Autism spectrum disorder: Rebecca Mickel RN, MSN, CWCN University of Portland Instructor October 2016
Autism spectrum disorder:
Rebecca Mickel RN, MSN,
CWCN
University of Portland
Instructor
October 2016
Objectives for presentation Categorize behaviors in children with autism spectrum disorder (ASD) which differ from typical neurological development.
Develop interventions to providing safe and effective medical care for a child with ASD in the health care setting.
Consider non medication treatment options for ASD to ease an office visit.
Inappropriate play with toys.
Inability to relate to others
Hyperactive or passive
inappropriate laughing or crying
Over sensitivity
Strange attachments to objects
Poor speech or lack of speech
Difficulty dealing with change
Lack of awareness of danger
Behaviors serve a purpose
To escape and avoid
Examples:
Throwing food to get to
leave the dinner table
Falls on the ground
when it is time to come
in
Hits other people to
get someone else to
leave
To obtain
Examples:
Scream to get favorite food,
Hits sibling to get attention from
parent
Starts to scream when unable
to open something
Flaps hands for positive sensory
input
Seizures
Gastro – intestinal
problems
Pain/touch sensitivity
Hand flapping
Thinking in
pictures
https://www.youtube.com/watch?v=hFby
ujLT8HQ
Practical tips
Schedule the first visit of the day
Look at the environment
Quick tips profile card
Picture schedule
Supports during exams: Sing, blow bubbles, distraction
toys,
Allow hand flapping, spinning, rocking
Allow time for adaptation
Communication tips
Not as friendly More autism friendly
How could you modify this
environment to be more autistic
friendly?
The puzzle board on the wall is a
great way to provide a sensory
break or a reward
Communication tips
Avoid idioms: Use first and then
First we will do
this
Then we will
do that
Be creative
Jump up and down
Stretch
Touch toes
Spin
Rock
Autism Video Model- Going to the
Dentist (Look at Me Now!®) https://www.youtube.com/watch?v=s_n1aZy1NV8
https://www.youtube.com/watch?
v=UE_rElU3BS0 Autism behaviors at
a visit
https://www.youtube.com/watch?v=EAGe9cgI5e0 Severe autism meltdown
From an ear infection and sore throat
Ways to protect your self form
problem behaviors
https://www.youtube.com/watch?v=RdHxMQJ1zCY
Autism help- Pinching, Biting and Hitting - The Son-Rise Program
https://www.youtube.com/watch?v=6GD8reBVc4A
Autism Help- Tantrums - The Son-Rise Program
https://www.youtube.com/watch?v=WVFEo0ttSLM
Autism Help with Flexibility - The Son-Rise Program
References Bultas M., McMillins S., & Zand D. (2016). Reducing Barriers to Care in the Office-Based Health Care Setting for Children With Autism.Available online 31 October 2015 Journal of Pediatric Health Care. 30 (1) 5-14. retrieved 5/31/16 from http://www.sciencedirect.com.ezproxy-eres.up.edu:2048/science/article/pii/S089152451500Available online 9 October 2015
Bultas M. (2012). The Health Care Experiences of the Preschool Child with Autism. Journal of Pediatric Nursing. 27 (5) 460-470. Retrieved 5/31/16 from http://www.sciencedirect.com.ezproxy-eres.up.edu:2048/science/article/pii/S0882596311002831
Chebuhar A. , McCarthy A., Bosch J., Baker S. (2013). Using Picture Schedules in Medical Settings for Patients with an Autism Spectrum Disorder. Journal of Pediatric Nursing. 28, (2) 125 – 134. retrieved 5/31/16 from http://www.sciencedirect.com.ezproxy-eres.up.edu:2048/science/article/pii/S0882596312001844
Johnson N., Burkette K., Reinhold J., & Bultas M. (2016). Translating Research to Practice for Children with Autism Spectrum Disorder: Part I: Definition, Associated Behaviors, Prevalence, Diagnostic Process, and Interventions. Available online 31 October 2015
Journal of Pediatric Health Care. 30 (1) 15–26. retrieved 5/31/16 from http://www.sciencedirect.com.ezproxy-eres.up.edu:2048/science/article/pii/S0891524515003454
Johnson N., Burkette K., Reinhold J., & Bultas M. (2016). Translating Research to Practice for Children with Autism Spectrum Disorder: Part 2: Behavior Management in Home and Health Care Settings. Available online 31 October 2015
Journal of Pediatric Health Care. 30 (1) 27–37. retrieved 5/31/16 from http://www.sciencedirect.com.ezproxy-eres.up.edu:2048/science/article/pii/S089152451500