By Alison Morton-Cooper
Making plans and handling well-being deal with people with autistic spectrum stipulations offers a distinct set of demanding situations, from facing conversation problems and sensory overload to issues of actual examinations. This ground-breaking quantity tackles all of the matters that health and wellbeing execs can meet on a day by day foundation, in addition to addressing moral matters and extra particular facets of wellbeing and fitness care - autism and health problems, being pregnant, psychological well-being and selling common future health. execs in all fields of wellbeing and fitness care, in addition to people with autism spectrum issues and their carers, will locate this wide-ranging and informative booklet a vital reference software.
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Extra resources for Health Care and the Autism Spectrum: A Guide for Health Professionals, Parents and Carers
And, of course, keep a clear and careful record of the consultation, together with any recommendations for action, whether medical or administrative. Finally, within the bounds of patient confidentiality and respect for persons, try to use your clinical experiences of the patient with autism as a training opportunity for colleagues who are unfamiliar with the problems experienced. Use both positive and negative experiences as material for ‘critical incident analyses’ and see what can be added to any existing guidelines your employer may use to help people with autism.
Some may well have been excluded from society as a result (see Introduction). There are several reasons why people with autism might be more likely to attend casualty than the general population. g. inhalation or ingestion of dangerous or unusual substances, smearing of their own faeces leading to infection) • ritualistic and sometimes harmful behaviour (such as self-injury, head-banging, biting) • getting into arguments through rigid and inflexible thinking, and perhaps becoming involved in fights • responding to touch inappropriately and lashing out at a perceived assailant • social and sexual naivety leading to inappropriate sexual behaviour and a corresponding vulnerability to sexual, psychological or physical abuse • vulnerability to neglect or physical abuse where families are not able to cope with their relative’s behaviour • high incidence of epilepsy (about 30 per cent of people with an autism spectrum condition are prone to epileptic seizures).
Whatever the home situation, it will help the doctor being consulted if the situation can be explained either before or early on in the consultation so that everyone is clear about the practicalities of who is sharing in 54 HEALTH CARE AND THE AUTISM SPECTRUM decision-making and whose wishes need to be taken into account. This can prevent serious misunderstandings and can provide the important link with home that may be needed to ensure health care needs are met. g. history-taking, urine tests, weight measurement, physical examination, attending for X-rays) • making sure your patient understands and consents to any treatment (or appropriate parental/carer consents are obtained) • recognising and making contingency plans for any known sensory ‘triggers’, fears or anxieties that may provoke an unhelpful behavioural reaction • ending the consultation with a clear idea of any further health care intervention that may be necessary and of whether any further advice or information is required to support the person through whatever is planned.