A 7 year old boy , a known case of autism is brought to his pediatrician with trouble falling asleep. The pediatrician checks his clinical record which shows normal growth and no significant past medial or surgical histories. On further questioning mother says that the child has been under the care of multiple caregivers as she herself is busy with her tough job.It is very likely that the caregivers have been putting the child to bed with no consistent timing and routine.
Q 1. What is your Diagnosis?
Answer: Behavioral sleep avoidance.(the child has no consistent bed timings due to multiple caregivers) .
Q 2. How would you manage this case?
Answer: The management is usually conservative with improving sleep hygiene. take following measures to improve sleep hygiene:
- Establish a fixed sleeping time.
- Develop bedtime routine
- Use bed only for sleeping.
- Limit stimuli like computer and TV before going to bed.
- Avoid exercise, playing and eating a few hrs before going to bed.
If improving the sleep hygiene fails then consider Circadian rhythm disorder which can be managed by :
- Melatonin at bed time
- Exposure to bright light on waking in morning.
Hello Everyone out there,I am here to give my testimony about a Herbalist doctor who helped me . I was infected with HERPES SIMPLEX VIRUS in 2011, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HERPES SIMPLEX VIRUS and gave me his email, so i mail him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after two weeks the HERPES SIMPLEX VIRUS that was in my body got vanished . so if you are also heart broken and also need a help, you can also email him at {oliha.miraclemedicine@gmail.com}
ReplyDeleteor whatsapp him number: +2349038382931.
Contact him today and you will have a testimony...Good luck!
Dr. OLIHA Also Cures:
1. HIV/AIDS
2. HERPES 1/2
3. CANCER
4. ALS (Lou Gehrig’s disease)
5. Hepatitis B
6. chronic pancreatic
7. Emphysema
8. COPD (Chronic Obstructive Pulmonary Disease
He heals and solve most of the problems & sickness which are failed to be healed by other doctors/healers. He solve bad luck, pregnancy problems, lost lover, sexual weakness, early ejaculation, witch-crafts, broken marriage, poverty, debts trouble, divorce, court cases, domestic problems, gambling losses, Lost jobs, promotions at work, Do you need penis enlargement? Do you want to be Rich? Do you need many children? Are you tired of jealousy people, Evil dreams, all long illnesses, blood pressure, HIV & aids, skin infections? etc. He use strong herbs & magic spells as well as powerful ancestors. Get healed today by this greatest miracle doctor who has healed many people through his experienced ancestors. Join the rest of the world to cerebrate his miracle healings. he can even read and tell you your problems before you say anything to him. He can connect you to talk to the spirit of a deceased of your family member or friend. he can also tell you your future through reading palm, play card, a mirror/water. He uses many ways of healing just to make sure that he certify his clients all over the world. he is the only traditional healer who does fully corresponds with all religious beliefs. contact him on his email address at babaka.wolf@gmail.com or Facebook at priest.babaka
ReplyDeleteInvesting online has been a main source of income,that's why knowledge plays a very important role in humanity,you don't need to over work yourself for money.All you need is the right information,and you could build your own wealth from the comfort of your home!Binary trading is dependent on timely signals,assets or controlled strategies which when mastered increases chance of winning up to 90%-100% with trading. It’s possible to earn $10,000 to $20,000 trading weekly-monthly,just file a complaint with Robert,I had almost given up on everything about binary trading and ever getting my lost funds back,till i met with him,with his help now i have my lost funds back to my bank account and I can now trade successfully with his profitable strategies and software!! Email: Robertseaman939@gmail.com or Fb.me/investandmakemoney1 or whatsApp: +44 7466 770724
ReplyDeleteI am happy to recommend dr Godday for his great help, i suffered for years seeking for the cure of herpes virus. i came across a testimony about his herbal medicine and i contacted him and he sent me a herbal remedy. I am happy to say that i am cured and negative of herpes virus type2. A doctor with many health experience and has many herbal medicine for most of the diseases you believed that had no cures. He has herbal remedies for Cancer, Herpes virus, Lime, Hepatitis and Kidney disease Contact him on his Email: goddayspiritualhome@gmail.com or Whats app only +1{919}4956404
ReplyDeleteI started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website at www.ultimatelifeclinic.com I can breath much better and It feels comfortable!
ReplyDeleteI started on COPD Herbal treatment from Ultimate Health Home, the treatment worked incredibly for my lungs condition. I used the herbal treatment for almost 4 months, it reversed my COPD. My severe shortness of breath, dry cough, chest tightness gradually disappeared. Reach Ultimate Health Home via their website at www.ultimatelifeclinic.com I can breath much better and It feels comfortable!
ReplyDelete