4adhd.org/documents/WWK5c.pdf
  14. National Resource Center on ADHD. (2008). What We Know: AD/HD, Sleep, and Sleep Disorders. www.help4adhd.org/documents/WWK5d.pdfBack to Fact 4
  15. Barkley, R.A., et al. (2002). International Consensus Statement on ADHD. www.russellbarkley.org/images/Consensus 2002.pdf
  16. Adler, L.A and Cohen, J. (2002). ADHD: Recent Advances in Diagnosis and Treatment. www.medscape.org/viewarticle/443113
  17. Biederman, J., Faraone, S.V. (2006). The Effects of Attention-Deficit/Hyperactivity Disorder on Employment and Household Income. www.medscape.com/viewarticle/536264
  18. Adler, L.A and Cohen, J. (2002). ADHD: Recent Advances in Diagnosis and Treatment. www.medscape.org/viewarticle/443113
  19. Kessler, R. C., Lane, M., Stang, P. E., Van Brunt, D. L. (2009). The Prevalence and Workplace Costs of Adult Attention Deficit Hyperactivity Disorder in a Large Manufacturing Firm. www.ncbi.nlm.nih.gov/pubmed/18423074Back to Fact 5
  20. Gjervan, B., Torgersen, T., Nordahl, J M., Rasmussen, K. (2011). Functional Impairment and Occupational Outcome in Adults with ADHD. jad.sagepub.com/content/early/2011/06/29/1087054711413074.abstract
  21. Biederman, J., Faraone, S.V. (2006). The Effects of Attention-Deficit/Hyperactivity Disorder on Employment and Household Income. www.medscape.com/viewarticle/536264
  22. Barkley, R.A., Murphy, K., and Fischer, M. (2007). ADHD in Adults, What the Science Says. New York, NY: Gilford Press.
  23. Biederman, J., et al (2006). Functional Impairments in Adults with Self-reports of Diagnosed ADHD: A Controlled Study of 1001 Adults in the Community. www.ncbi.nlm.nih.gov/pubmed/16669717Back to Fact 5
  24. Barkley, R.A., Guevremont, D.C., Anastopoulos, A.D., DuPaul, G.J. & Shelton, T.L. (1993). Driving—Related Risks and Outcomes of Attention Deficit Hyperactivity Disorder in Adolescents and Young Adults: A 3- to 5-Year Follow-up Survey. pediatrics.aappublications.org/content/92/2/212.abstract
  25. Barkley, R.A., Murphy, K.R., Kwasnik, D. (1996). Motor Vehicle Driving Competencies and Risks in Teens and Young Adults with Attention Deficit Hyperactivity Disorder. pediatrics.aappublications.org/content/98/6/1089.abstract
  26. Snyder, J. (2001). ADHD & Driving: A Guide For Parents of Teens with AD/HD. Whitefish, MO: Whitefish Consultants.
  27. Murphy, K. (2006). Driving Risks in Adolescents and Young Adults with ADHD. preview.tinyurl.com/3nkpn7u
  28. Dukarm, C.P. (2006). Pieces of a Puzzle: The Link Between Eating Disorders and ADD. Washington, DC: Advantage Books.
  29. Waring, M.E., and LaPane, K.L. (2008). Overweight in Children and Adolescents in Relation to Attention-Deficit/Hyperactivity Disorder: Results From a National Sample. pediatrics.aappublications.org/content/122/1/e1.full.pdfBack to Fact 5
  30. Pagoto, S.L. et al. (2009). Association Between Adult Attention Deficit/Hyperactivity Disorder and Obesity in the US Population. www.nature.com/oby/journal/v17/n3/full/oby2008587a.html
  31. Dempsey, A., Dyhouse, J. and Schafer, J. (2011). The relationship between executive function, AD/HD, overeating, and obesity. wjn.sagepub.com/content/33/5/609.abstract
  32. Quily, P. (2011). Up To 45% 0f Prisoners Have ADHD Studies Show. Crime & Jail Are Costly, Treatment Is Cheap. adultaddstrengths.com/2011/01/12/adhd-and-crime-ignore-now-jail-later-15-clinical-studies/
  33. Biederman, J., et al (2006). Functional Impairments in Adults with Self-reports of Diagnosed ADHD: A Controlled Study of 1001 Adults in the Community. www.ncbi.nlm.nih.gov/pubmed/16669717
  34. Medical News Today. (2005). $77 billion in lost income is attributed to ADHD annually in USA. www.medicalnewstoday.com/releases/24988.phpBack to Fact 5
  35. Barkley, R.A., et al. (2002). International Consensus Statement on ADHD. www.russellbarkley.org/images/Consensus 2002.pdf
  36. American Academy of Child & Adolescent Psychiatry: ADHD Resource Center. www.aacap.org/cs/ADHD.ResourceCenter/adhd_faqsBack to Fact 6
  37. National Institute of Mental Health: Attention Deficit Hyperactivity Disorder. www.nimh.nih.gov/health/publications/attention-deficit-hyperactivity-disorder/how-is-adhd-treated.shtml
  38. Center for Disease Control and Prevention: Attention-Deficit/Hyperactivity Disorder. www.cdc.gov/ncbddd/adhd/treatment.html

All citations were retrieved from the Internet September 1, 2011.

 

Breast Cancer Awareness Month

Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point.

The good news is that most women can survive breast cancer if it’s found and treated early. A mammogram – the screening test for breast cancer – can help find breast cancer early when it’s easier to treat.

National Breast Cancer Awareness Month is a chance to raise awareness about the importance of detecting breast cancer early. Make a difference! Spread the word about mammograms, and encourage communities, organizations, families, and individuals to get involved.

How can National Breast Cancer Awareness Month make a difference?

We can use this opportunity to spread the word about steps women can take to detect breast cancer early.

Here are just a few ideas:

  • Ask doctors and nurses to speak to women about the importance of getting screened for breast cancer.
  • Encourage women ages 40 to 49 to talk with their doctors about when to start getting mammograms.
  • Organize an event to talk with women ages 50 to 74 in your community about getting mammograms every 2 years.

How can I help spread the word?

We’ve made it easier for you to help raise awareness about breast cancer. This toolkit is full of ideas to help you take action today. For example:

wwww./healthfinder.gov

AED – The church has purchased an AED so I thought I’d give a little information from the web on cardiopulmonary resuscitation.

Cardiopulmonary resuscitation (CPR) is vital to the survival of a cardiac arrest victim. When someone goes into sudden cardiac arrest, their heart is no longer pumping oxygenated blood to the brain and vital organs. CPR circulates oxygenated blood remaining in the body to minimize neurological damage until defibrillation can be administered. It may also convert someone in a state of asystole (flatline) into a rhythm that is “shockable” by an automated external defibrillator (AED), allowing the heart to reset itself. Statistics for best survival rates usually mention “High-Quality CPR”, but what makes CPR high-quality?

When it comes to out-of-hospital bystander CPR, there is one factor which is always variable in each situation – bystander CPR is performed by humans, and humans come in different sizes, capabilities, knowledge, and responses. Even trained EMS professionals may perform tasks differently depending on their fatigue, training, and the particulars of a situation (environment, trauma level, on-lookers, etc.).

To define “High-Quality CPR” for teens and adults, there are certain courses of action identified by the American Heart Association’s 2015 CPR & ECC Guidelines to maximize the benefits of CPR, and they are simple:

Compressions at a rate of 100-120 per minute

Compressions at a depth of 2” – 2.4”

Full recovery of chest after each compression

Minimal interruptions to compressions

In a nutshell: “Press the chest – fast and deep” until an AED is utilized (and again after, if necessary), EMS arrives, or the person shows signs of life.

Note rescue breaths are not included in this list. The AHA (American Heart Association) does recommend rescue breaths at a rate of 30 compressions to 2 breaths when the rescuer has been trained and is confident in the technique, so interruptions to the compressions are no more than 10 seconds (and still stresses the importance of breaths when performing CPR on children and infants), but has recognized “hands-only” CPR is an effective alternative when the rescuer is not confident in their ability to provide ventilations or is untrained. Hands-only CPR also removes the potentially uncomfortable step of placing one’s mouth onto the mouth of a stranger if no mask is available.

Never hesitate to attempt CPR, regardless of experience or skill level. Someone in cardiac arrest is already clinically dead, and you cannot make them any more dead! Any CPR is better than no CPR, and if there is an AED handy, it should be retrieved and deployed as quickly as possible for the victim’s best chance for survival.

Remember: “Press the chest – fast and deep!”

http://www.aedsuperstore.com/