Pressure Ulcer, wound, and wound management, assessing skin condition-system dis

Question

Pressure Ulcer, wound, and wound management, assessing skin condition-system disorder chapter 55

ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MOOULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care

Explanation / Answer

Disorder/Disease process- Cerebral palsy

Alterations in Health (Diagnosis): Cerebral palsy- A group of motor disorders caused by dysfunction of various motor centers in brain and often related to antenatal or Development factors.

Pathophysiology Related to Client Problem

- Spasticity depends on externally imposed velocity and joint angle changes suggests---> dependent on afferent feedback of propioceptive information from muscle, joint and skin receptors.

Spasticity is dependent on afferent feedback of muscle.

* Presynaptic inhibitons- modulation of afferent stimulation by descending tracts.

* So any loss in these tracts will be reflected as a loss in presynaptic inhibiton.

Health Promotion and Disease Prevention :

- Non-progressive impairment of motor function, especially muscle control, coordination, and posture

  • Causes abnormal perception & sensation • Manifests differently in a child. Developmental outcomes vary & depend on severity of injury Cerebral Palsy

ASSESSMENT- SAFETY CONSIDERATIONS: Obstetrical CARE-

• MgS04

• Antibiotics

• Corticosteroids

Risk Factors & Expected Findings:

• Existing brain anomalies, cerebral infections, head trauma (shaken baby), or anoxia to the brain

• Maternal chorioamnionitis

• Maternal infection

• Premature birth

• Multiple births

• LBW

• inability of placenta to provide developing fetus with O2 & nutrients

• Interruption of O2 delivery to the fetus

• Kernicterus = result of high levels of bilirubin in neonatal period LaboratoryTests

• Failure to meet developmental milestones • Persistent primitive reflexes (Moro or tonic) • Gagging or choking with feeding, poor suck reflex Tongue thrust poor head control rigid posture &” extremities, abnormal posturing

A Diagnostic Procedures

• Screening during preadolescence

• Perform radiography: cobb technique/ risser scale

PATIENT-CENTERED CARE- Nursing Care:The nurse can help ready the child with cerebral palsy for speech therapy by providing activities that help the child develop tongue control.

• Treatment depends on the degree, location, and type of curvature

Therapeutic Procedures- Medications

• Pamidronate: INC bone density

• Radiographic evidence of previous fractures in various stages of healing or in infants can be a result of physical abuse or osteogenesis imperfecta

Complications-Client Education

• Pre-op/post-op education/ DC care

•facilitate adolescent’s ability to be as independent as possible

• Breathing difficulties (w severe curvatures)

• spine or nerve damage

• Lowered selfesteem

• Infection following surgery Interprofessional Care

• Bracing

• Spinal fusion with rod placement

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