MHM Magazine

Issue 3 | 2023 | MENTAL HEALTH MATTERS | 11 MHM Attention-Deficit/Hyperactivity Disorder (ADHD) is often associated with children, but it is a condition that can persist into adulthood. In 2015, Dr Schoeman conducted the first study in South Africa to investigate the prevalence and treatment of specifically adult ADHD. According to the study, the prevalence of adult ADHD was estimated at 1.09% lower than previously thought. However, according to the study, the lower prevalence rate may be attributed to lack of awareness of the disorder, lack of access to diagnosis and treatment, and poor coding habits of healthcare practitioners… According to Dr Schoeman, even though adult ADHD is established as a recognised disorder abroad, In South Africa, the diagnosis of ADHD is hampered by a lack of awareness of the disorder, non-recognition of the disorder, and a lack of access to diagnosis. CHALLENGES FACED BY ADULTS WITH ADHD IN A HOSPITAL SETTING One of the primary challenges is managing daily routines and schedules, which are often highly structured and regimented in a hospital. Patients with ADHD may struggle with time management, keeping track of appointments, and adhering to medication schedules, which can impact their overall care and recovery process. Coping with the sensory environment of a hospital can be overwhelming with bright lights, loud noises, different smells, dietary restrictions, and constant activity, which can be distracting and trigger sensory sensitivities in individuals with ADHD. These sensory distractions can disrupt their ability to concentrate, relax or even sleep while in hospital. Patients with ADHD rely on medication to manage their symptoms, but in hospital, medication schedules may be changed, and access to medication may be restricted. This can disrupt their established medication routines and affect their symptom management, potentially leading to increased difficulties in coping with their condition. Shift changes, disruptions to routine, and unfamiliar environments may make it difficult for individuals to adhere to their medication schedule, potentially leading to a worsening of symptoms. Communication can also be challenging for adults with ADHD in a hospital setting. They may struggle with verbal instructions, miss valuable information during conversations, or have difficulty expressing their needs and concerns clearly. This can impact their ability to communicate effectively with healthcare providers, understand their treatment plans, and participate in decision-making about their care. Ronel Aylward Registered Nurse, General Nursing, Midwifery and Psychiatry. Nursing Administration and Community Health, Stellenbosch University. ADHD IN ADULTS NAVIGATING CHALLENGES IN A HOSPITAL SETTING