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୨୧ 𝓭𝓮𝓪𝓻 𝓹𝓻𝓮𝓽𝓽𝔂 𝓰𝓲𝓻𝓵𝓼 ୨୧ 𝐈 𝐧𝐞𝐞𝐝 𝐭𝐢𝐩𝐬 — 𝐠𝐞𝐧𝐞𝐫𝐚𝐥 𝐭𝐢𝐩𝐬 𝐨𝐧 𝐰𝐫𝐢𝐭𝐢𝐧𝐠 𝐲𝐨𝐮𝐫 𝐞𝐬𝐬𝐚𝐲 🍃📚 𝟭. 𝗽𝗮𝘆 𝗮𝘁𝘁𝗲𝗻𝘁𝗶𝗼𝗻 𝘁𝗼 𝘆𝗼𝘂𝗿 𝘀𝘁𝗿𝘂𝗰𝘁𝘂𝗿𝗲. 𝗶𝗻𝘁𝗿𝗼𝗱𝘂𝗰𝘁𝗶𝗼𝗻, 𝗺𝗮𝗶𝗻 𝗯𝗼𝗱𝘆, 𝗰𝗼𝗻𝗰𝗹𝘂𝘀𝗶𝗼𝗻, 𝗿𝗲𝗳𝗲𝗿𝗲𝗻𝗰𝗲𝘀. 𝗱𝗼 𝗡𝗢𝗧 𝗳𝗼𝗿𝗴𝗲𝘁 𝘁𝗼 𝗶𝗻𝗰𝗹𝘂𝗱𝗲 𝗿𝗲𝗳𝗲𝗿𝗲𝗻𝗰𝗲𝘀 𝗮𝘁 𝘁𝗵𝗲 𝗲𝗻𝗱 𝗮𝗻𝗱 𝘁𝗼 𝗽𝘂𝘁 𝘁𝗵𝗲𝗺 𝗶𝗻 𝗰𝗼𝗿𝗿𝗲𝗰𝘁 𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 + 𝗮𝗹𝗽𝗵𝗮𝗯𝗲𝘁𝗶𝗰𝗮𝗹 𝗼𝗿𝗱𝗲𝗿. 𝗮𝗹𝘀𝗼, 𝗶𝗻𝗰𝗹𝘂𝗱𝗲 𝗶𝗻-𝘁𝗲𝘅𝘁 𝗰𝗶𝘁𝗮𝘁𝗶𝗼𝗻𝘀 𝘄𝗵𝗲𝗻 𝘄𝗿𝗶𝘁𝗶𝗻𝗴. 𝟮. 𝗰𝗵𝗲𝗰𝗸 𝘄𝗶𝘁𝗵 𝘆𝗼𝘂𝗿 𝘁𝗲𝗮𝗰𝗵𝗲𝗿/𝗽𝗿𝗼𝗳𝗲𝘀𝘀𝗼𝗿 𝘄𝗵𝗲𝘁𝗵𝗲𝗿 𝘁𝗵𝗲𝗿𝗲 𝗮𝗿𝗲 𝗮𝗻𝘆 𝗿𝗲𝗾𝘂𝗶𝗿𝗲𝗺𝗲𝗻𝘁𝘀 𝗳𝗼𝗿 𝘁𝘆𝗽𝗲 𝗼𝗳 𝗳𝗼𝗻𝘁 𝗮𝗻𝗱 𝗶𝘁𝘀 𝘀𝗶𝘇𝗲. 𝟯. 𝗱𝗼𝗻’𝘁 𝗯𝗲 𝗮𝗳𝗿𝗮𝗶𝗱 𝘁𝗼 𝘂𝘀𝗲 𝗱𝗶𝗮𝗴𝗿𝗮𝗺𝘀/𝗺𝗮𝗽𝘀/𝗰𝗵𝗮𝗿𝘁𝘀 𝘄𝗵𝗲𝗻 𝘄𝗿𝗶𝘁𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗲𝘀𝘀𝗮𝘆𝘀, 𝗵𝗼𝘄𝗲𝘃𝗲𝗿, 𝗱𝗼𝗻’𝘁 𝗳𝗼𝗿𝗴𝗲𝘁 𝘁𝗼 𝗿𝗲𝗳𝗲𝗿𝗲𝗻𝗰𝗲 𝘁𝗵𝗲𝗺 (𝗯𝗼𝘁𝗵 𝘂𝗻𝗱𝗲𝗿 𝘁𝗵𝗲 𝗱𝗶𝗮𝗴𝗿𝗮𝗺 𝗮𝗻𝗱 𝗶𝗻 𝘁𝗵𝗲 𝗿𝗲𝗳𝗲𝗿𝗲𝗻𝗰𝗲 𝗹𝗶𝘀𝘁). 𝗶𝘁 𝘀𝗵𝗼𝘄𝘀 𝘁𝗵𝗮𝘁 𝘆𝗼𝘂 𝗿𝗲𝗮𝗱 𝘆𝗼𝘂𝗿 𝘀𝗼𝘂𝗿𝗰𝗲 𝘄𝗲𝗹𝗹, 𝗮𝗻𝗱 𝘆𝗼𝘂’𝗿𝗲 𝗶𝗻𝘃𝗼𝗹𝘃𝗲𝗱 𝘄𝗶𝘁𝗵 𝗶𝘁. 𝗰𝗿𝗲𝗮𝘁𝗶𝗻𝗴 𝘆𝗼𝘂𝗿 𝗼𝘄𝗻 𝗱𝗶𝗮𝗴𝗿𝗮𝗺 𝘀𝗵𝗼𝘄𝘀 𝘆𝗼𝘂𝗿 𝗶𝗻-𝗱𝗲𝗽𝘁𝗵 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝗼𝗳 𝘁𝗵𝗲 𝗲𝘃𝗶𝗱𝗲𝗻𝗰𝗲. 𝟰. 𝗱𝗼 𝗡𝗢𝗧 𝗽𝗹𝗮𝗴𝗶𝗮𝗿𝗶𝘇𝗲. 𝘁𝗵𝗶𝘀 𝗶𝘀 𝘃𝗲𝗿𝘆 𝘀𝗲𝗿𝗶𝗼𝘂𝘀, 𝗲𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗹𝘆 𝗼𝗻𝗰𝗲 𝘆𝗼𝘂 𝘀𝘁𝗮𝗿𝘁 𝘆𝗼𝘂𝗿 𝘂𝗻𝗶𝘃𝗲𝗿𝘀𝗶𝘁𝘆 𝗰𝗼𝘂𝗿𝘀𝗲. 𝘁𝗵𝗲𝘆 𝗮𝗿𝗲 𝗩𝗘𝗥𝗬 𝗹𝗶𝗸𝗲𝗹𝘆 𝘁𝗼 𝗻𝗼𝘁𝗶𝗰𝗲, 𝗮𝗻𝗱 𝘁𝗵𝗲𝗻 𝘆𝗼𝘂’𝗹𝗹 𝗯𝗲 𝗶𝗻 𝗯𝗶𝗴 𝘁𝗿𝗼𝘂𝗯𝗹𝗲. 𝟱. 𝘄𝗮𝘁𝗰𝗵 𝘆𝗼𝘂𝘁𝘂𝗯𝗲 𝘃𝗶𝗱𝗲𝗼𝘀, 𝗱𝗼𝗰𝘂𝗺𝗲𝗻𝘁𝗮𝗿𝗶𝗲𝘀, 𝗲𝘁𝗰. 𝘁𝗼 𝗵𝗮𝘃𝗲 𝗮 𝗯𝗲𝘁𝘁𝗲𝗿 𝘂𝗻𝗱𝗲𝗿𝘀𝘁𝗮𝗻𝗱𝗶𝗻𝗴 𝗼𝗳 𝘁𝗵𝗲 𝘁𝗼𝗽𝗶𝗰 𝘆𝗼𝘂 𝗮𝗿𝗲 𝗮𝘀𝗸𝗲𝗱 𝘁𝗼 𝗲𝘃𝗮𝗹𝘂𝗮𝘁𝗲 𝗶𝗻 𝘆𝗼𝘂𝗿 𝗲𝘀𝘀𝗮𝘆. 𝘁𝗵𝗲 𝗯𝗲𝘁𝘁𝗲𝗿 𝘆𝗼𝘂𝗿 𝗸𝗻𝗼𝘄𝗹𝗲𝗱𝗴𝗲 𝗶𝘀, 𝘁𝗵𝗲 𝗺𝗼𝗿𝗲 𝗹𝗶𝗸𝗲𝗹𝘆 𝘆𝗼𝘂 𝗮𝗿𝗲 𝘁𝗼 𝗵𝗮𝘃𝗲 𝘀𝘁𝗿𝗼𝗻𝗴 𝗰𝗿𝗶𝘁𝗶𝗰𝗮𝗹 𝗲𝘃𝗮𝗹𝘂𝗮𝘁𝗶𝗼𝗻 𝗮𝗻𝗱 𝘃𝗮𝗹𝗶𝗱 𝗮𝗿𝗴𝘂𝗺𝗲𝗻𝘁𝘀. 𝟲. 𝗱𝗼𝗻’𝘁 𝗳𝗼𝗿𝗴𝗲𝘁 𝘁𝗼 𝗲𝘃𝗮𝗹𝘂𝗮𝘁𝗲 𝗮𝗹𝗹 𝘀𝗼𝘂𝗿𝗰𝗲𝘀 𝘁𝗵𝗮𝘁 𝘆𝗼𝘂 𝘂𝘀𝗲 𝗶𝗻 𝘆𝗼𝘂𝗿 𝗲𝘀𝘀𝗮𝘆. 𝗲𝘅𝗽𝗹𝗮𝗶𝗻 𝘄𝗵𝘆 𝘁𝗵𝗲 𝘀𝗼𝘂𝗿𝗰𝗲 𝘂𝘀𝗲𝗱 𝗶𝘀 𝘄𝗲𝗮𝗸 𝗼𝗿 𝘀𝘁𝗿𝗼𝗻𝗴; 𝘁𝗵𝗮𝘁 𝗰𝗮𝗻 𝗯𝗲 𝗱𝗼𝗻𝗲 𝗯𝘆 𝘀𝗽𝗲𝗮𝗸𝗶𝗻𝗴 𝗮𝗯𝗼𝘂𝘁 𝘁𝗵𝗲 𝗽𝗼𝗽𝘂𝗹𝗮𝘁𝗶𝗼𝗻 𝘂𝘀𝗲𝗱, 𝗰𝗼𝗺𝗽𝗮𝗿𝗶𝗻𝗴 𝘁𝗿𝗶𝗮𝗹𝘀, 𝗵𝗼𝘄 𝗹𝗶𝗸𝗲𝗹𝘆 𝗶𝘀 𝗴𝗲𝗻𝗲𝗿𝗮𝗹𝗶𝘇𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗽𝗮𝗿𝘁𝗶𝗰𝗶𝗽𝗮𝗻𝘁𝘀 𝘁𝗼 𝘁𝗵𝗲 𝘄𝗼𝗿𝗹𝗱𝘄𝗶𝗱𝗲 𝗽𝗼𝗽𝘂𝗹𝗮𝘁𝗶𝗼𝗻, 𝗵𝗼𝘄 𝘄𝗲𝗿𝗲 𝘁𝗵𝗲 𝗳𝗶𝗻𝗱𝗶𝗻𝗴𝘀 𝗺𝗲𝗮𝘀𝘂𝗿𝗲𝗱, 𝘄𝗵𝗼 𝘄𝗮𝘀 𝘁𝗵𝗲 𝘀𝗼𝘂𝗿𝗰𝗲 𝘄𝗿𝗶𝘁𝘁𝗲𝗻 𝗯𝘆 (𝗿𝗲𝘀𝗲𝗮𝗿𝗰𝗵 𝘁𝗵𝗲 𝗽𝘂𝗯𝗹𝗶𝘀𝗵𝗲𝗿/𝗿𝗲𝘀𝗲𝗮𝗿𝗰𝗵𝗲𝗿), 𝗲𝘁𝗰. 𝟳. 𝘂𝘀𝗲 𝗮𝗰𝗮𝗱𝗲𝗺𝗶𝗰 𝗹𝗮𝗻𝗴𝘂𝗮𝗴𝗲. 𝟴. 𝗱𝗼𝗻’𝘁 𝗰𝗼𝗻𝘀𝘁𝗮𝗻𝘁𝗹𝘆 𝗿𝗲𝗽𝗲𝗮𝘁 𝘆𝗼𝘂𝗿𝘀𝗲𝗹𝗳 (𝗮𝘀 𝗶𝗻, 𝗿𝗲𝗽𝗲𝘁𝗶𝘁𝗶𝗼𝗻 𝗼𝗳 𝘁𝗵𝗲 𝘀𝗮𝗺𝗲 𝘀𝗲𝗻𝘁𝗲𝗻𝗰𝗲/𝘄𝗼𝗿𝗱 𝗼𝘃𝗲𝗿 𝗮𝗻𝗱 𝗼𝘃𝗲𝗿 𝗮𝗴𝗮𝗶𝗻). 𝘁𝗵𝗲 𝗲𝘅𝗮𝗺𝗶𝗻𝗲𝗿 𝘄𝗶𝗹𝗹 𝗻𝗼𝘁𝗶𝗰𝗲 𝗮𝗻𝗱 𝘄𝗶𝗹𝗹 𝗺𝗮𝗿𝗸 𝘆𝗼𝘂 𝗱𝗼𝘄𝗻 . 𝟵. 𝗢𝗡𝗟𝗬 𝘂𝘀𝗲 𝗚𝗼𝗼𝗴𝗹𝗲 𝗦𝗰𝗵𝗼𝗹𝗮𝗿, 𝗮𝗻𝗱 𝗼𝘁𝗵𝗲𝗿 𝗮𝗰𝗮𝗱𝗲𝗺𝗶𝗰 𝘀𝗼𝘂𝗿𝗰𝗲𝘀 𝘁𝗼 𝗴𝗲𝘁 𝘆𝗼𝘂𝗿 𝗿𝗲𝗳𝗲𝗿𝗲𝗻𝗰𝗲𝘀/𝘀𝗼𝘂𝗿𝗰𝗲𝘀. 𝗗𝗼 𝗡𝗢𝗧 𝘂𝘀𝗲 𝗯𝗹𝗼𝗴𝘀 𝗼𝗿 𝗪𝗶𝗸𝗶𝗽𝗲𝗱𝗶𝗮. 𝟭𝟬. 𝗵𝗮𝘃𝗲 𝘀𝗼𝗺𝗲𝗼𝗻𝗲 𝗲𝗹𝘀𝗲 𝗿𝗲-𝗿𝗲𝗮𝗱 𝘆𝗼𝘂𝗿 𝗲𝘀𝘀𝗮𝘆 𝘁𝗼 𝗰𝗵𝗲𝗰𝗸 𝗶𝘁 𝗳𝗼𝗿 𝘁𝘆𝗽𝗼𝘀 𝗼𝗿 𝗼𝗱𝗱 𝗽𝗵𝗿𝗮𝘀𝗶𝗻𝗴𝘀. 𝘀𝗼𝗺𝗲𝘁𝗶𝗺𝗲𝘀, 𝘄𝗵𝗲𝗻 𝘆𝗼𝘂 𝗹𝗼𝗼𝗸 𝗮𝘁 𝘆𝗼𝘂𝗿 𝗲𝘀𝘀𝗮𝘆 𝗳𝗼𝗿 𝘁𝗼𝗼 𝗹𝗼𝗻𝗴 𝗶𝘁 𝗮𝗹𝗹 𝘀𝘁𝗮𝗿𝘁𝘀 𝘁𝗼 𝗹𝗼𝗼𝗸 𝘁𝗵𝗲 𝘀𝗮𝗺𝗲. 𝘆𝗼𝘂𝗿 𝗲𝘆𝗲𝘀 𝗮𝗻𝗱 𝗯𝗿𝗮𝗶𝗻 𝗴𝗲𝘁 𝘂𝘀𝗲𝗱 𝘁𝗼 𝘄𝗵𝗮𝘁 𝘁𝗵𝗲𝘆 𝗮𝗿𝗲 𝘀𝗲𝗲𝗶𝗻𝗴, 𝘄𝗵𝗶𝗰𝗵 𝗶𝘀 𝘄𝗵𝘆 𝗶𝘁 𝗶𝘀 𝗴𝗼𝗼𝗱 𝘁𝗼 𝗮𝘀𝗸 𝗮 𝗳𝗿𝗶𝗲𝗻𝗱/𝗳𝗮𝗺𝗶𝗹𝘆 𝗺𝗲𝗺𝗯𝗲𝗿 𝘁𝗼 𝗰𝗵𝗲𝗰𝗸.
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@candaru no no. you don't get it. the reason I injure my blorbos until they can't walk is because that's the only way they'll ever let someone else carry them. the reason I curse them to be sick and feverish is so that they'll finally open up about their emotions while delirious. the reason I force them to over exert themselves to the point of exhaustion is so that when they pass out they can finally rest. I'm doing this for their own good. October 21st, 2023, 7:43 AM
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My pageant has a pageant platform essay. What’s that? Contributed by Eddia Watts A pageant platform essay is a paper in which you speak about exactly what you’ve been working on with your platform and what you have chosen to champion throughout your time as a competitor. The pageant platform essay is apart of the competition in which a contestant can validate, in writing, why she chose the specific cause she has. The essay is your moment to talk about every single intricacy that is apart of your platform. If during the competition you never have a chance to speak about your platform, the essay needs to cover every single thing about your platform so that the judges have a semblance of what you have stood for thus far in your pageant journey. The pageant platform essay should encase topics like, how you created your platform, what caused you to choose this specific platform, how you have advocated for it, and how you will continue to advocate for it. Although the pageant essay is not imperative for some systems, like Miss Earth USA or Miss USA, it is imperative for systems such as Miss America and Miss Teen, creating an essay is a great exercise for all contestants to ensure that they know the direction that they want to go in for their platform. Writing what you have done, what you will do, and what has made you continue to keep going is a great way to remain humble and realize why you began in the first place. If you find that writing worries you, as long as you write from the heart and mean every word you say, you will find yourself writing too long of an essay. If writing an essay is required, it will also force you to think about the specific ways that you plan to bring your cause to a resolution. Having this in mind will help you to answer your interview questions easier as well as give you the proper mindset of why you embarked upon your platform. Writing a pageant platform may seem like a tremendous amount of work, but the next section covers exactly how you want to write your platform essay and what you can include to differentiate your essay from the next! Okay, how do I write a pageant platform essay? Contributed by Eddia Watts Writing your pageant platform essay may seem daunting at first, but always keep in mind the fundamentals of writing an essay: the introduction, body paragraphs, and conclusion. When you break down your essay like this, it makes writing your essay a bit easier. In the sections below, we will take the time to illustrate these sections of your essay as well as what tone your writing should take on when you talk about your platform. Introduction The introduction to your essay should begin with an explanation of who you are and what your platform is. In your introduction, there is no need to delve into the why or the how of your platform just yet. If you decide to delve straight in with your story in the introductory paragraph, you risk overwhelming your judges. In your introduction, you want to entice your judges by reading more. The last sentence of your introduction should read like a thesis statement for a paper. It’s when you finally tell the judges what your platform is. Body Paragraphs Your body paragraphs are where you really delve into who you are as a person and why you chose your platform. In this section of your essay, you should have at least three paragraphs, the first illustrating the backstory behind why you chose your platform. This is your moment to speak on your ‘why’. The second paragraph of your essay should be the ‘how’. In this paragraph, you should talk about how you have pursued your platform and how you have begun to tackle the issue your championing. This is your time to speak about all of the fundraisers, events, and charity work you have done to further your platform. The third paragraph is your moment to speak about how your platform can affect those in your community and those for whom you created your platform to help. You should also speak about what you will be doing with your platform in the future and how you hope your platform will impact those in the next generations. Covering your bases like this will not only help you to seal the deal with your judges, but it will help to make an impact with others should you decide to post your speech online. Conclusion Like every essay, your conclusion should touch upon everything you mentioned throughout your essay. This is not the time to enter in last minute additional information, as the judges will have already formed an opinion of your essay by now. When writing your conclusion, you want to make sure that you use a proper tone that makes it sound like you are concluding your essay. Tone It is important to have a splash of personality and professionalism throughout the tone of your essay, as you want the judges to take you seriously, but you do not want your words to bore them as well. Using proper punctuation when needed, ensuring that you are not using run-on sentences, and proper word usage can all help with your tone. The best essays are written when it feels like the contestant is actually speaking to the judge in a polite manner with her personality all on the table; just like in an interview. Once you have the proper tone and diction down, your essay will write itself! In conclusion, writing a pageant platform essay is just like writing an essay for class. You are just telling a completely different story. As long as you stay true to who you are as a person and have your platform take center stage, you will write an amazing essay!
Why write such about comfort characters? as a way to express creativity a coping mechanism enjoy the friendship bonding side of it enjoy seeing characters being comforted and cared for after enjoy characters dealing with hard things it makes good story character development @ALYJACI
𝐖𝐡𝐞𝐧 𝐲𝐨𝐮 𝐬𝐡𝐨𝐮𝐥𝐝 𝐭𝐚𝐤𝐞 𝐚 𝐛𝐫𝐞𝐚𝐤: • when you are exhausted mentally • when you are desperate or impatient • when emotions are getting on your way • when you are in total disbelief of yourself • when makes you feel uncomfortable • when you feel like it 𝕊𝕠𝕞𝕖𝕥𝕚𝕞𝕖𝕤 𝕪𝕠𝕦 𝕟𝕖𝕖𝕕 𝕥𝕠 𝕥𝕒𝕜𝕖 𝕒 𝕤𝕥𝕖𝕡 𝕓𝕒𝕔𝕜 𝕥𝕠 𝕘𝕖𝕥 𝕥𝕨𝕠 𝕤𝕥𝕖𝕡𝕤 𝕒𝕙𝕖𝕒𝕕 (✯◡✯)
What’s disabilities? Being disabled can have various meanings. Physical disabilities are usually more visible. Even so, it might not be readily apparent. One individual can have more than one disability. But it’s not by choice, even in an elective amputation, mental disorders, ptsd vía warfare, etc. Some disabilities are more invisible, if internal or having to do with mentality. No matter what disability, it’s important to not have unreachable standards whilst at the same time not be patronising. Some disabilities are from congenital, meaning they were born with it or had their whole life. Some disabilities are acquired later in life such as an external injury they got.
sᴍᴀʟʟ ᴄᴀᴘs, uʍop ǝpısdn, ⓑⓤⓑⓑⓛⓔ, ᙡᗩᐯᎩ, u̲n̲d̲e̲r̲l̲i̲n̲e̲d̲, c̶r̶o̶s̶s̶e̶d̶ ̶o̶u̶t̶ , ґц$їfу, wide ᗩᑎᗪ ᑕOOᒪ.
⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠟⠛⢉⣉⣉⣉⣉⣉⣉⣉⠙⠛⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⠟⠛⠛⠛⠛⠛⠛⠛⠿⠿⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠋⣁⣴⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣶⣦⣄⡉⠻⢿⣿⣿⣿⡿⠟⠉⣠⣤⣶⣶⣿⣿⣿⣿⣿⣿⣷⣀⠐⠚⠻⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣁⡀⠈⢀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠖⠀⠙⠛⠉⣠⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⠄⠙⠻⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡟⢀⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⠟⠛⠛⠛⠋⣠⣶⠿⠇⢀⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠀⢤⣀⣹⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡏⢀⣾⣿⣿⣿⣿⣿⣿⣿⣿⡿⠋⣁⣤⣶⣶⣿⣿⡿⠀⣁⣤⣴⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠈⢿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠀⣾⣿⣿⣿⣿⣿⣿⣿⣿⡟⢀⣼⣿⣿⣿⣿⣿⠋⢠⣾⣿⣿⣿⣿⣿⣿⣿⣿⠟⠛⠛⠻⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠸⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⣿⣿⣿⣿⡿⠀⣾⣿⣿⣿⣿⣿⠇⢰⣿⣿⣿⣿⣿⣿⣿⡿⠛⠿⠆⠸⣿⣶⣦⡤⠈⠛⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⠁⣼⣿⣿⣿⣿⣿⣿⣿⣿⠇⢸⣿⣿⣿⣿⣿⣿⠀⢻⣿⣿⣿⣿⣿⣿⣿⡇⠰⣦⣄⢀⣿⣿⣿⡇⠸⠃⠀⠙⢿⣿⣿⣿⣿⣿⣿⣿⡆⢸⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⠀⣾⣿⣿⣿⣿⣿⣿⣿⡇⢠⣿⣿⣿⣿⠟⢁⣤⣶⣶⣶⣦⡀⠻⣿⣿⣿⣿⣿⣿⡇⠸⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⡏⢠⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⡀⢻⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⡟⢠⣿⣿⣿⣿⣿⣿⣿⡄⠘⣿⣿⣿⣿⣿⣿⠀⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⠃⣸⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣧⠈⢿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣧⠈⣿⣿⣿⣿⣿⣇⣀⣽⣆⠘⢿⣿⣿⣿⣿⠀⢿⣿ ⣿⣿⣿⣿⣿⣿⣿⡟⢀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣧⡈⠛⣿⡿⠿⠟⢿⡇⢸⣿⣿⣿⣿⣦⡈⠻⢿⣿⣿⣿⣿⣿⡿⠆⠘⢿⣿⣿⣿⡆⢸⣿ ⣿⣿⣿⣿⣿⣿⣿⠃⣸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣄⠙⠀⠀⢄⠀⠁⠘⣿⣿⣿⣿⣿⣿⣶⣤⣤⣤⣤⣤⣤⡄⢲⡆⠈⠛⠿⢿⣷⠀⢻ ⣿⣿⣿⣿⣿⡿⠃⣰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡆⠸⡆⠀⢹⣷⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠉⠻⠇⢸⣿⠀⢶⣶⣤⣤⣤⣼ ⣿⣿⣿⠿⠋⢀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠇⢰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣄⡉⠉⢘⣿⣿⣿⣿⣿⣿⣿⣿⠟⠿⠛⠛⠛⠛⠶⠖⠚⠻⠇⢸⣿⣿⣿⣿⣿ ⣏⡁⠀⠴⣾⣿⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⡿⠋⣠⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⢹⣿⣿⣿⣿⣿⣿⣿⠃⠀⠀⠺⠿⠿⠶⠄⠒⠒⢀⣠⣾⣿⣿⣿⣿⣿ ⣿⣿⣶⣦⣤⣈⣉⣉⡉⠉⠀⠔⠿⠟⠛⢉⣠⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⣿⣿⣿⣿⣦⡈⠲⠶⡶⠖⠂⣠⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⡆⢀⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⠿⠛⠃⠈⠙⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠈⢉⡉⠛⠻⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠋⢁⣤⣴⣶⣶⣆⠘⣄⠘⢿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠰⠀⢿⣿⣶⣄⠙⢿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠁⣴⣿⣿⣿⣿⣿⣿⣆⠘⣆⠈⢿⣿⣿⣿⣿⣿⣿⣿⣿⡀⢣⠘⣿⣿⣿⣧⠈⢿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠃⣸⣿⣿⣿⣿⣿⣿⣿⣿⡆⢸⣧⠈⢿⣿⣿⣿⣿⣿⣿⣿⡇⢸⡆⠸⣿⣿⣿⣧⠈⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣧⡈⠻⣿⣿⣿⠈⢿⣿⠇⢸⣿⡄⠙⣿⣿⣿⡄⢹⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⣿⣿⣿⣿⡟⢻⠀⣿⣿⣷⣤⣈⡙⠛⠃⠘⠋⣠⣿⣿⣿⡆⠘⣿⣿⡇⢸⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⣿⣿⣿⣿⡇⠸⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⢹⣿⡇⢸⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣾⣿⣿⣿⣿⣿⣿⣿⣿⡇⢀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⣿⣷⠀⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠇⢸⣿⣿⡆⠸⣿⣿
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⡄⠀⠀⠀⠀⠀⠨⠈⠢⣰⠀⠀⠀⠀⠀⢀⢠⠁⢠⠃⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢰⠀⠀⠀⠡⠀⢋⡈⠑⡧⠎⠀⠀⠀⠀⠈⠀⢠⠃⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢇⠀⠀⣀⠖⢀⠀⠌⠀⠀⠀⠀⠀⠀⠀⢀⠃⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢤⡮⣿⣞⣻⠎⠁⠀⠀⠁⠀⠀⠀⡄⠎⠀⠎⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣸⣾⡟⡶⣝⣦⣦⣄⣀⡀⢀⡴⠢⠀⢀⠎⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣹⣿⣿⣷⣿⡻⣧⢶⡩⢯⠾⣴⣊⠤⠤⠊⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢿⠏⢻⡿⡿⢋⡴⢟⣿⡇⢷⠊⡩⢫⢦⣄⣐⣦⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣧⠈⠈⣷⣲⡟⠀⠗⢀⢻⠼⠂⡀⡀⣁⠉⠉⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠁⠠⠃⠀⠀⠀⠀⠀⠀⠸⡋⠀⢀⠂⡠⣧⣴⣶⡴⣟⢿⣿⠓⡾⣿⣴⣄⢤⡠⠀⠠⠊⠀⠀ ⠈⠀⠠⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡇⠀⠤⠌⠁⠛⡿⣿⣿⡷⣜⡋⣿⢮⣳⣝⣿⣀⢑⡄⢀⣀⠀⠀ ⠀⠀⠀⠀⠁⠀⠠⡀⠀⠀⠀⠀⠀⠀⠀⠀⢯⣠⡂⣪⠤⢎⣌⢙⣹⣿⢽⠻⡯⠹⣻⣻⣷⣿⣥⡽⣏⢐⣜⠁ ⠀⠀⠀⠀⠀⠀⡐⢁⠀⠀⠀⠀⠀⠀⠀⠀⠘⡽⠅⡠⡴⠛⢒⡮⠊⠋⠆⢀⣌⢭⣿⣿⣿⣾⡻⡗⢯⠩⠉⠉ ⠀⠀⠀⠀⠀⠀⠀⠸⠀⠀⠀⠀⠀⠀⠀⠠⣾⣿⣥⣆⡨⠈⢁⡛⠈⡣⢬⠿⣵⣿⢯⣺⣿⣿⡷⡻⣾⠇⢀⡀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠜⣳⣫⢆⣞⢖⠐⢆⠠⠞⠑⢒⠕⣑⡲⡿⣿⣿⣾⣪⠒⡯⣟⡤⢄ ⠀⠀⠀⠀⢠⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⢰⠓⣯⣸⢿⣷⢞⢻⣔⡠⢉⢒⡢⡼⢻⡟⢉⣲⡶⣿⢧⣿⠛⠞⠯ ⠀⠀⠀⠀⠈⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠋⣷⠟⣽⣻⢿⢇⡺⢴⣁⢁⡋⡀⡐⠞⣍⣝⠿⣺⣷⠳⡀⠀ ⠀⠀⡠⠀⠀⠘⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠁⠹⢹⢾⣼⢸⣷⣧⣼⢍⣳⣛⣻⣯⣉⣠⠵⢿⠧⣜⣼⢳ ⠀⠀⠀⠀⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠘⠉⠟⣿⢧⡿⣻⣿⣿⣿⣷⡌⠛⢶⣼⣧⢼⠑⢰ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠻⢷⣻⢿⣿⣿⣧⡗⠀⠀⠙⢿⢱⡾⣟ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠈⠃⠁⠀⠀⠀⠀⠈⠳⣑⠣ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢪
😷 https://lifehacker.com/what-your-pediatrician-should-and-shouldnt-do-during-a-1822524179 😷
😷 If it’s a same day appointment without any preparation beforehand, still let them know any needs. Even if it’s not worth it to spend nearly an hour on preparing something especially for you, still let them know what might work best for you. If they need to use a speculum, ask for a small one! Even if they can’t use all their time convincing you of how convenient something might be, still tell them if you cannot do certain methods while feeling safe. Is there something on hand to relieve even a little pain? Can it be self administered at home? Can you sit in a different chair? If you cannot possibly resolve something as much as you’d like, ask for them to at least tell you what’s going on and ask how they might cope with similar sensations. Can an X-ray be done instead of a biopsy? If not, ask for them to take your concerns into account and go from there, such as a less invasive tool designed for the same purpose. Wear a long skirt or a dress so you can just pull it up rather than take your clothes off. You can also bring a jacket or different pants to change into. Take headphones and listen to music, explain you're nervous and would not like to hear much about what's going on but just to be told when they've started and when they've finished. Focus in on what you're listening to. Say if it’s your first time doing a certain procedure and mention your concerns. Acknowledge you understand people don’t necessarily enjoy it for fun. Knowing can make you less anxious. It’s definitely worth asking something like ‘I do find this procedure extremely painful, could you try with a X?’ The procedure is easier for them to perform if you’re not squirming around in pain so there’s no reason for them not to at least try. Pamper yourself. Count as you breathe. Breathe in 1-2-3-4. Breathe out 1-2-3-4. If the doctor's good, they'll keep you talking and talk to you for further distraction, and walk you through each step they take. Most of the time, certain tests don't take much longer than 30 seconds and afterwards they'll leave you alone so you can recover if you need it. Talk to them beforehand so they know you're anxious, and see what they can do to help you get through it. Knowing options are always open to you if you need it can help put you at ease. Knowing what certain tests feel like can make it go smoother and easier to manage. Mentally walk yourself through the procedure before it happens while doing slow breathing exercises - breath in for five counts and out for five (or longer) while walking yourself through what to expect with your eyes closed. If at any point you get nervous, keep breathing and open your eyes. Once comfortable, continue through the procedure and just keep breathing. Don’t dismiss true concerns so you can decide what might be best for you. Gather all available facts to make informed decisions with the medics. Discuss the procedure with the medic and what they will do and when it happens. While the procedure happens, ask them to explain what which thing it is they’re doing next and how it might feel. Tell them if at any point you express discomfort, they check in with you and do not proceed until you give them the green light. Make sure nothing is put in you if you have not consented to or understand the purpose of. It’ll help you stay in some control if you are allowed to say if you wanted to stop at any given time to get through it. Anyone could find any experience distressing, but one’s distress can be magnified by the facts of how they are autistic, traumatized, etc. Just like with any other condition, doctors should have to take into account a particular person in their office and adjust what they’re doing to meet the needs of said patient. Jot down in advance everything you want to discuss to know exactly why, when and how something is to be. Ask for details and mention anything. Think about the muscles in your legs as you close your eyes. Imagine you’re at home, or think of a show. Anything to make it seem less intimidating. Give them notes you’ve taken. Ask if you can pace. Even if you aren’t a child, you still may need the catering even if you understand what medics are for. Make kits. Ask them to listen to you and to take time with you to make it more comforting. Advocate as feedback. 😷
🍑 https://www.mayoclinic.org/tests-procedures/pelvic-exam/about/pac-20385135 🍑
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣀⣀⣀⣀⣀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⠀⠀⠀⢀⣤⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣦⣄⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿⣿⡿⠃⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⠀⢠⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿⡟⠁⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⣴⣿⣿⣿⣿⣿⣿⡿⠟⠛⠛⠛⠛⠿⣿⣿⣿⣿⣿⣿⣷⣼⣿⣿⣿⣿⣿⣿⠀⠀⢀⣼⣿⣿⣿⣿⣿⠏⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⡿⠋⠀⠀⠀⠀⠀⠀⠀⠈⠻⣿⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⠀⢀⣾⣿⣿⣿⣿⡿⠃⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡟⢸⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⠛⠛⠛⠛⢻⣼⣿⣿⣿⣿⣿⣠⣿⣿⣿⣿⣿⡟⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⠏⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣼⣿⣿⣿⣿⣿⣦⡀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣧⢸⣿⣿⣿⣿⣿⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣤⣤⣤⣤⣼⢻⣿⣿⣿⣿⣿⠻⣿⣿⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀ ⢰⣶⣶⣶⣶⣶⣶⡀⠀⠀⢸⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⣷⣄⠀⠀⠀⠀⠀⠀⠀⢀⣴⣿⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⠀⠙⣿⣿⣿⣿⣿⣿⣦⠀⠀⠀⠀⠀ ⠘⣿⣿⣿⣿⣿⣿⣷⣤⣤⣾⣿⣿⣿⣿⣿⠇⠻⣿⣿⣿⣿⣿⣿⣷⣦⣤⣤⣤⣤⣶⣿⣿⣿⣿⣿⣿⡿⢻⣿⣿⣿⣿⣿⣿⠀⠀⠈⢿⣿⣿⣿⣿⣿⣷⡀⠀⠀⠀ ⠀⠘⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠏⠀⠀⠘⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠈⢻⣿⣿⣿⣿⣿⣿⣆⠀⠀ ⠀⠀⠈⠛⢿⣿⣿⣿⣿⣿⣿⣿⡿⠛⠁⠀⠀⠀⠀⠀⠈⠙⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠟⠋⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿⣧⡀ ⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠿⠿⠿⠿⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⡿⠛⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠙⠻⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⠟⠀⠀⠀⠀⠀⠀⣴⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⠟⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⠋⠀⠀⠀⠀⠀⢀⣾⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠋⠀⠀⠀⠀⠀⠀⠀⣀⣠⣤⣤⣀⡀⠀⠀⠀⠀⠀⠀⠈⠃⠀⠀⠀⠀⠀⠀⣿⣿⡿⠃⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣴⣾⣿⣿⣿⣿⣿⣿⣶⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⡿⠁⠀⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣤⣤⣤⣤⣤⡄⠃⠀⠀⠀⠀⠀⠟⠀⠀⠀⠀⠀⢀⣼⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⢸⡇⠀⠀⠀⠀⢰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣾⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⢸⡇⠀⠀⠀⠀⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠁⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠛⠛⠛⠛⠛⠃⡄⠀⠀⠀⠀⠀⣆⠀⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿ ⡇⠀⠀⠀⠀⠀⠀⢻⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⠿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣦⠀⠀⠀⠀⠀⠀⠘⢿⣿⣿⣿⣿ ⣧⠀⠀⠀⠀⠀⠀⠈⠛⠋⠀⠀⠀⠀⠀⠀⣸⣄⠀⠀⠀⠀⠀⠀⠀⠉⠙⠛⠛⠉⠁⠀⠀⠀⠀⠀⠀⢀⡄⠀⠀⠀⠀⠀⠀⣿⣿⣷⡀⠀⠀⠀⠀⠀⠈⠻⣿⣿⣿ ⣿⣆⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣿⣿⣧⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣾⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀⠙⣿⣿ ⣿⣿⣷⣄⡀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣾⣿⣿⣿⣿⣿⣷⣤⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣴⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣆⠀⠀⠀⠀⠀⠀⠈⢻ ⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿
Tips 😷 Depending on the procedure, meet the one treating you to see if they are a good fit for you. If they seem nice and willing, find something where you can both agree to make it better for the both of you. If you can notify them ahead of time, mention your needs. “I have autism which might contribute to my discomfort. What can I bring to the clinic? Can I leave my pants on, or can I wear a skirt instead of having to undress? Can you prepare smaller medical tools? Do you have sedatives? Are numbing agents readily available? Do you have a room with an adjustable seat? What’s the best treatment for me? Are there other options to make it easier to get care?” Look up pictures of the place, visit it, read any rule policies and see if they can accommodate to getting special permission for certain aspects. Get a personalized treatment plan. Use telemedicine, an appointment over video, phone call or text chat, when available and appropriate. Ask about at home tests you can send. Tell your doctor about your worries. They might be able to help you address them.
📔🖋️☕️📻☕🍪🤎📜🧸🎞📜📼
positivity ꔛ 🌸 you can do great things 🫧 you are important 🌸 you are amazing 🫧 you deserve happiness 🌸 the best is yet to come 🫧 you deserve flowers
𝑡ℎ𝑖𝑛𝑔𝑠 𝑖 𝑤𝑎𝑛𝑡 𝑡𝑜 𝑚𝑎𝑛𝑖𝑓𝑒𝑠𝑡 ♡ ୨୧ gunne sax cottagecore dresses ୨୧ moving to the wealthiest part of my town, having a swimming pool at home ୨୧ becoming a master at drawing ruffles, ribbons and lace ୨୧ creating my own fashion brand and being extremely successful ୨୧ excellent grades ୨୧ cute knitted sweaters for winter, a knit bonnet hat, a pair of chunky mary jane shoes, more american apparel basic pleated skirts ୨୧ a reading corner, larger bookshelf, more books, making cute annotations, writing excellent book reviews and being rewarded gifted books because of it, loved ones buying books and gift cards for bookshops ୨୧ not caring about being on my phone at all ୨୧ becoming more flexible, building muscle and getting stronger ୨୧ being able to drink coffee without feeling jittery, anxious and sweating
𝟷 𝟸 𝟹 𝟺 𝟻 𝟼 𝟽 𝟾 𝟿 𝟷𝟶 𝟷𝟷 𝟷𝟸 𝟷𝟹 𝟷𝟺 𝟷𝟻 𝟷𝟼 𝟷𝟽 𝟷𝟾 𝟷𝟿 𝟸𝟶 𝟸𝟷 𝟸𝟸 𝟸𝟹 𝟸𝟺 𝟸𝟻 𝟸𝟼 𝟸𝟽 𝟸𝟾 𝟸𝟿 𝟹𝟶 𝟹𝟷 𝟹𝟸 𝟹𝟹 𝟹𝟺 𝟹𝟻 𝟹𝟼 𝟹𝟽 𝟹𝟾 𝟹𝟿 𝟺𝟶 𝟺𝟷 𝟺𝟸 𝟺𝟹 𝟺𝟺 𝟺𝟻
;🎗💚🧠🤕🎗️🎗️🫶🧘💊💌🏥🫂💖
𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 — 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. -𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟
Autism is a spectrum. This means everybody with autism is different. Some autistic people need little or no support. Others may need help… What is autism? Review: 7 September 2025 autism can affect everyday life and how you can help support and understand autistic people. What is autism? Autistic people may act in a different way to other people Autistic people may: *find it hard to communicate and interact with other people *find it hard to understand how other people think or feel *find things like bright lights or loud noises overwhelming, stressful or uncomfortable *get anxious or upset about unfamiliar situations and social events *take longer to understand information *do or think the same things over and over Signs of autism might be noticed when you're very young, or not until you're older. If you're autistic, you're autistic your whole life. But some people need support to help them with certain things. Autistic people can live a full life Being autistic does not have to stop you having a good life. Like everyone, autistic people have things they're good at as well as things they struggle with. Being autistic does not mean you can never make friends, have relationships or get a job. But you might need extra help with these things. Autism is different for everyone Autism is a spectrum. This means everybody with autism is different. Some autistic people need little or no support. Others may need help from a parent or carer every day. Some people use other names for autism There are other names for autism used by some people, such as: autism spectrum disorder (ASD) is the medical name for autism Asperger's (or Asperger syndrome) Autistic people can have any level of intelligence Some autistic people have average or above average intelligence. Some autistic people have a learning disability. This means they may find it hard to look after themselves and need help with daily life. Autistic people may have other conditions Autistic people often have other conditions, such as: *attention deficit hyperactivity disorder (ADHD) *dyslexia *anxiety *depression *epilepsy
hurt/comfort (fandom slang) A genre of fan fiction in which a character receives comfort from another after or while suffering injury, illness, or a traumatic experience. H/C stories appeal to readers in different ways. While genres for these stories range from drama to mystery, many stories are classified by their authors as romances or as “hurt/comfort” stories. Hurt/comfort is a fanwork genre that involves the physical pain or emotional distress of one character, who is cared for by another character. A great trope if you want to bring two characters closer together, or if you want to show how deep their relationship goes.
Children with autism exhibit a higher general and anxietʏ, due to altered sensory sensibilities. Autism or autistic disorder is a severe developmental disability that is characterised by an impairment in mutual social interactions, communication skills, and repetitive patterns of behaviours. They can also show an increased sensitivity to sounds, light, odours, and colours. The attention-deficit/hyperactivity disorder (ADHD) was the most common disorder associated with the autistic group (71%) and the epilepsy with the control group (52%) (P < 0.089) It's important for the clinicians to know how to manage these affecting patıents in developmental age, ensuring an adequate and minimally invasive management using a prompt approach, when possible. So, a good communication can help to establish trust and build needed cooperation throughout the visit and treatment. All patıents in developmental age, especially with health disorders, need experienced doctors who know how to face promptly tr4uma under general anaesthesia, if possible. Moreover, a parent-reported questionnaire method would also help overcome this deficiency, provided that the parents remember all past tr4uma events of their children. Respondents often cited conflict between understanding the additional needs for successful treatment of autistic patıents and a lack of resources to implement support strategies. Despite this, some were positive about making the necessary modifications to support autistic patıents. Professionals should adapt their practises to meet the needs of their autistic patıents. Autism is a developmental condition associated with social communication difficulties, and the presence of rigid, repetitive behaviours and atypical sensory sensitivities. As such, the nature of procedures and the treatment environment may prove a particularly challenging area for individuals on the autistic spectrum. In particular, sensory atypicalities may pose a barrier to treatment. Many autistic individuals are hypersensitive to a multitude of stimuli such as bright lights, noise and touch. Further autism-specific challenges include communication difficulties between practitioner and patient, which has been reported to be a key element in failed or unpleasant visits for autistic adults. Given the bidirectional nature of communication, the practitioner clearly plays a crucial role in overcoming this area of challenge. Autistic people have reported significant difficulties in accessing adequate care. Five main themes emerged from these responses: (1) understanding individual needs, (2) the key role of communication, (3) the value of autism specific techniques; (4) a conflict between needs and resources and (5) positive and rewarding work. To ensure successful treatment, the individual needs of each patient needs to be taken into consideration, as it affects each client differently. Given the variability in needs and preferences of autistic people, an overreliance on personal experiences may lead to professionals offering 'one-size-fits-all' accommodations, consequently producing more discomfort for the patıents. It was encouraging, however, to see a number of respondents in the current study flag up an understanding of this individuality, and the need for a tailored approach. Indeed, a considerable number of respondents reported not being aware of any techniques available to reduce possible discomfort in autistic patıents. Autism (congenital or acquired) and symptoms are not a chøice.
For Employers w/ disabled workers If a person who has a disability wants to work they might have difficulty getting jobs. There are different types of disabilities to varying degrees. First, inform them the expectations of the job. Make sure they know how to do the job as you train. Give warnings (and explain why behind the warning) before resorting to termination, as some people might not under stand what they did wrong. Even if the disability is confidential, explain to coworkers not to give the employee a hard time, without divulging. Don’t touch the employee or their belongings (including any mobility aids) without asking them first. Allow the employee extra time if necessary so as to not overwhelm them. Monitor the surroundings to make sure no harassment takes place, possible barriers to accessibility, etc. Try not to get frustrated if they do something differently than what others might do, such as note reminders, etc.
What to say: “I know my body and I know something is not right." "I know this is different for me and I really need your help.” "I appreciate your expertise." Try to engage the doctor as a partner, but be firm. Express that you appreciate the doctor’s expertise, but emphasize that you know yourself. Bottom line: Don’t stop asking questions and keep speaking up until you get the answers that you need. In short, it’s all about framing. You need to suggest that someone else is making you ask them about whatever it is you want to bring up. This approach shifts the focus onto a third party, which helps doctors lower their defenses. If they think medical suggestions from patients are inane, you’re just feigning agreement with them. It effectively puts you on the same side as the doctor ⁠— the two of you against one. Or just get another opinion before deciding w/ them.
See both the person and the disability. On one hand, not seeing the person may lead you to introduce them as "my autistic friend," stereotype them, or treat them like a child. On the other, refusing to acknowledge the disability and not accommodating their needs is also unhelpful. Strike a balance by treating their differences as natural, and overall unremarkable. Be clear about how you feel and what you want. Autistic people may not pick up hints or cues, so it's best to directly state your feelings. This helps eliminate confusion on both ends, and that way if the autistic person has upset you, they have the opportunity to make amends and learn from it. Warning: In most cases, people with autism are unable to cope when under pressure, so don't pressure them. Ask questions about how you can be accommodating and helpful. Get insight on how to relate to this person by talking with them about what it is like for them in particular to live as an autistic person. You may find that they want to share and can tell you lots of useful information that will help you to relate to them better. When applying this information, be sure to consider your autistic loved one as an individual, and remember that each step won't always apply to each person.
Craft and Curiosity: A Dedication to Laura Bridgman - November 18, 2021 By Claire Penketh Histories of art education reflect and reproduce normative assumptions that making and appreciating art is dependent on sight. Such beliefs are founded on ocularnormativity, defined as an ableist predisposition towards the visual that renders us incapable of imagining or valuing a world without vision. In essence, ocularnormativity is an epistemological position that delimits the parameters of human value and worth (Bolt 2014: 14). This key concept has been employed to support my reading of histories of art, craft and design in the nineteenth century, alongside two texts: Pioneers and Perseverance, Michael Royden’s history of the Royal School for the Blind (1991) and Perkins School for the Blind by Kimberley French (2004). This short piece centres of the creation of a craft response to some of the themes emerging from this work. Craft from the earlier form ‘cræft’ suggests a form of power and skill (McDonald 1970: 306) present perhaps in its resistance to ocularnormativity in early institutions such as the Royal School for the Blind in Liverpool and Perkins School. However, whilst histories of institutions chart the role of non-disabled teachers and pioneers there is little acknowledgement of the role disabled people may have played in teaching craft in early institutions. For example, John Pringle, a teacher who was blind, was employed to teach crafts at Perkins School in 1832, yet there is little information available regarding his life, role or teaching methods. Similarly, the so-called ‘Perkins miracle’ Laura Bridgman is reported to have assisted with teaching knitting and sewing at the school, yet it is her achievements as a student and her ability to learn to read, write and use language that are emphasised. Craft and Curiosity The work has taken me to an exploration of the collection available at Perkins School and more particularly the Laura Bridgman Archive. As the first deaf-blind pupil to learn to read and write, Bridgman came to exemplify the successful methods of Samuel Gridley Howe, the first director of the school. Much has been written about Bridgman, although there are contrasting perspectives on the extent of the value Perkins School brought to her life (see Gitter, 2001 as an example). She became a celebrated example of the school’s success. In a history of Perkins School, author Kimberly French describes Bridgman at seven years of age, incapable of communication and unable to learn. She appears as an isolated and tragic child prior to her experiences of the benefits of Howe’s methods. Less well explored is the example of her early lacework, evidence that Bridgman entered the school already able to knit and sew; crafts most likely learned from her mother. Although there is significant attention given to Howe’s contributions to her literacy development there is a distinct lack of curiosity in the familial learning that had already taken place. As the trophy of Perkins, Bridgman became a shining example of the school’s worth, not as a result of her fine craft work but because of her ability to read, write and communicate through sign. The narrative of Bridgman as isolated and ignorant and the dismissal of material forms of learning are central to the construction of Howe’s reputation as saviour and pioneer. The fact of Bridgman’s prior learning is only made present through the inclusion of a photograph of some of her lacework, with little underpinning narrative, yet early examples of her craft contradict the assertion that she was isolated and uneducable. These artefacts clearly evidence Bridgman’s educability and signify a form of pedagogic relationship with her mother who must have employed a range of approaches to demonstrate and model craft techniques to her daughter. The mother/teacher and daughter/learner are too easily dismissed, reinforcing the low status of craft and female, familial learning. Whilst Bridgman’s lacework creates an aesthetically pleasing illustration for the book, there is a distinct lack of curiosity in its making. The Perkins’ digital archive offers a significant number of examples of Bridgman’s craft including tatting, crocheting and needlework. What is disconcerting, however, is the inclusion of two images of a cast made of her brain after her death in 1889. These are included in a range of images including lacework collars and dolls clothes and seem incongruous and macabre additions. An extensive report, Anatomical Observations on the Brain and Several Sense-Organs of the Blind Deaf-Mute Laura Dewey Bridgman (Donaldson, 1890) describes the dimensions of Bridgman’s brain in an attempt to discern any distinctiveness caused by her impairments. The contemporary preoccupation with phrenology had driven a very particular kind of interest in reporting scientific investigation of Bridgman’s brain, described in the report as ‘the material’. This preoccupation extends to a note in the biographical details in the report which noted that her father had a small head and that her mothers’ head ‘was not large’ (ibid.: 2). My initial shock at stumbling across the images of the brain cast turned to sadness and incomprehension but also wonder at the levels of curiosity that her literacy had generated. I continue to reflect on the contrast between the interest in her ability to read, write and communicate via signing and her ability as a maker. The need to know and observe Bridgman from the inside out seems a macabre reminder of the dominance of observation in the scientific method and the occlusion of the arts by literacy. Donaldson’s extensive report reflects the clinical gaze in all its glory. Curiosity (I, II and III) Reading about Bridgman and reflecting on the occlusion of craft from representations of learning and teaching brought me back to arts practice to explore the sensation of making. I can’t help but think that such limited curiosity in her ability to sew, knit and crochet would have left her safe from medical intrusion.
disability and autism are not your aesthetics. just stop. 🤨
𝐓𝐎 𝐭𝐡𝐞 𝐩𝐞𝐨𝐩𝐥𝐞 𝐰𝐡𝐨 𝐡𝐚𝐯𝐞 𝐛𝐞𝐞𝐧 𝐬𝐭𝐫𝐮𝐠𝐠𝐥𝐢𝐧𝐠 𝐥𝐚𝐭𝐞𝐥𝐲, 𝐲𝐨𝐮 𝐚𝐫𝐞 𝐝𝐨𝐢𝐧𝐠 𝐚𝐦𝐚𝐳𝐢𝐧𝐠 𝐚𝐧𝐝 𝐢 𝐡𝐨𝐩𝐞 𝐚𝐥𝐥 𝐠𝐞𝐭𝐬 𝐰𝐞𝐥𝐥 🍓🩷
✞ "When one door of happiness closes, another opens, but often we look so long at the closed door that we do not see the one that has been opened for us." — Helen Keller
Shared decision-making Shared decision-making ensures that individuals are supported to make decisions that are right for them. It is a collaborative process through which a clinician supports a patient to reach a decision about their treatment. The conversation brings together: the clinician’s expertise, such as treatment options, evidence, risks and benefits what the patient knows best: their preferences, personal circumstances, goals, values and beliefs.
Special Needs Parenting requires an almost super human love, where the parent's expectations are set aside and the needs of the child are met first September 30, 2015
Weekly Affirmations ♡ I’m confident that there is a bright future ahead of me. ♡ I have everything I need to succeed. ♡ I am capable of reaching my goals. ♡ I will let go of the things that are not serving me. ♡ I am deserving of happiness. ♡ I attract success and prosperity with all my ideas. ♡ Wealth is pouring into my life. ♡ my possibilities are endless. ♡ My future ahead is bright and I am ready to grow.
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Key messages People have a right to expect: access to the care they need, when they need it and that appropriate reasonable adjustments are made to meet people’s individual needs. This starts from the first point of contact with a hospital. This is not just good practice – it is a legal requirement. staff communicate with them in a way that meets their needs and involves them in decisions about their care they are fully involved in their care and treatment the care and treatment they receive meets all their needs, including making reasonable adjustments where necessary and taking into account any equality characteristics such as age, race and orientation their experiences of care are not dependent on whether or not they have access to specialist teams and practitioners. However: People told us they found it difficult to access care because reasonable adjustments weren't always made. Providers need to make sure they are making appropriate reasonable adjustments to meet people’s individual needs. There is no ‘one-size-fits-all’ solution for communication. Providers need to make sure that staff have the tools and skills to enable them to communicate effectively to meet people’s individual needs. People are not being fully involved in their care and treatment. In many cases, this is because there is not enough listening, communication and involvement. Providers need to make sure that staff have enough time and skills to listen to people and their families so they understand and can meet people’s individual needs. Equality characteristics, such as age, race and orientation, risked being overshadowed by a person’s learning disability or autism because staff lacked knowledge and understanding about inequalities. Providers need to ensure that staff have appropriate training and knowledge so they can meet all of a person’s individual needs. Specialist practitioners and teams cannot hold sole responsibility for improving people’s experiences of care. Providers must make sure that all staff have up-to-date training and the right skills to care for people with a learning disability and autistic people.
chthonic-pain if you work at an inaccessible venue and a dısabled person calls up to ask if there is wheelchair access, you are doing them a favour and being a good ally by saying the truth and warning that person about inaccessibility. if you want to help dısabled people, you need to make an effort not to put obstacles in our way, and that means informing us of access issues so that we can plan around them and avoid getting stuck or hurt̸. if you lie about or try to minimise access issues, you are instead putting us in danger. we will learn about the inaccessibility one way or another: either by you telling us, or by going there and finding out for ourselves when we hit a roadblock. don't let it be the second one.. Mar 28th, 2024
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compassionatereminders "But why do you let your disability stop you?" Because that's.... what disabilities... do. That's... literally the basic definition... of being disabled... A disability impairs your ability to function. That's what the term means. That's the main thing Feb 17th, 2024
Nov 20, 2014 — One character is either physically or emotionally wounded in some way. Another character supplies nurturing and draws out the other’s pain. How many times have we all read this trope in one form or another, usually with a brooding hero who hides sorrow under a stoic mask? Only a special someone can reach through the layers to the vulnerable underneath. What draws romance readers to such scenarios over and over? It’s a great coping mechanism. To see them get back up. It gives our characters a chance to shine. Because it's character building. The comfort is the main fanservice being provided; the hurt is usually an excuse. Of course, the crux of hurt/comfort is that it’s never really one-sided. Whatever is lacking or damaged in the nurturer is also fixed by the nurturee. “You complete me” becomes “we complete each other” Posted on November 20, 2014
“𝓎ℴ𝓊𝓇 𝓅𝓇ℯ𝓈ℯ𝓃𝒸ℯ 𝒹ℴℯ𝓈 𝓃ℴ𝓉 𝒾𝓃𝓉𝒾𝓂𝒶𝒹𝒶𝓉ℯ 𝓂ℯ“ ~𝓊𝓃𝓀𝓃ℴ𝓌𝓃🔮
Weekly Affirmations ♡ I am a unique work of art, and every part of me tells a beautiful story. ♡ My face exudes the light in my soul. ♡ I release judgment and appreciate myself for who I am. ♡ I am grateful to my b0dy for giving me life every moment. ♡ I release the need for people’s validation. ♡ I make my own definition of beauty. ♡ Someone else’s beauty doesn’t reduce mine. ♡ I enjoy taking care of my b0dy and it makes me more beautiful. ♡ I overcome negative self-talk and embrace all of me.
https://prostorybuilders.com/writing-characters-who-are-unconscious/
There is no one-size-fits-all approach for autism Understand that every autistic person is different. Tailor treatment to the individual's needs. For example, one autistic person may have excellent self-care skills and above-average school performance, but need sensory integration therapy and social skills training. Another might be highly social but unable to care for herself and in need of counseling for depression.
https://capitalizemytitle.com/character-count/10000-characters/
https://rockymountainada.org/news/blog/5-tips-managing-sensory-needs-healthcare-settings
23 March 2009 Weird Science Words Science Dictionary Here are some weird science words. Be careful how you use them. Auscultation—Listening. Especially listening to the sounds of the internal organs, as with a stethoscope. Borborygmus, pl. borborygmi—Rumbling and gurgling noises from hunger. Stomach "growling". Bromhidrosis—Body odor, B.O. From the Greek bromos, a stench, and hidros, sweat. Cacophony—Jarring, discordant sound. Cacophonous: having a harsh, discordant sound. From the Greek kakophnos, kakos, bad+ phōnē, sound. Kakos goes back to one of the oldest words we still use, the Indo-European root kakka-, to defecate. Cacodyl—The arsenic group (CH3)2As, or a poisonous oil (As2(CH3)4) with a strong garlicky odor. Same root as cacophony. Emesis, pl. emeses—The act of coughing up Eructation— burbing Flatus—The gas that comprises Formication—A sensation that feels like insects crawling on the skin, a type of paresthesia. From formica, Latin for "ant". Googol—The number 10 raised to the power 100 (10100), written out as the numeral 1 followed by 100 zeros. Not to be confused with "Google", a trademark of Google Inc. Mastication—chewing Micturation—Potty Osculant—Intermediate in characteristics between two similar or related taxonomic groups. Closely adhering or joined; embracing Osculation—Kissing; a kiss Oscitancy—the act of yawning Pandiculation—The act of stretching and yawning at the same time. Radicle—A small root, specifically the part of a plant embryo that develops into the root. Not to be confused with "radical", meaning the root (e.g. of a word), at the root, the mathematical root sign (√) or a highly reactive atom, molecule or person. Nor with "ridicule". Sternutation—Sneezing Stertor—The sound of snoring Syzygy—Lots of meanings in different sciences (and in poetry, rhetoric etc.) generally having something to do with being paired, joined, aligned or something. From the Greek zugon, yoke Wamble—To turn or roll (said of the stomach), an upset stomach, nausea
January 5, 2016 Wow the Iliad is really good actually, totally epic: The Iliad By Homer, Written 800 BC Book I Sing, O goddess, the anger of Achilles son of Peleus, that brought countless ills upon the Achaeans. Many a brave soul did it send hurrying down to Hades, and many a hero did it yield a prey to dogs and vultures, for so were the counsels of Jove fulfilled from the day on which the son of Atreus, king of men, and great Achilles, first fell out with one another. And which of the gods was it that set them on to quarrel? It was the son of Jove and Leto; for he was angry with the king and sent a pestilence upon the host to plague the people, because the son of Atreus had dishonoured Chryses his priest. Now Chryses had come to the ships of the Achaeans to free his daughter, and had brought with him a great ransom: moreover he bore in his hand the sceptre of Apollo wreathed with a suppliant’s wreath and he besought the Achaeans, but most of all the two sons of Atreus, who were their chiefs. “Sons of Atreus,” he cried, “and all other Achaeans, may the gods who dwell in Olympus grant you to sack the city of Priam, and to reach your homes in safety; but free my daughter, and accept a ransom for her, in reverence to Apollo, son of Jove.” On this the rest of the Achaeans with one voice were for respecting the priest and taking the ransom that he offered; but not so Agamemnon, who spoke fiercely to him and sent him roughly away. “Old man,” said he, “let me not find you tarrying about our ships, nor yet coming hereafter. Your sceptre of the god and your wreath shall profit you nothing. I will not free her. She shall grow old in my house at Argos far from her own home, busying herself with her loom and visiting my couch; so go, and do not provoke me or it shall be the worse for you.” The old man feared him and obeyed. Not a word he spoke, but went by the shore of the sounding sea and prayed apart to King Apollo whom lovely Leto had borne. “Hear me,” he cried, “O god of the silver bow, that protectest Chryse and holy Cilla and rulest Tenedos with thy might, hear me oh thou of Sminthe. If I have ever decked your temple with garlands, or burned your thigh-bones in fat of bulls or goats, grant my prayer, and let your arrows avenge these my tears upon the Danaans.” Thus did he pray, and Apollo heard his prayer. He came down furious from the summits of Olympus, with his bow and his quiver upon his shoulder, and the arrows rattled on his back with the rage that trembled within him. He sat himself down away from the ships with a face as dark as night, and his silver bow rang death as he shot his arrow in the midst of them. First he smote their mules and their hounds, but presently he aimed his shafts at the people themselves, and all day long the pyres of the dead were burning. For nine whole days he shot his arrows among the people, but upon the tenth day Achilles called them in assembly- moved thereto by Juno, who saw the Achaeans in their death-throes and had compassion upon them. Then, when they were got together, he rose and spoke among them. “Son of Atreus,” said he, “I deem that we should now turn roving home if we would escape destruction, for we are being cut down by war and pestilence at once. Let us ask some priest or prophet, or some reader of dreams (for dreams, too, are of Jove) who can tell us why Phoebus Apollo is so angry, and say whether it is for some vow that we have broken, or hecatomb that we have not offered, and whether he will accept the savour of lambs and goats without blemish, so as to take away the plague from us.” With these words he sat down, and Calchas son of Thestor, wisest of augurs, who knew things past present and to come, rose to speak. He it was who had guided the Achaeans with their fleet to Ilius, through the prophesyings with which Phoebus Apollo had inspired him. With all sincerity and goodwill he addressed them thus:- “Achilles, loved of heaven, you bid me tell you about the anger of King Apollo, I will therefore do so; but consider first and swear that you will stand by me heartily in word and deed, for I know that I shall offend one who rules the Argives with might, to whom all the Achaeans are in subjection. A plain man cannot stand against the anger of a king, who if he swallow his displeasure now, will yet nurse revenge till he has wreaked it. Consider, therefore, whether or no you will protect me.” And Achilles answered, “Fear not, but speak as it is borne in upon you from heaven, for by Apollo, Calchas, to whom you pray, and whose oracles you reveal to us, not a Danaan at our ships shall lay his hand upon you, while I yet live to look upon the face of the earth- no, not though you name Agamemnon himself, who is by far the foremost of the Achaeans.” Thereon the seer spoke boldly. “The god,” he said, “is angry neither about vow nor hecatomb, but for his priest’s sake, whom Agamemnon has dishonoured, in that he would not free his daughter nor take a ransom for her; therefore has he sent these evils upon us, and will yet send others. He will not deliver the Danaans from this pestilence till Agamemnon has restored the girl without fee or ransom to her father, and has sent a holy hecatomb to Chryse. Thus we may perhaps appease him.” With these words he sat down, and Agamemnon rose in anger. His heart was black with rage, and his eyes flashed fire as he scowled on Calchas and said, “Seer of evil, you never yet prophesied smooth things concerning me, but have ever loved to foretell that which was evil. You have brought me neither comfort nor performance; and now you come seeing among Danaans, and saying that Apollo has plagued us because I would not take a ransom for this girl, the daughter of Chryses. I have set my heart on keeping her in my own house, for I love her better even than my own wife Clytemnestra, whose peer she is alike in form and feature, in understanding and accomplishments. Still I will give her up if I must, for I would have the people live, not die; but you must find me a prize instead, or I alone among the Argives shall be without one. This is not well; for you behold, all of you, that my prize is to go elsewhither.” And Achilles answered, “Most noble son of Atreus, covetous beyond all mankind, how shall the Achaeans find you another prize? We have no common store from which to take one. Those we took from the cities have been awarded; we cannot disallow the awards that have been made already. Give this girl, therefore, to the god, and if ever Jove grants us to sack the city of Troy we will requite you three and fourfold.” Then Agamemnon said, “Achilles, valiant though you be, you shall not thus outwit me. You shall not overreach and you shall not persuade me. Are you to keep your own prize, while I sit tamely under my loss and give up the girl at your bidding? Let the Achaeans find me a prize in fair exchange to my liking, or I will come and take your own, or that of Ajax or of Ulysses; and he to whomsoever I may come shall rue my coming. But of this we will take thought hereafter; for the present, let us draw a ship into the sea, and find a crew for her expressly; let us put a hecatomb on board, and let us send Chryseis also; further, let some chief man among us be in command, either Ajax, or Idomeneus, or yourself, son of Peleus, mighty warrior that you are, that we may offer sacrifice and appease the the anger of the god.” Achilles scowled at him and answered, “You are steeped in insolence and lust of gain. With what heart can any of the Achaeans do your bidding, either on foray or in open fighting? I came not warring here for any ill the Trojans had done me. I have no quarrel with them. They have not raided my cattle nor my horses, nor cut down my harvests on the rich plains of Phthia; for between me and them there is a great space, both mountain and sounding sea. We have followed you, Sir Insolence! for your pleasure, not ours- to gain satisfaction from the Trojans for your shameless self and for Menelaus. You forget this, and threaten to rob me of the prize for which I have toiled, and which the sons of the Achaeans have given me. Never when the Achaeans sack any rich city of the Trojans do I receive so good a prize as you do, though it is my hands that do the better part of the fighting. When the sharing comes, your share is far the largest, and I, forsooth, must go back to my ships, take what I can get and be thankful, when my labour of fighting is done. Now, therefore, I shall go back to Phthia; it will be much better for me to return home with my ships, for I will not stay here dishonoured to gather gold and substance for you.” And Agamemnon answered, “Fly if you will, I shall make you no prayers to stay you. I have others here who will do me honour, and above all Jove, the lord of counsel. There is no king here so hateful to me as you are, for you are ever quarrelsome and ill affected. What though you be brave? Was it not heaven that made you so? Go home, then, with your ships and comrades to lord it over the Myrmidons. I care neither for you nor for your anger; and thus will I do: since Phoebus Apollo is taking Chryseis from me, I shall send her with my ship and my followers, but I shall come to your tent and take your own prize Briseis, that you may learn how much stronger I am than you are, and that another may fear to set himself up as equal or comparable with me.” The son of Peleus was furious, and his heart within his shaggy breast was divided whether to draw his sword, push the others aside, and kill the son of Atreus, or to restrain himself and check his anger. While he was thus in two minds, and was drawing his mighty sword from its scabbard, Minerva came down from heaven (for Juno had sent her in the love she bore to them both), and seized…
how to become ✨ 𝒽𝑒𝓇 ✨      ˚     . ✧     ˚     . ✧     ˚   set and pursue goals have a positive attitude no more negative self-talks find a style that you wear with confidence love yourself and your body believe in yourself don’t judge others ˙ᵕ˙ practise positive affirmations be your most authentic self embrace imperfections      ˚     . ✧     ˚     . ✧     ˚  
☢;;❝Ι WEɴТ ТO COLLEɢE!!❞ ⁽ ᴵᶜ ⁾
I saw a mother and daughter studying for a big test, and the daughter has a disablitity. A man at the restraunt paid for their dinner and said, " God bless you for taking the time and working with YOUR daughter, and not paying someone else to do it". Loving families like this GMH ! Mar 22, 2011 at 3:00am by Morgan E, Nashville, TN
ₓ˚. ୭Study because knowledge is power.◦○˚ ୧ ₓ˚. ୭ ˚○◦˚.˚◦○˚ ୧ .˚ₓₓ˚. ୭ ˚○◦˚.˚◦○˚ ୧ .˚ₓₓ˚. ୭ ˚○◦˚.˚◦○˚ ୧
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𓏲  🍼 ゚⠀⠀ ・₊ ˚ ⠀ ࿐ 𝗒𝗈𝗎𝗋 𝗋𝖾𝗆𝗂𝗇𝖽𝖾𝗋 𝗍𝗈 𝗍𝖺𝗄𝖾 𝗒𝗈𝗎𝗋 𝗆𝖾𝖽𝗂𝖼𝗂𝗇𝖾, 𝗂𝖿 𝗒𝗈𝗎 𝗍𝖺𝗄𝖾 𝖺𝗇𝗒 ♡  ɞ ⠀⠀ ⠀ .  🌸 ⋆༉
If feasible, other tests the patient fears might be performed while the patient is sedated. For example, before or after dental work, vaccines could be administered, blood could be drawn, and gynaecology or other physical exams could be done. This practise requires coordination and communication among providers. 💙 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708482/
June 24, 2016 I can’t believe this needs to be said, but… - Withholding medıcatıon from a dısabled person is not a joke, but ab3se. - Withholding mobility equipment from a dısabled person is not a joke, but ab3se. - Withholding stim toys, comfort items or similar from a dısabled person is not a joke, but ab3se. - Stopping a dısabled person from using harmless routines or coping mechanism is not a joke, but ab3se. Stop.
💙 https://www.legalzoom.com/articles/what-is-medical-power-of-attorney 💙
bebsi-cola disabled people deserve more than the bare minimum to live tbh and i don't mean in the "oh we have extra costs that makes being disabled more expensive" - which is true but i'm counting those in the budget to live. disabled people also deserve enough money to buy treats, nice clothes, fund their hobbies, take a trip away and so on. being disabled shouldn't force you into a life of frugality and poverty Mar 7th, 2024
Accessibility should not be an afterthought Feb 21st, 2024 silversarcasm Your daily reminder that inaccessibility isn’t just a little bothᥱr to dısabled people but is part of a violent ableist culture that bars dısabled people from many parts of life and treats them as unimportant and unneeded
December 15, 2013 A Special Needs Family isn't always blood; it's the people in life who celebrate your joys, understand your pain, who love to see you smile, and those who wipe away the tears
A quick look at the best at-home HPV tests Most affordable at-home HPV test: Everlywell HPV Test – Female Best HPV test with medical support: myLAB Box Home HPV Test Kit Best for women under 30: NURX Home HPV Test Kit Best for quick results: iDNA 🍑 However, some tests use a urine sample instead of a cervical
https://www.sheknows.com/health-and-wellness/articles/2148908/study-unnecessary-pap-smears-teens/
⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯ ⣯⣇⣇⣇⣇⣇⣇⣇⣯⠁⠀⠀⠀⠀⢻⣧⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣏⣧⣇⣇⣇⣇⣇⣇⣯⠀⠀⠀⠀⠀⢠⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣯ ⣧⣏⣇⣇⣇⣧⣧⣯⣯⡀⠀⠀⣤⣶⣿⣧⣏⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⣯⣇⣧⣯⠛⠉⣿⣇⣇⠀⠀⣯⣏⣇⣇⣧⣧⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣏ ⣯⣯⠟⠁⠀⠀⣤⣿⣧⣧⠀⠀⠀⠀⠀⠀⠀⠀⠀⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⠋⠀⠀⣴⣿⣇⣧⣯⣯⠀⠀⢰⣶⣶⣶⣶⣶⣶⣇⣏⣏⣧⣇⣇⣇⣇⣇⣇⣇ ⡏⠀⠀⣾⣯⣯⣏⣧⣏⣯⠀⠀⠈⠋⠋⠋⠋⠋⠋⠋⠋⠋⣯⣧⣧⣇⣇⣇⣧⣇ ⡂⠀⠀⣇⣧⣯⣧⣇⣇⣯⣤⣤⣤⣤⣤⣤⣤⣤⣤⣤⣄⠀⠀⢫⣧⣏⣇⣇⣧⣇ ⣧⠀⠀⣿⣇⣯⣏⣯⣇⣇⣧⣏⣏⣇⣧⣧⣏⡏⠙⣧⣏⣦⠀⠀⠻⣧⣇⣇⣏⣇ ⣏⣄⠀⠈⢿⣧⣇⣇⣇⣇⣧⣏⣏⣏⣏⣯⠋⠀⠀⣼⣧⣯⣷⠀⠀⠙⣯⠏⢻⣏ ⣯⣏⣦⠀⠀⠈⠛⢿⣇⣧⣇⣧⣇⠟⠋⠀⠀⢀⣾⣇⣧⣇⣯⣿⡀⠀⠀⠀⣠⣿ ⣇⣇⣇⣏⣶⣤⣀⠀⠀⠀⠀⠀⠀⠀⣀⣤⣾⣯⣯⣯⣧⣧⣧⣇⣏⣦⣮⣮⣮⣮
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Petnochlab ~ Seeing the horrible mistreatment of residents in care facilities, I promised never to let my disabled son end up in one. So when the doctors told me I had 4 weeks to live, I put my son in the car and headed toward the lake, ready to keep my promise.
school 👩‍💼✏️📈🧠🎀 ❥ folder (one per class) ❥ planner ❥ lined paper ❥ pencil pouch (contains mechanical pencils, pens, & eraser) ❥ laptop & charger ❥ earbuds ❥ snacks ❥ 32 oz water bottle ❥ advil ❥ feminine products ❥ lip gloss ❥ wallet ❥ a book ❥ travel size body spray
https://www.medicalnewstoday.com/articles/ableism
Confidence! ꔛ i am so cute and pretty! i’m smart and strong, i can get through anything! i’m also so lucky, i easily attract good things 𓂃 ࣪˖ ♡    .    ˚
💙 ASD affects each person differently meaning that people with ASD have unique strengths and challenges and different treatment needs. Therefore, treatment plans usually involve multiple professionals and are catered toward the individual. 💙
Tue June 22nd, 2010 at 9:39pm I work with Autistic children every week. I work with a boy who has never spoken to me. Today he looked me straight in the eye and said “Thank you, Samantha” I cried so hard. He GMH
୨ৎ⋆.˚‪‪❤︎‬‎⭒ fun things you can manifest ⭒ 𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐭𝐨 𝐦𝐞𝐦𝐨𝐫𝐢𝐬𝐞 𝐚𝐧𝐲𝐭𝐡𝐢𝐧𝐠 𝐢𝐧 𝐥𝐞𝐬𝐬 𝐭𝐡𝐚𝐧 𝐟𝐢𝐯𝐞 𝐦𝐢𝐧𝐮𝐭𝐞𝐬! ⭒ 𝐬𝐮𝐩𝐞𝐫𝐩𝐨𝐰𝐞𝐫𝐬 (𝐞.𝐠. 𝐭𝐞𝐥𝐞𝐩𝐨𝐫𝐭𝐚𝐭𝐢𝐨𝐧, 𝐭𝐞𝐥𝐞𝐤𝐢𝐧𝐞𝐬𝐢𝐬, 𝐜𝐥𝐚𝐢𝐫𝐯𝐨𝐲𝐚𝐧𝐜𝐞 𝐞𝐭𝐜.) ⭒ 𝐲𝐨𝐮𝐫 𝐝𝐫𝐞𝐚𝐦 𝐬𝐜𝐡𝐨𝐨𝐥 𝐜𝐫𝐞𝐚𝐭𝐞𝐝 𝐟𝐫𝐨𝐦 𝐬𝐜𝐫𝐚𝐭𝐜𝐡! ⭒ 𝐠𝐨𝐢𝐧𝐠 𝐛𝐚𝐜𝐤 𝐭𝐨 𝟐𝟎𝟎𝟎 𝐭𝐨 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 𝐲𝟐𝐤! ⭒ 𝐩𝐡𝐨𝐧𝐞 𝐭𝐡𝐚𝐭 𝐧𝐞𝐯𝐞𝐫 𝐫𝐮𝐧𝐬 𝐨𝐮𝐭 𝐨𝐟 𝐛𝐚𝐭𝐭𝐞𝐫𝐲! ⭒ 𝐚 𝐭𝐢𝐦𝐞 𝐭𝐫𝐚𝐯𝐞𝐥 𝐦𝐚𝐜𝐡𝐢𝐧𝐞 𝐥𝐢𝐤𝐞 𝐭𝐡𝐞 𝐨𝐧𝐞𝐬 𝐢𝐧 𝐦𝐨𝐯𝐢𝐞𝐬! ⭒ 𝐚 𝐦𝐚𝐥𝐥 𝐰𝐢𝐭𝐡 𝐚𝐥𝐥 𝐲𝐨𝐮𝐫 𝐟𝐚𝐯𝐨𝐮𝐫𝐢𝐭𝐞 𝐬𝐡𝐨𝐩𝐬 𝐚𝐧𝐝 𝐫𝐞𝐬𝐭𝐚𝐮𝐫𝐚𝐧𝐭𝐬! ⭒ 𝐲𝐨𝐮𝐫 𝐚𝐬𝐬𝐢𝐠𝐧𝐦𝐞𝐧𝐭𝐬 𝐠𝐞𝐭𝐭𝐢𝐧𝐠 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐝 𝐚𝐮𝐭𝐨𝐦𝐚𝐭𝐢𝐜𝐚𝐥𝐥𝐲 𝐰𝐢𝐭𝐡𝐨𝐮𝐭 𝐲𝐨𝐮 𝐡𝐚𝐯𝐢𝐧𝐠 𝐭𝐨 𝐞𝐯𝐞𝐧 𝐥𝐢𝐟𝐭 𝐚 𝐟𝐢𝐧𝐠𝐞𝐫! ⭒ 𝐰𝐢𝐳𝐚𝐫𝐝 𝐩𝐨𝐰𝐞𝐫𝐬 𝐥𝐢𝐤𝐞 𝐰𝐢𝐳𝐚𝐫𝐝𝐬 𝐨𝐟 𝐰𝐚𝐯𝐞𝐫𝐥𝐲 𝐩𝐥𝐚𝐜𝐞! ⭒ 𝐚𝐛𝐬𝐨𝐥𝐮𝐭𝐞 𝐬𝐩𝐢𝐜𝐞, 𝐚𝐥𝐜𝐨𝐡𝐨𝐥 & 𝐩𝐚𝐢𝐧 𝐭𝐨𝐥𝐞𝐫𝐚𝐧𝐜𝐞! ⭒ 𝐲𝐨𝐮𝐫 𝐢𝐝𝐞𝐚𝐥 𝐬𝐨𝐜𝐢𝐚𝐥 𝐦𝐞𝐝𝐢𝐚 𝐚𝐩𝐩! ⭒ 𝐩𝐨𝐩𝐮𝐥𝐚𝐫 𝐢𝐧𝐭𝐞𝐫𝐧𝐚𝐭𝐢𝐨𝐧𝐚𝐥 𝐟𝐫𝐢𝐞𝐧𝐝 𝐠𝐫𝐨𝐮𝐩! ⭒ 𝐚 𝐦𝐨𝐯𝐢𝐞 𝐨𝐫 𝐝𝐫𝐚𝐦𝐚 𝐬𝐞𝐫𝐢𝐞𝐬 𝐛𝐚𝐬𝐞𝐝 𝐨𝐧 𝐲𝐨𝐮𝐫 𝐝𝐞𝐬𝐢𝐫𝐞𝐝 𝐩𝐥𝐨𝐭!
𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 - 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. — 𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟
😷 https://www.psychologytoday.com/us/blog/autism-and-anxiety/201904/medical-visits-and-autism-better-way 😷
| | | | o o | | > | | \_/ | \___/ __| |__ / \ | | | | _________________| | | |_____________---__ / | |_____| | / / / /| mga / /_| _ |_\ / / / / | / / / / / / /__/ / /| /____________________/ / / /__________/___\_/_/ / | |____________________| |_| |__________________|/ | |____________________| |_| |__________________| / ____| | | | | | || | / | o o | o o || o o | / |______________|_____________||_______________|/ _______________________________________________________
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😷 https://www.findatopdoc.com/Parenting/When-a-Child-with-Autism-Refuses-Treatment 😷
💙 PFA TIPS: PAIN MANAGEMENT AND AUTISM By Alizah Patterson, MD, Pediatric Resident, PL-3 , The Herman & Walter Samuelson Children’s Hospital at Sinai Download a printable version of “Pain Management and Autism “ Sensory stimulation can be perceived very differently in people with autism spectrum disorder. It is common for children to be averse to certain types of taste, texture, and flavors. How they perceive pain, however, is not very well understood. Some people believe that people with autism may have a decreased sense of pain, but pain can manifest in different ways. Identifying and managing pain can be challenging for both healthcare providers and parents. Methods to assess pain Assessing pain in children can often be a challenge for providers and parents. For older children, the number pain scale is typically used with 0 representing no pain and 10 being the worst pain imaginable. The faces pain scale allows children to choose a face – images range from happy to crying – that shows how their pain is making them feel. For children who are nonverbal, the FLACC score is often utilized. This method looks at Facial expression, Leg positioning, Activity level, Crying and Consolability. This pain scale requires more time but can reliably assess pain responses in neurotypical individuals. People with ASD or intellectual disability, or any type of cognitive impairment may express pain in other ways and may require a customized FLACC scale. This would incorporate individualized pain behaviors which is more reliable in detecting pain in individuals with cognitive impairment. Again, this would require additional time and understanding of the scale. Research on autism and pain Not much research has been done on the topic of autism and pain, partly due to the challenges of assessing pain in children with communication difficulty and partly due to the common belief that people with autism have decreased sensitivity to pain or a high pain threshold. Studies conducted with people with high-functioning ASD tend to use a pain scale of 0-10. On this scale, patients tend to respond with lower numbers, but other methods of rating pain have shown varying results. Some studies have used observations of providers or parents, which also tended to show decreased sensitivity to pain in children with autism. Other studies have challenged the idea that people with autism experience less pain. These studies found that pain is expressed differently among those with autism. One study comparing children with autism, children with intellectual disabilities, and neurotypical children showed that both behavioral changes and physiologic changes (i.e. heart rate) were higher with pain, but face scores did not vary among the groups. Some case studies have found that when asked their pain score, verbal individuals with ASD respond with low scores, but when asked how much discomfort they have, the score tends to be higher. How does pain manifest in children with autism? Children with ASD may not express pain in typical ways – crying, moaning, or withdrawing from a painful stimulus – and therefore may often be labeled as less sensitive to pain. Several case studies have shown that though children may not show these typical signs or may not react to pain in the moment, they still have physiologic reactions and behavioral reactions. Even with no obvious reaction to a painful stimulus, they may start breathing fast or their heart rate may increase. They may have increased stimming behaviors, aggression, or anxiety after the painful incident. Individuals with ASD also tend to show behavior changes for longer after the painful incident than neurotypical children or children with intellectual disabilities. When assessing for pain in a nonverbal child with ASD, close attention should be paid to increased aggression, self-injurious behaviors, stimming, or any behavior that is not typical for that child. If they are acting unlike themselves, look for a possible source of discomfort or pain that may be present or was present in the near past. In a more verbal child, asking if they have pain or if something hurts may not accurately reflect what they are feeling. Using words such as “discomfort”, “uncomfortable”, or “anxiety” may better approximate the level of pain they are in. What can I do about my child’s pain? If a source of pain can be identified, treating that pain is of utmost importance. Treatment would be the same as for any other child—analgesics such as Tylenol or ibuprofen, ice, or heat (if tolerated), and rest. Parents and providers should be wary of hidden injuries that the patient may not be able to communicate about, such as a fracture or insect bite. If the source of pain cannot be identified or you are unsure of the severity of the injury/illness, always err on the side of caution and have a physician assess your child. They should do a full skin exam to look for scratches, bites, rashes, or other injuries. If an injury is suspected to a limb, x-rays may be needed to rule out a fracture. If no clear injury or illness can be identified, parents and providers should look for other possible medical causes for the behavior changes, like abdominal pain, headache, or urinary tract infection. For pain management during painful or stress-inducing medical procedures, like a blood draw, there are several techniques that can be used. Non-pharmacologic (medication) methods are preferred. Every child may respond differently to these techniques, so some trial and error may be necessary to determine the best method for your child. • Distraction: If your child has a preferred activity, engaging them in this activity during the procedure may significantly reduce their focus on pain. This could include watching a show, blowing bubbles, deep breaths, playing with a toy, or calming movements such as a parent rocking them. • Sensory distractions: There are several items that can be used to distract a child’s senses from the painful stimulus. A vibrating device or ice placed on the area of a blood draw or lumbar puncture can reduce the pain signal sent to the brain. • Topical pain control: There are a few topical medications that can be used to reduce pain sensation. A cooling spray at the site of the procedure is quick and easy. A numbing gel or cream can also be applied 20-30 minutes prior to the procedure, which has been shown to be an effective way to manage pain during IV sticks. However, this has not been shown to reduce anxiety or fear during procedures. • Deep pressure: Firm pressure, through squeezing or a tight hug, has been shown to significantly decrease anxiety and stress in individuals with autism. This method can also be used during medical procedures to decrease discomfort. Every child is different though, so deep pressure may be too much sensory stimulation for some. Medications can also be used to control pain, as well as anxiety, during medical procedures. Pre-medication with acetaminophen or ibuprofen may be helpful in reducing pain. For extremely painful procedures, an opioid may also be reasonable, per a physician’s assessment. Anti-anxiety medications may be helpful in reducing not only anxiety but also pain as they are typically slightly sedating. If you feel it is right for your child, discuss these options with your physician. When it comes to pain management in autism, remember these key points: • Always rule out pain when atypical behaviors occur or when certain behaviors increase. • Children are all different, whether in how their pain manifests or in what strategies work best to control their pain. • There are lots of non-medication options to help manage pain and anxiety during medical procedures. 💙
💙 https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/ 💙
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