Summer 2017, Volume 8, Issue 3

EBSCO Health Nursing Reference Centerâ„¢ Plus Newsletter including topics on Autism Spectrum Disorder, Sexual Abuse in Childhood: Adult Survivors and Diabetes Mellitus, Type 2: Prevention

Nursing Reference Center in Daily Practice

Autism Spectrum Disorder

Sammy is a 10-year-old boy with autism spectrum disorder admitted to the hospital for a tonsillectomy. The nurse would like to know more about autism spectrum disorder. She consults Nursing Reference Center™ Plus, keying in the word “autism spectrum disorder.” She retrieves the Quick Lesson “Autism Spectrum Disorder.”

The nurse reads about autism spectrum disorder, including risk factors, signs and symptoms, potential complications, laboratory tests, treatment goals, and interventions. Based on the information in the Quick Lesson, the nurse assesses Sammy’s emotional and physiologic status and asks him and his family about his preferred routines and particular dislikes. She administers prescribed medications (e.g., anticonvulsants)

Note: The above-referenced Quick Lesson is free and accessible to all readers of the Nursing Reference Center Plus Update.

Quick Overview

Sexual Abuse in Childhood: Adult Survivors

The United States Child Abuse Prevention and Treatment Act of 2010 (CAPTA) defines child sexual abuse (CSA) as “(A) the employment, use, persuasion, inducement, enticement, or coercion of any child to engage in, or assist any other person to engage in, any sexually explicit conduct or simulation of such conduct for the purpose of producing a visual depiction of such conduct; or (B) the rape, and in cases of caretaker or inter-familial relationships, statutory rape, molestation, prostitution, or other form of sexual exploitation of children, or incest with children; …”

Adult CSA survivors often experience feelings of fear, guilt, shame and anger, and they often respond to their abuse with self-hatred, low self-esteem and denial.  Amnesia of varying degrees about the abuse is also common. CSA is associated with a high lifetime prevalence of psychiatric disorders (e.g., depression, substance abuse, sexual dysfunction, eating disorders, post-traumatic stress disorder [PTSD]). Adult CSA survivors are often at higher risk for revictimization as an adult, chronic illness (e.g., asthma, chronic fatigue syndrome, fibromyalgia, irritable bowel syndrome, migraine) and self-injurious behaviors. Suicide risk is high. Factors that can affect recovery from CSA include the type of abuse (e.g., fondling vs. penetration), chronicity of abuse (isolated incident vs. serial abuse), relationship to the abuser (stranger vs. known or related individual), age at the time of the abuse and response by others during abuse disclosure (supportive vs. unsupportive). Treatment can include psychiatric evaluation and therapy and close monitoring for suicidal ideation and self-injurious behavior.

Please login to Nusring Referen Center or Nursing Reference Center Plus to read the Quick Lesson “Sexual Abuse in Childhood: Adult Survivors.”

Evidence-Based Content Update

Diabetes Mellitus, Type 2: Prevention

Recently, the Evidence-Based Care Sheet "Diabetes Mellitus, Type 2: Prevention" was revised following review under the Systematic Literature Surveillance Program. New information of value to nursing practice regarding the prevention of type 2 diabetes mellitus was found in a meta-analysis and systematic review. The authors of a meta-analysis and systematic review of 26 studies reported that light and moderate intake of alcohol was associated with a decreased risk of type 2 diabetes mellitus. Heavy alcohol consumption was not found to decrease the risk. The 26 studies included approximately 700,000 participants with approximately 30,000 of them having type 2 diabetes mellitus.

We invite you to login Nursing Reference Center or Nursing Reference Center Plus to read updated content as it becomes available.

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