EXPERIENCES OF NURSING CARE FOR PATIENTS WITH AUTISM SPECTRUM DISORDER IN THE INTENSIVE CARE UNIT: AN EXPERIENCE REPORT

Abstract

Care for patients with Autism Spectrum Disorder (ASD) in the Intensive Care Unit (ICU) presents unique challenges to nursing staff, requiring adaptation of practices to mitigate sensory stress and overcome communication difficulties. This experience report describes the authors’ clinical care of autistic patients admitted to ICUs at two reference hospitals in Porto Velho – RO, relating observed practices to scientific evidence on the humanization of intensive care for neurodivergent individuals. The experiences highlighted the difficulty of managing agitation crises and sensory discomfort caused by environmental noise, lights, and invasive procedures, including, at times, the need for mechanical restraint. Nevertheless, success was observed in communicating procedures and actions, with continuous efforts to calm and distract patients. The reports emphasize the importance of specific nursing training, implementation of sensory adaptation protocols, use of alternative communication, and enhanced family support. It is concluded that overcoming the care barriers for ASD patients in ICU requires investment in training, appropriate protocols, and adaptation of the hospital environment.