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Understanding and caring for the child with Asperger syndrome
1School of Nursing, University of Medicine and Dentistry of New Jersey, Stratford, NJ, USA.
Summary
Asperger syndrome (AS), a neurodevelopmental disorder on the autism spectrum, presents challenges in social skills and pragmatic language. Nurses play a vital role in managing AS symptoms and supporting affected children and families.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Nursing
- Autism Spectrum Disorders
Background:
- Asperger syndrome (AS) is increasingly recognized within the autism spectrum, as defined in the DSM-IV.
- Understanding AS is crucial for healthcare professionals, particularly nurses, who encounter these children in diverse settings.
Observation:
- Key features of AS include social interaction deficits, atypical pragmatic language use, behavioral issues, and restricted interests.
- Cognitive abilities in children with AS are variable, with some exhibiting high intelligence.
- Comorbidities such as ADHD, Tourette's syndrome, OCD, and depression are common in AS.
Findings:
- AS can lead to significant functional impairments in home, school, and community environments.
- A case study illustrates the multifaceted presentation of AS.
- Individualized school health care plans are essential for managing AS in educational settings.
Implications:
- Nurses are instrumental in educating families and school staff about AS.
- Monitoring for comorbidities, managing behaviors and medications, and providing family support are key nursing roles.
- Effective nursing interventions and referrals are critical for improving outcomes for children with AS.