Autism And Neurodivergent

Question 1

Autism

Answer 1

Lifelong developmental disability which affects how people communicate and interact with the world
Estimated effect over 1 in 100 people
Nuanced diagnosis, changing and covering a variety of people

Question 2

DSM -IV

Answer 2

Austin disorder, Asperger’s disorder, childhood disintergratie disorder and pervasive developmental disorder
Mental retardation
Reading disorder
Math disorder
Stuttering

Question 3

DSM - 5

Answer 3

Autism spectrum disorder
Dyslexia
Dyscalculia
Speech sound disorder
Language impairment

Question 4

Presentations of autistic women

Answer 4

Late diagnosis, mis diagnosis, undiagnosed
Masking or camouflaging traits
Difficulty fitting societal gender roles
Internalising problems
Increased mental health concerns - anxiety and depression

Question 5

Common cormorbidities

Answer 5

Up to 46% of autistic people are diagnosed with epilepsy
Mental health conditions
Anxiety
Depression and suicidal ideation
Higher rates of Austin people in eating disorder
PCV up to 30% cooccurrence
Sleep disorders
Gi issues
Earning disability

Question 6

Periatally

Answer 6

Increased intervention and poorer outcomes
Difficulty in communicating
Greater health challenges
Less likely to disclose their diagnosis with healthcare
More likely to experience postnatal depression have increases isolation in parent hood

Question 7

SPELL framework

Answer 7

Structure - predictable routine and environment
Positivity - positive, kind, supportive and individualised
Low arousal - sensory frenzy environment
Lines - support network

Question 8

Adaptions to care antenatal challenges

Answer 8

Sensory difficulties
Pain and interoceptive difficulties
Minor disorders of pregnancy
Lifestyle changes
Body changes
Uncertainty

Question 9

Antenatal adaptation

Answer 9

Disclosure pathway
Detailed care planning
Consistent appointment time and mdt working
Continuity of carer
Consider waiting areas
What are they likely to experience
Language

Question 10

Intrapartum care

Answer 10

Pain perception
Place of birth
Plan for diffferent stimuli
Continuity of carer Consider waiting
Theatre environment
Admission - ease of visiting and side room
Allow time to thoroughly explain check nderstanding and answer questions

Question 11

Postnatal and infant feeding

Answer 11

Birth debrief even if it perceived as traumatic
Difference interacting with baby
Information sharing - don’t overload
Benefits of breastfeeding
Pain perception