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  • Book
    Eric P. Hazen, Christopher J. McDougle, editors.
    Digital : Springer2018
    Intro; Foreword; Contents; Contributors; Part I: General Principles; 1: Introduction; References; 2: Office-Based Medical Care; Introduction; Pediatrics; Preparing the Office; Before the Visit; During the Visit; History; Developmental History; Past Medical History; Social and Family History; Physical Examination; Clinical Vignette #1; Healthcare Transition; Outpatient Care of Adults with ASD; Preparing the Office; Before the Visit; During the Visit; Physical Examination; Clinical Vignette #2; References; 3: Inpatient Medical Care; Pediatric Inpatient Care; Clinical Vignette # 1; Background Challenges for Pediatric Patients with ASD in the Inpatient SettingStrategies for Improving Care of Pediatric Patients in the Inpatient Setting; The MGHfC Experience; Adult Inpatient Care; Clinical Vignette #2; Caring for Those with ASD in the Hospital: What Is Known; Innovation in Care Delivery for Inpatients with ASD; Case Study at the Massachusetts General Hospital: Improving Medical Care for Adults with ASD; MGH Autism Toolkit Components; References; 4: Medical Procedures: Challenges and Strategies; Introduction; General Principles and Approaches; Communication; Visual Supports Behavioral Contingencies and Positive ReinforcementSystematic Desensitization; Relaxation Strategies; Collaboration with Providers and Individuals Familiar with the Patient; Approaches to Specific Procedures in the Outpatient Setting; Vital Signs; Blood Draws, Needle Sticks, and Shots; Urine Sample; Pill Swallowing; Audiology Services; Dental Visits; Approaches to Procedures in Emergency and Inpatient Settings; Electroencephalogram (EEG) and Electromyogram (EMG) Procedures; Imaging: Magnetic Resonance Imaging and X-Rays; Additional Considerations for Adults and Elderly Patients Knowing When to Terminate a Procedure/InteractionClinical Vignette #1: A Pediatric Patient; Clinical Vignette #2: An Adult Patient; Survey for Preparation of Medical Procedures; References; 5: Quality Improvement; Introduction; Evidence for Unmet Needs; Quality Improvement Research: Areas for Intervention; The Quality Improvement Journey: Creating Change; Describing the Target Population; Defining the Problem: Measuring Unmet Care Needs and Gaps in Care Quality; Building a Case for Improvement with Preliminary Data; Identifying Stakeholders and Champions; Implementing Interventions Measuring Improvement/Transformational ChangeSummary; Massachusetts General Hospital Autism Care Collaborative: A Case Study; Resource Development; Medical Management of Adults with ASD on Inpatient Units; Education of Providers and Staff; Patient Flow; Communication and Information Transfer; Final Results; Next Steps; Summary; References; Part II: Care of Specific Disorders; 6: Neurology; Introduction; A Pediatric Approach to Common Neurological Conditions; Epilepsy; Clinical Evaluation; Treatment; Clinical Vignette # 1; Motor Abnormalities; Clinical Evaluation; Treatment