Spina Bifida Occulta (lease fill every box)
Homework Answers
| Alteration in health (diagnosis) |
|
SPINA BIFIDA OCCULTA- Genetic disorder characterised by incomplete closure of neural tube. |
| PATHOPHYSIOLOGY RELATED TO CLIENT PROBLEM |
|
Incomplete closure of neural tube ⬇️ Abnormal opening left in the bottom of the neural tube ⬇️ No exposed sac,lesion is covered by skin. |
| HEALTH PROMOTION AND DISEASE PREVENTION |
|
*Folic acid supplements *Dietary supplements of folic acid *Genetic councelling |
| RISK FACTORS |
|
*Maternal diabetes *Genetics *Family history *Obesity *Folic acid deficiency *Medication such as valproic acid and anti convulsants. |
| EXPECTED FINDINGS |
|
*Orthopaedic abnormalities *Bowel and bladder dysfunction *pressure sore and skin irritation *Scoliosis *Back pain *Hair at sacral area *Lack of sensation. |
| LABORATORY TESTS |
|
MSAFP -Maternal Serum Alpha Feto Protein Test. 16-18 weeks of pregnancy. |
| DIAGNOSTIC PROCEDURES |
|
*Ultrasound scan *Aminocentesis *MRI and CT scan. |
| SAFETY CONSIDERATIONS |
|
*Use splint,brace,cast,cane,crutches. *Need special seat and chairs *Need special attention in memory and learning skills *Need frequent bathroom needs *Need physical assistance |
| NURSING CARE |
|
*Place the child in prone position *Cover the site with sterile gauze dipped in normal saline *Monitor vital signs *Monitor for associated complication *Maintain hydration |
| THERAPEUTIC PROCEDURE |
|
*Antibiotics *Sac closure *Bladder and bowel management *physiotherapy *Recreational therapy *Orthopaedic procedures. *Shunt |
| MEDICATION |
|
*Anti cholinergics( oxybutynin chloride) *Alpha adrenergic antagonist (terazosin) *Antibiotics |
| CLIENT EDUCATION |
|
*Educate client regarding importance of physiotherapy *Inform the client to take medication as prescribed *Educate the client regarding the bowel and bladder care *Educate about periodic check up *Instruct the patient to avoid all products that contain latex *Educate the parents how to teach the child to care himself. |
| INTER PROFESSIONAL CARE |
|
*The child need ongoing care from *Physical medicine *Rehabilitation *Urology *Neurology *Orthopaedics *Speech therapy *Special Education teachers |
| COMPLICATION |
|
*Frequent UTI *bowel and bladder dysfunction *paralysis *ADHD *Meningitis *Hydrocephalus |
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Spina Bifida Occulta (lease fill every box)
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