| General ASD Background | Approaching the Situation | Preventative Approach | Family Situation | Related Community Nursing Concepts |
|---|---|---|---|---|
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- It is a neurological and developmental disorder
- It begins early in childhood and lasts throughout a person's life - It affects how a person acts and interacts with others, communicates, and learns
Briefly, what do you think Autism is?
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Discussion
In approaching this situation, list two things you would want to assess for each of the following areas:
1.John 2.John’s School Environment |
- Ensure that EA makes classroom teacher aware of any strategies to use in emergency situations
- Connect with the family to ask how they address John's reactions during an emergency situation - Determine the way John reacts to touch and voice during a stimulating situation
What could you do to help John’s EA ensure that a similar situation does not occur in the future?
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Discussion
Considering John and his family are part of a visible minority, what challenges may they face in seeking treatments and supports for ASD?
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Discussion
In considering the scenario, provide an example of how the Community Health Nursing Standard: "Capacity Building" could be used.
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It is because people with ASD can have a range of symptoms
Autism is called an Autistic Spectrum Disorder. Based on the name, why do you think autism is a "SPECTRUM" disorder?
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- Separate the roles
- Remove the other students
How can each person within the situation (teacher, students, community nurse) play a role in helping effectively calm John down and evacuate the school?
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- Explain to the other children what it’s like for children with ASD to experience loud screeching alarm sounds, what they feel like
- Organize an education lecture for regular students - Help educate John’s classroom teacher on ASD so that she feels comfortable when interacting with John in the class - Plan a visit to a local fire department
What could you do to prepare the staff and students in the school to aid in similar emergency situations?
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Many challenges
What challenges may John’s mom face in caring for him and addressing his ASD needs (SDoH)?
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- Create supportive environments
- Reorient health services
In an ideal world, how could you as a nursing student use the Community Health Nursing Standard: "Access and Equity" to help John and his family with his ASD?
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A & B
How early do you think ASD can start to develop? Select all that apply.
a) Prenatal b) Neonatal c) Infancy d) Childhood e) Adulthood f) None of the above |
- noise-reducing earphones
- talk calmly - make sure your sentences are clear and easy to understand - speak one statement at a time
What are some de-escalation techniques that could be implemented in this situation?
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OT - Can help people with ASD learn life skills
Speech and Language Therapy - Speech and language therapy can help them ask for help, ask questions, tell stories, take turns in conversations, etc. Behavioural Therapy - changing and improving behaviour IEP - Behavioural, social, and academic approaches.
How do you think Occupational Therapy, Speech and Language Therapy, Behavioural Therapy, and an Individual Education Plan can help John with his ASD?
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- Provide her with resources on local support groups or community drop-in centres
- Interprofessional collaboration
As a community nursing student, what support can you provide to John’s mom to help her in raising a child with ASD?
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Discussion
Provide an example of how the Community Health Nursing Standard: "Professional Relationships" could be used in this situation?
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D - The cause of ASD is currently unknown.
What is ASD caused by?
a) It is caused by gene mutations on chromosomes 21, 14, and 1. b) It is caused by a loss of nerve cells in the substantia nigra (part of the brain). c) It is caused by an excess of glutamate (a chemical messenger) in the brain. d) The cause of ASD is currently unknown. |
- Tantrums can be seen as something that is done to elicit a response from another person or thing
- Meltdowns are usually mistaken as tantrums because of the similar reactions to both, but meltdowns are based on sensory overstimulation
How is an autism meltdown different from an autism tantrum?
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- Understand that forcibly disciplining him may not be the best choice
- Understand that John is unique and his reactions are unique to him
As a community health nursing student, how must you approach prevention in this situation in terms of expectations, biases or assumptions that you or other people involved may have?
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A & C
Considering John’s family situation, what types of government support programs do you think his family could apply for? Select all that apply.
a) Ontario Works (OW) b) Ontario Disability Support Program (ODSP) c) Ontario Autism Program d) Employment Insurance |
A, C & D
What actions show that a CHN is using the Ottawa Charter in practice?
a) They help to develop a program that provides accessible tests for ASD to all SES groups b) They believe that it is important to protect people with ASD c) The CHN supports members with ASD who want to learn strategies for improving their interrelationship skills. d) The CHN helps community members with ASD connect with relevant resources and services. |
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False
Males and females are equally as likely to be diagnosed with ASD in Canada.
True or False? |
Discussion
How would you as a nursing student provide educational teaching for the teacher and students involved after the emergency is over?
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- Consider whose voices were absent/silenced in the situation
- Make sure that you always give John the ability to be heard - Consider the role that social stratification plays and access to resources - Consider the impact that the SDoH have - Reflect on your own assumptions/biases
As a nursing student, how could you use a critical lens to help prevent a similar situation from occurring in the future?
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- Understanding how the family would address John's behaviour
- Helping determine the mother's understanding of John's needs
How could you as a community nursing student involve the family (mother and young siblings) for emergency preparedness?
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D
"Strengthening community action" to address "income and social status" for people with relatives with ASD?
a) The CHN advocates for a provincial increase in minimum wage. b) The CHN works with low-income parents to develop a book club. c) The CHN helps families with relatives diagnosed with ASD learn how to care for them. d) The CHN teaches a group of parents how to develop a political action plan to advocate for increased services for their relatives with ASD. |
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