Nursing interventions, Key outcomes nursing care plans for Autistic disorder

Nursing Key Outcomes Nursing Care Plans For Autistic Disorder

• The patient and his family will express reduced levels of anxiety.
• Anxiety is maintained at a level at which client feels no need for self mutilation
• Client initiates interactions between self and others, and use eye contact, facial responsiveness, and other nonverbal behavior
• The patient's family will openly share feelings about the present situation.
• As much as possible, the patient will demonstrate age-appropriate skills and behaviors.
• The patient will perform self care activities independently.
• The patient will develop peer relationships.
• The patient’s family will identify and contact available resources as needed.
• The patient and his family will practice safety measures and take safety precautions in the home.
• The patient won't engage in self-destructive behaviors.
• The patient will interact with family or friends.

Nursing interventions nursing care plans for Autistic disorder

• Reduce self destructive behaviors.
• Physically stop the child from harming himself.
• Give verbal or physical reinforcement.
• Foster appropriate use of language.
• Provide positive reinforcement when the child indicates his needs correctly.
• Encourage development of self esteem.
• Encourage self care.
• Encourage acceptance of minor environmental changes.
• Provide emotional support to the parents.
• Refer them to the Autism Society.

Nursing interventions nursing care plans for Autistic disorder based on nursing diagnosis

Nursing Diagnosis Risk for self mutilation

• Intervene to protect child when self mutilate behaviors, Safety tools like helmet may be used to protect against head banging, hand mitts to prevent hair pulling, and appropriate padding to protect extremities from injury during hysterical movements.
• Try to determine if self mutilate behaviors occur in response to increasing anxiety, and if so, to what the anxiety may be attributed.
• To establish trust, Work on one to one basis with child.

Nursing Diagnosis Impaired social interaction

• Build trust relationship with the child.
• Provide child with familiar objects such as favorite toys, or favorite blanket.
• Convey a manner of warmth, acceptance, and availability as client attempts to fulfill basic needs.
• Do not force interactions.
• Give positive reinforcement for eye contact. Gradually introduce use eye contact, facial responsiveness, and other nonverbal behavior
• Support client with nurse presence as he or she endeavors to relate to others in the environment.

Nursing Diagnosis Impaired verbal communication

• Maintain consistency in assignment of caregivers. Consistency facilitates trust and enhances the caregiver’s ability to understand the child’s attempts to communicate.
• Anticipate and fulfill client’s needs until satisfactory communication patterns are established. Anticipating needs helps to minimize frustration while the child is learning communication skills.
• Use the techniques of consensual validation and seeking clarification to decode communication patterns.
• Use face to face approach.

Nursing Diagnosis Disturbed personal identity

• Function in a one to one relationship with the child to establishment of trust.
• Assist child to recognize separateness during self-care activities, such as dressing and feeding.
• Point out, and assist child in naming, own body parts.
• Gradually increase amount of physical contact, using touch to point out differences between client and nurse. 
• Cautious in using touch until trust is established, client may be interpreted as threatening.
• Use mirrors and drawings or pictures of the child to reinforce the child’s learning of body parts and boundaries.

Nursing Diagnosis Anxiety
Nursing Diagnosis Compromised family coping
Nursing Diagnosis Delayed growth and development
Nursing Diagnosis Dressing or grooming self-care deficit
Nursing Diagnosis Interrupted family processes
Nursing Diagnosis Risk for injury
Nursing Diagnosis Risk for self-directed violence
Nursing Diagnosis Social isolation

Patient teaching and home health guidance for Autistic disorder

• Give knowledge to the parents about Autistic disorder to Help parent understand that the cause of this condition is unknown.
• Teach the parents how to physically care for the child's needs.
• Teach the parents how to identify signs of excessive stress and coping skills to use under these circumstances.
• Emphasize that they'll be ineffective caregivers if they don't take the time to meet their own needs in addition to those of their child.