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Caring for Children with Autism in the Emergency Department
Insights
Children with autism spectrum disorder (ASD) experience significant stress during emergency department (ED) visits. Staff education, environmental changes, and personalized care plans can improve their experience.
Area of Science:
- Pediatric emergency medicine
- Neurodevelopmental disorders
Background:
- Children with autism spectrum disorder (ASD) have unique sensory processing and coping mechanisms.
- Emergency department (ED) environments can be overwhelming for children with ASD due to sensory overload and unfamiliarity.
Purpose of the Study:
- To explore the stressors children with ASD face in the ED.
- To identify strategies for improving the ED experience for children with ASD.
Main Methods:
- Review of factors contributing to stress in children with ASD during ED visits.
- Discussion of potential interventions.
Main Results:
- Environmental factors (harsh stimuli, unfamiliarity) and lack of understanding from medical staff are key stressors.
- Individualized care, staff education, and environmental modifications are effective strategies.
Conclusions:
- The ED visit can be a positive experience for children with ASD through targeted interventions.
- Improving care for children with ASD in the ED requires a multi-faceted approach.
Abstract:
Children with autism spectrum disorder (ASD) and similar conditions experience and cope with their surroundings in a unique way. Although a visit to the emergency department (ED) is stressful for any child, the stress for those with ASD and similar conditions can overwhelm their ability to cope. Many elements of visiting the ED contribute to the stress children with ASD experience; they are not feeling well or have an injury, the environment is foreign and filled with harsh stimuli, and the medical professionals they encounter may not understand their unique needs. Fortunately, through staff education, modifications to the environment, and individualizing care plans, a visit to the ED can be a more positive experience for children with ASD. [Pediatr Ann. 2019;48(8):e333-e336.].
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