Neuropsychiatric Stabilization in Youths on the Autism Spectrum in the Pediatric Emergency Department: A Call for Practice Standardization

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-01-07 DOI:10.1016/j.pedhc.2024.11.011

Lauren Decker DNP, APRN, CPNP, CPMHS, Julee Waldrop DNP, APRN, FNP-BC, PNP-PC, EBP-C FAANP, FAAN, Anne Derouin DNP, APRN, PNP-PC, PMHS, FAANP, ANEF

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引用次数: 0

Abstract

Introduction

Children and adolescents with neurodevelopmental and psychiatric comorbidities, particularly autism spectrum disorder and developmental delays (ASD/DD), present unique challenges in pediatric emergency department (PED) settings. Youths with ASD/DD are prone to sensory overload and frequently exhibit agitation and/or aggression, necessitating specialized interventions. However, PEDs lack standardized protocols for managing behavioral dysregulation in this vulnerable population, often relying on anecdotal treatment approaches that hinder the provision of safe, effective and individualized care.

Methods

A review of the literature and current agitation guidelines was conducted and analyzed inform the development of a clinical pathway tailored to the specific neuropsychiatric needs of youths with ASD/DD in the PED.

Results

A comprehensive clinical pathway was formulated to equip healthcare teams with safe and effective prevention, de-escalation and impact mitigation strategies, including environmental modifications, behavioral interventions, caregiver engagement and evidence-based pharmacologic guidelines.

Discussion

Implementing this standardized framework will enhance patient outcomes, improve safety, and ensure compassionate, patient-centered care in PEDs.

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.