What is a PDA meltdown?

meltdowns – an 'out of control' state which may include shouting, crying, throwing or breaking things. physical or verbal aggression directed towards others. self-injurious behaviours. shutdowns – individuals may hide or curl up in a ball, withdraw to a space that feels safe or stop communicating/moving.

pdasociety.org.uk - Distressed behaviours - PDA Society

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Distressed behaviours

What are distressed behaviours?

Distressed behaviours arise when our life experiences (sensory, emotional, social, demands etc.) exceed our capacity to cope and we feel overwhelmed and lose control.

Distressed behaviours in neurodivergent individuals may include:

meltdowns – an ‘out of control’ state which may include shouting, crying, throwing or breaking things – an ‘out of control’ state which may include shouting, crying, throwing or breaking things physical or verbal aggression directed towards others

directed towards others self-injurious behaviours

shutdowns – individuals may hide or curl up in a ball, withdraw to a space that feels safe or stop communicating/moving. Shutdowns can sometimes be for a prolonged period (please see info on autistic burnout and catatonia-like breakdown for more information) – individuals may hide or curl up in a ball, withdraw to a space that feels safe or stop communicating/moving. Shutdowns can sometimes be for a prolonged period (please see info on autistic burnout and catatonia-like breakdown for more information) taking flight – running from the source of distress It’s important to view these behaviours as being similar to a, or an external expression of someone’s internal turmoil, that is often the result of an accumulation of factors that leads to overload. Distressed behaviours aren’t under the individual’s control or something that they choose to do. They’re very different to a tantrum, which is usually short-lived, with a clear trigger and purpose, during which an individual is normally aware of their surroundings. Sometimes distressed behaviours show more in one environment than in others due to masking – when emotions and difficulties are camouflaged they may then be released either when an individual reaches an environment where they feel safe or when they can’t be ‘held in’ any longer. With PDA, distressed behaviours usually occur after a hierarchy of avoidance approaches have already been in evidence but have not been noted or acted upon (please see what is demand avoidance for more details on this). And usually once things have reached the point of distress it’s impossible for others to intervene, so the priority is then to keep everyone as safe as possible.

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Is PDA closure safe?

nicklauschildrens.org - Transcatheter Patent Ductus Arteriosus Closure

Transcatheter Patent Ductus Arteriosus Closure

Also known as: PDA closure, closure of ductus arteriosus by cardiac catheterization.

What is transcatheter patent ductus arteriosus closure?

Patent ductus arteriosus (PDA) is a congenital heart defect that causes the ductus arteriosus, a blood vessel that connects the aorta with the arteries going to the lungs, to remain open. This vessel should normally close in the first several hours after birth. Transcatheter patent ductus arteriosus closure is a method of correcting this defect without the need for a surgical procedure and avoiding a scar on the chest/back.

What happens during the procedure?

A catheter (a long, thin flexible tube) is inserted into a blood vessel in the groin area, and advanced to the PDA. A device that acts like a plug is inserted into the catheter and placed within the PDA, blocking the abnormal blood flow.

Is any special preparation needed?

You/your child will need to stop taking liquids and food, as well as certain medications, the night before the procedure. If you/your child are taking blood-thinners you may be asked to stop taking them a few days before the procedure.

What are the risks?

Transcatheter PDA closure is a very safe procedure and complications are rare. Potential complications include impingement on surrounding structures, dislodgment of the device, and soreness/bruising at the groin site where the vessels were entered in order to do the procedure. Transcatheter closure of a patent ductus arteriosus device at Nicklaus Children’s Hospital: Transcatheter closure of a patent ductus arteriosus is performed by Nicklaus Children’s Hospital’s team of top-notch medical professionals using the most cutting edge techniques.

This page was last updated on: July 30, 2020 02:48 PM

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