Advertisement

Inpatient Medical Care

  • Ann Kao
  • Jocelyn CarterEmail author
Chapter
Part of the Current Clinical Psychiatry book series (CCPSY)

Abstract

Inpatient medical care of individuals with autism spectrum disorder (ASD) can be quite challenging. There is a lack of studies to guide providers in best practices and care of patients with ASD in the inpatient setting. Based upon our experience at Massachusetts General Hospital, we have developed special tools integrating the Electronic Health Record and a multidisciplinary approach with focused attention to input from families in order to provide the best quality of care for patients with ASD in the hospital. There is a significant need for further research in this area.

Keywords

Autism Inpatient Hospitalization ASD Adult Pediatric Clinical case 

References

  1. 1.
    Broder-Fingert S, Shui A, Ferrone C, Iannuzzi D, Cheng ER, Giauque A, Connors S, McDougle CJ, Donelan K, Neumeyer A, Kuhlthau KA. Pilot study of autism-specific care plans during hospital admission. Pediatrics. 2016;137(Suppl 2):S196–204.CrossRefGoogle Scholar
  2. 2.
    Cheak-Zamora NC, Farmer JE, Mayfield WA, Clark MJ, Marvin AR, Law JK, Law PA. Health care transition services for youth with autism spectrum disorders. Rehabil Psychol. 2014;59(3):340–8.CrossRefGoogle Scholar
  3. 3.
    Cheak-Zamora NC, Yang X, Farmer JE, Clark M. Disparities in transition planning for youth with autism spectrum disorder. Pediatrics. 2013;131(3):447–54.CrossRefGoogle Scholar
  4. 4.
    Croen LA, Najjar D, Ray T, Lotspeich L, Bernal P. A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group model health plan. Pediatrics. 2006;118(4):e1203–11.CrossRefGoogle Scholar
  5. 5.
    Fortuna RJ, Robinson L, Smith TH, Meccarello J, Bullen B, Nobis K, Davidson PW. Health conditions and functional status in adults with autism: a cross-sectional evaluation. J Gen Intern Med. 2016;31(1):77–84.CrossRefGoogle Scholar
  6. 6.
    Giarelli E, Nocera R, Turchi R, Hardie TL, Pagano R, Yuan C. Sensory stimuli as obstacles to emergency care for children with autism spectrum disorder. Adv Emerg Nurs J. 2014 36(2), 145-163.CrossRefGoogle Scholar
  7. 7.
    Gotham K, Marvin AR, Taylor JL, Warren Z, Anderson CM, Law PA, Law JK, Lipkin PH. Characterizing the daily life, needs, and priorities of adults with autism spectrum disorder from interactive autism network data. Autism. 2015;19(7):794–804.CrossRefGoogle Scholar
  8. 8.
    Kopecky K, Broder-Fingert S, Iannuzzi D, Connors S. The needs of hospitalized patients with autism spectrum disorders: a parent survey. Clin Pediatr (Phila). 2013;52(7):652–60.CrossRefGoogle Scholar
  9. 9.
    Kuhlthau KA, Warfield ME, Hurson J, Delahaye J, Crossman MK. Pediatric provider's perspectives on the transition to adult health care for youth with autism spectrum disorder: current strategies and promising new directions. Autism. 2015;19(3):262–71.CrossRefGoogle Scholar
  10. 10.
    Lokhandwala T, Khanna R, West-Strum D. Hospitalization burden among individuals with autism. J Autism Dev Disord. 2012;42:95–104.CrossRefGoogle Scholar
  11. 11.
    McGonigle JJ, Migyanka JM, Glor-Scheib SJ, Cramer R, Fratangeli JJ, Hegde GG, Shang J, Venkat A. Development and evaluation of educational materials for pre-hospital and emergency department personnel on the care of patients with autism spectrum disorder. J Autism Dev Disord. 2014a;44(5):1252–9.CrossRefGoogle Scholar
  12. 12.
    McGonigle JJ, Venkat A, Beresford C, Campbell TP, Gabriels RL. Management of agitation in individuals with autism spectrum disorders in the emergency department. Child Adolesc Psychiatr Clin N Am. 2014b;23(1):83–95.CrossRefGoogle Scholar
  13. 13.
    Muskat B, Burnham Riosa P, Nicholas DB, Roberts W, Stoddart KP, Zwaigenbaum L. Autism comes to the hospital: the experiences of patients with autism spectrum disorder, their parents and health-care providers at two Canadian paediatric hospitals. Autism. 2015;19(4):482–90.CrossRefGoogle Scholar
  14. 14.
    Pratt K, Baird G, Gringras P. Ensuring successful admission to hospital for young people with learning difficulties, autism and challenging behavior: a continuous quality improvement and change management programme. Child Care Health Dev. 2011;38(96):789–97.PubMedGoogle Scholar
  15. 15.
    Rogers K, Zeni MB. Systematic review of medical home models to promote transitions to primary adult health care for adolescents living with autism spectrum disorder. Worldviews Evid-Based Nurs. 2015;12(2):98–107.CrossRefGoogle Scholar
  16. 16.
    Sakai C, Miller K, Brussa A, MacPherson C, Augustyn M. Challenges of autism in the inpatient setting. J Dev Behav Pediatr. 2014;35(1):82–4.CrossRefGoogle Scholar
  17. 17.
    Venkat A, Jauch E, Russell WS, Crist CR, Farrell R. Care of the patient with an autism spectrum disorder by the general physician. Postgrad Med J. 2012;88(1042):472–81.CrossRefGoogle Scholar
  18. 18.
    Warfield ME, Crossman MK, Delahaye J, Der Weerd E, Kuhlthau KA. Physician perspectives on providing primary medical care to adults with autism Spectrum disorders (ASD). J Autism Dev Disord. 2015;45(7):2209–17.CrossRefGoogle Scholar
  19. 19.
    Zerbo O, Massolo ML, Qian Y, Croen LA. A study of physician knowledge and experience with autism in adults in a large integrated healthcare system. J Autism Dev Disord. 2015;45(12):4002–14.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatrics and Internal MedicineMassachusetts General HospitalBostonUSA
  2. 2.Department of MedicineMassachusetts General HospitalBostonUSA

Personalised recommendations