Susan Hamre – Autism in the Hospital

Susan Hamre – Autism in the Hospital

Autism in Medical Settings: Challenges and Supportive Strategies

Sensory Integration Challenges

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Stimulation dysregulation (hypo/hyper)
Seeking/avoiding/both
Processing functions
May not process nor perceive pain
Common triggers within the hospital/ER environment
Your hospital/ER as a ‘sensory minefield’
Sensory Strategies
Patient passport with sensory triggers listed
Quickly create ASD friendly environment
Allow sensory needs to occur to prevent a meltdown
How to avoid most common sensory triggers
Hospital equipment to help support sensory needs
Social / Communication Challenges
Social interaction holds the ‘key’… or not
Literal translation of spoken language
When they are non-verbal or unable to read body language
Delayed auditory processing
Impact of anxiety on communication
Non-compliance and verbally offensive
Social/Communication Strategies
Communication cards, checklists and Apps as visual supports
Social stories to break down hospital procedures
Their interests or repetitive behaviors to generate your ‘connection’
Make allowances for family to be nearby
Behavior Challenges
Noting functions of behavior
May bolt/escape/elope
Aggression occurs as anxiety increases
Might resist restraint
Anxiety may increase when transport is needed intolerant of transitions in general
Likely to be resisting lack of known/familiar routine
Attempt to pull out lines, pull off bandages, etc.
Refuse medication
Behavioral Management Strategies
Is it a meltdown or tantrum?
Know the child’s triggers
Plan ahead to avoid triggers
Specific calming techniques
What to do when a meltdown occurs
Navigating ER triage, routine hospital visits, labs and tests
Visual schedules for what is going to be happening
Strategies for loud noises and being touched
Visual timetables and timers for transitions/ changes
Motivation and reward systems that work
What you need to know about non-sensory triggers
‘Stimming’ as a calming technique
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Sensory, communication and behavioral challenges that impact successful medical treatment
Strategies for ER triage, routine hospital visits, surgery and more
Roadmap for treating a non-verbal, non-responsive individual with autism
‘Stimming’ behaviors as a strategy
Subtle sign of less obvious ASD
Do you know how to give medical attention to a patient with autism who:

Can’t answer your questions or identify levels of pain?
Refuses to have blood drawn, give urine a sample, do dialysis or CT/MRI scan?
Attempts to pull out lines or pull off bandages?
Fights you off with piercing screaming and flapping of the arms?
Can’t tolerate your touch and or make eye contact with you?
Won’t stop running out of the treatment room?
Refuses medication?
Whether the medical appointment is scheduled or it’s a trip to the emergency room the hospital can be a sensory minefield for someone with autism causing them to spiral toward a terrifying meltdown. Sedation and four-point restraint are not practical solutions.

Your connection to your autism patient will depend upon how quickly you can move into their world. Through case examples, videos and lively class discussion you will walk away with practical strategies for successful medical treatment of an individual with autism, such as:

Hospital/EMT equipment to help support sensory needs
Overcoming the most common sensory triggers
Communication cards, checklists and Apps as visual supports
Social stories to break down hospital/EMT procedures
Navigate ER triage, routine hospital visits, labs and tests
What to do when a meltdown occurs
Calming techniques

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Here’s What You’ll Get in Autism in the Hospital

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Course Requirement: Susan Hamre – Autism in the Hospital
Real Value: $219.0000
One time cost: USD65.0000

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