Introducing a New Nursing Intervention Developed for Self-Injury Behaviour in Children with Intellectual Disabilities

Abstract

ntellectual disabilities (ID) are characterized by violent outbursts of anger and stereotypical or self-injurious behaviour (SIB). 1,2 ID affects approximately 1% of the population and sufferers are at increased risk for SIB which is one of the most striking and devastating conditions associated with ID, and tends to affect children over 3. 2-4 The prevalence of SIB is growing and is highest in young children referred to neurodevelopmental paediatric clinics. 5,6 The most commonly used definition of SIB are acts directed toward oneself that are likely to result in tissue damage. There are varying types of SIB. The most common forms associated with ID are selfbiting, head-hitting, head-banging, and excessive self-rubbing and selfscratching. 1,3,4,7 The purpose of this case report is to illustrate the successful use of an alternative, medication-free nursing interventions for a child diagnosed with ID who manifests SIB by biting his right hand; a new type of palmar bandage featuring an attached stress ball.