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Baruah R. Autism in ICU. J Intensive Care Soc 2024; 25:319-325. [PMID: 39224421 PMCID: PMC11366184 DOI: 10.1177/17511437241249847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024] Open
Abstract
Autism is a lifelong neurodevelopmental condition. Autistic people face challenges as patients in the intensive care unit (ICU) and as providers of healthcare in the ICU. This article describes the experience of autistic people using a neurodiversity-affirming approach. Using the 'Autistic SPACE' framework, the needs of autistic people are described in terms of sensory needs, need for predictability, need for autistic acceptance, communication differences and how to approach them, and the benefits of a person-centred empathy-based approach to autistic people. The approach to autistic patients is described in terms of reasonable adjustments within a framework of positive risk taking. For supervisors and managers of autistic healthcare professionals, autism-friendly adjustments to training and working practice, with rationales, are suggested.
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Affiliation(s)
- Rosaleen Baruah
- Intensive Care Unit, Western General Hospital, Edinburgh, UK
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Lucena R, de Melo-Carneiro P, Sampaio AS, de Almeida NR, Ponte AMV, de Brito Wanderley D, de Mattos AM, Robatto AP, Argollo N. Adults With Autism Should be Considered a Priority in COVID-19 Immunization Programs. J Autism Dev Disord 2022; 52:4202-4203. [PMID: 34533658 PMCID: PMC8446470 DOI: 10.1007/s10803-021-05281-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2021] [Indexed: 11/17/2022]
Affiliation(s)
- Rita Lucena
- Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Brazil
- Faculty of Medicine of Bahia, Federal University of Bahia, Praça XV de Novembro, s/n-Largo do Terreiro de Jesus, Salvador, Brazil
| | - Pedro de Melo-Carneiro
- Faculty of Medicine of Bahia, Federal University of Bahia, Praça XV de Novembro, s/n-Largo do Terreiro de Jesus, Salvador, Brazil.
| | - Aline Santos Sampaio
- Department of Neurosciences and Mental Health, Federal University of Bahia, Salvador, Brazil
- Faculty of Medicine of Bahia, Federal University of Bahia, Praça XV de Novembro, s/n-Largo do Terreiro de Jesus, Salvador, Brazil
| | - Nadia Rossi de Almeida
- School of Veterinary Medicine and Zootechny, Federal University of Bahia, Avenida Adhemar de Barros, 500, Ondina, Salvador, Brazil
| | | | - Daniele de Brito Wanderley
- Postgraduate Program in Medicine and Health, Federal University of Bahia, Rua Doutor Augusto Viana, s/n, Canela, Salvador, Brazil
| | | | - Ana Paola Robatto
- Faculty of Medicine of Bahia, Federal University of Bahia, Praça XV de Novembro, s/n-Largo do Terreiro de Jesus, Salvador, Brazil
- Department of Pediatrics, Federal University of Bahia, Salvador, Brazil
| | - Nayara Argollo
- Faculty of Medicine of Bahia, Federal University of Bahia, Praça XV de Novembro, s/n-Largo do Terreiro de Jesus, Salvador, Brazil
- Department of Pediatrics, Federal University of Bahia, Salvador, Brazil
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