My Nursing Perspective

As a nurse having worked on the inpatient eating disorder unit, I have seen the importance of implementing ways to support the comorbidity of autism and eating disorders.

Being admitted to the ward can initially be quite unsettling for this patient group as they are away from their usual routines and place of familiarity. I have found patients require further support to adapt to this new environment so they can engage in treatment.

Acknowledging the comorbidity enabled exploration of further individualised support options for patients, helping them feel more secure and relaxed throughout treatment on the ward.

I have found the following adaptations particularly useful:

• Meal plans incorporating the PEACE menu, which meets the patient’s nutritional needs and helps them with the sensory aspects of their diet.
• Low stimulus, quiet areas for those sensitive to sounds, preventing distress.
• Patient’s utilisation of sensory objects such as fidget sets, stress balls or their favourite toy which bring them a sense of familiarity, distraction and comfort.
• Orientation of the patient to the ward layout and routines, providing them with a supplementary patient information pack also helps them adapt to their new environment.
• Setting pre-arranged structured 1:1 therapeutic engagement time with their named nurse. This I feel is conducive as it allows them time to mentally prepare for the meeting, use this time effectively and assists them to work towards their recovery goals, whilst building a rapport with staff.
• Informing patients of any changes in their care as early as possible so as to minimise any patient anxieties. I am mindful these patients often have a greater need for consistency and sticking to schedules so any changes can be upsetting to them. I have found giving them enough notice helps them adjust to change.

I have learnt how understanding the needs of those with the autism helps patients to reach their recovery goals from their eating disorder at a pace that is more comfortable and manageable for them, providing them with individualised support and helping them build skills to work towards their recovery.

If a patient with such comorbidity were not to have their autism acknowledged I feel this would hinder their treatment and cause a patient to struggle more as they battle with their eating disorder.