Tomeika is a three-year-old girl. She was recently diagnosed with autism spectrum disorder (ASD).
Tomeika is able to make many vocalizations and is able to say one recognizable word. Tomeika will say “juice”, which she pronounces as “oos.” Throughout the day, Tomeika cries and falls to the floor to gain access to food, obtain a favorite toy, or when she wants to be picked up. Her parents, Mr. and Mrs. Williams, would like for Tomeika to communicate her desires with words, but do not know how to help her. Tomeika recently began attending an early childhood special education classroom for learners with ASD in the County Public School System for six hours a day, four days a week. On Wednesdays, Tomeika and her peers do not go to school. Instead, on this day, Tomeika’s interventionist, Mrs. Dell, has parent conferences in her students’ homes. During the conferences, Mrs. Dell discusses educational programming, learner progress, areas of concern, and also provides training to parents.
In a word doc, explain:
Which diagnostic information would be most critical for you to collect in the first visit?
What is the primary goal for the treatment of this patient’s family problem based on current US clinical practice guidelines?
Which complementary and alternative medication treatments would you recommend?
In Miami area, refer this patient to three agencies near you that would support positive health outcomes for this patient. (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?
Full Answer Section
- Current symptoms: This would include information on Tomeika's current communication, social, and behavioral skills. It is also important to ask about any sensory sensitivities or other challenges that Tomeika may be facing.
- Observations: This would involve observing Tomeika's behavior and interactions with others during the appointment.
What is the primary goal for the treatment of this patient’s family problem based on current US clinical practice guidelines?
The primary goal for the treatment of Tomeika's family problem based on current US clinical practice guidelines is to help her develop her communication, social, and behavioral skills. This may involve a variety of interventions, such as:
- Applied behavior analysis (ABA): ABA is a type of therapy that uses positive reinforcement to teach new skills and reduce problem behaviors.
- Speech therapy: Speech therapy can help Tomeika improve her communication skills, including her ability to understand and use language.
- Occupational therapy: Occupational therapy can help Tomeika develop her fine motor skills, self-care skills, and play skills.
- Social skills training: Social skills training can help Tomeika learn how to interact with others in a socially appropriate way.
In addition to individual therapy, Tomeika may also benefit from participating in early childhood special education programs. These programs provide specialized instruction and support for children with ASD and other developmental disabilities.
It is important to note that the specific treatment goals for Tomeika will be based on her individual needs and assessments. Her early childhood special education teacher and interventionist will work with her parents to develop a comprehensive treatment plan.
Which complementary and alternative medication treatments would you recommend?
There are a number of complementary and alternative medication (CAM) treatments that have been shown to be helpful for children with ASD. Some of the most common CAM treatments for ASD include:
- Omega-3 fatty acids: Omega-3 fatty acids are essential fats that are important for brain development and function. There is some evidence that omega-3 fatty acids may help to improve communication and social skills in children with ASD.
- Melatonin: Melatonin is a hormone that helps to regulate sleep. Some children with ASD have difficulty sleeping, and melatonin can be helpful in improving sleep quality.
- N-acetyl cysteine (NAC): NAC is an amino acid that has antioxidant and anti-inflammatory properties. There is some evidence that NAC may help to reduce problem behaviors in children with ASD.
It is important to note that CAM treatments should be used under the supervision of a qualified healthcare provider. Some CAM treatments can interact with other medications, so it is important to talk to your doctor before starting any new treatment.
In Miami area, refer this patient to three agencies near you that would support positive health outcomes for this patient. (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?
1. Autism Speaks: Autism Speaks is a leading advocacy organization for people with ASD. They provide a variety of resources and support services for families affected by ASD.
Rationale: Autism Speaks is a reputable organization with a wealth of resources and support services for families affected by ASD. They offer a variety of programs and services in the Miami area, including:
- Autism Speaks 100 Day Kit: This kit provides new families with ASD with information and resources to help them get started.
- Autism Speaks Family Services: This program provides families with ASD with access to a variety of support services, such as case management, respite care, and social skills groups.
- Autism Speaks School Services: This program provides training and support to schools to help them meet the needs of students with ASD.
2. Nicklaus Children's Hospital Developmental Disorders and Autism Program: The Nicklaus Children's Hospital Developmental Disorders and Autism Program is a comprehensive program that provides diagnosis, treatment, and support services for children and adolescents with ASD.
Rationale: The Nicklaus Children's Hospital Developmental Disorders and Autism Program is a highly respected program with a team of experienced and qualified professionals. They offer a wide range of services, including:
- Diagnostic assessments: The program offers comprehensive diagnostic assessments for children and adolescents who are suspected of having ASD.
- Individualized treatment plans: The program develops individualized treatment plans for each child based on