A Young Service User With An Autistic Spectrum Disorder ( Asd )

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This case study discusses how the specific and additional needs of a young service user with an Autistic Spectrum Disorder (ASD) were met; whilst visiting the imaging department for an X-ray of their lower limb.
Throughout, to adhere to confidentiality guidelines; as set out within the Society of Radiographers’ (SoR) standards of professional conduct and in order to comply with the Data Protection Act (1998), the service user will here-on be referred to under the pseudonym ‘Smith’.
ASD is rather an umbrella terminology, used to describe varying behaviours, which affect the way some groups of people process and act in response to their surrounding stimuli (FP; 2012). As a ‘spectrum’ of disorders, this includes autism, Asperger’s syndrome
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Fragile X syndrome (FXS) is caused by changes in the fragile X mental retardation 1 (FMR1) gene, wherein, a protein called fragile mental retardation protein (FMRP) is not produced to sufficient quantities or a complete failure to do so; the gene is turned ‘off’. Whilst FXS affects both genders; females, however, often present milder symptoms (CDC; 2014).
TSC is caused by a mutation on the TSC1/TSC2 genes, causing a loss in production of tuberin and hamartin; a tumour suppressing compound (Jozwiak; 2005). It is characterised by multiple benign tumour growth within the organs, with more than 90% of subjects developing neurological symptoms, including; sleep disorders, cognitive impairments and other behavioural symptoms attributed to ASD (Julich et al; 2004).
Influences other than the mutation in gene expression are that of environmental factors. These have an effect on the overall risk of ASD; however, they are not a direct causative factor (AutismSpeaks; 2014). In a study by Lyall et al 2014, into the maternal lifestyle and environmental risk factors for ASD, published in the international journal of epidemiology; an association was found between a higher intake of certain nutrients and supplements; such as periconceptional folic acid; and reduced ASD risk. The study also recorded a significant increase of ASD risk
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