57. The priority nursing action for a patient with cognitive

Zayn is 17 years old. He has autism and an anxiety disorder. He lives with his parents who encourage their son to be as independent as possible. Since leaving school, Zayn has become quite physically inactive and socially isolated. He tends to overeat when he is anxious, and his GP is working with him to manage his weight. Zayn was once a keen hockey player, but he stopped playing when he was 14 after an episode of bullying at the local hockey club. Since then he has had some issues with his self-esteem. However, his parents try to encourage him by sharing stories with him of inspirational role models who have autism. Zayn is working with Olga, a community access coordinator, to develop an individualised plan to support his social inclusion goals. Zayn was involved in every step of the collaborative process with Olga to develop his individualised plan. Zayn’s parents also contributed to the plan, with his consent. The strategies included in the plan revolve around Zayn’s interest in animation and dogs. Olga has contacted some other services to support Zayn, including a youth service for young people who have autism and a counselling service to help Zayn with some of his issues around his self-esteem. Describe how Olga’s approach to working with Zayn is different from approaches that would have been used by workers in the past.

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