List the S/S f compromise regarding cast placement: (7)
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1) Increased pain
2) Increased edema
3) Pale or blue color
4) Skin coolness
5) Numbness or tingling
6) Prolonged cap. refill
7) Decreased pulse strength (or absence of)
What is the clinical treatment for idiopathic scoliosis?
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, Treatment regimen depends on degree and progression of the curvature
and the reaction of the child and family to medical management:
1) Mild (curvature 10-25 degrees)
-exercise
2) Moderate (curvature 25-45 degrees)
-bracing (start immediately upon diagnosis & wear 23 hrs a day)
3) Severe (curvature >45 degrees)
-requires spinal fusion surgery
-postop: pt wears antero-posterior plastic shell that's worn for several
months to provide stability
What is the goal of treatment for OI?
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To decrease the incidence of fractures and maintain mobility
Describe the nursing management regarding the application of a cast: (4)
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, 1) Perform baseline neurovascular assessment
-color, movement, sensation, quality of pulses
2) Reduce fear by showing child cast materials
3) Premedicate to reduce pain when manual traction is applied to align the
bone
4) Use distraction during application
What is cerebral palsy?
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Range of non-specific clinical symptoms characterized by abn motor
pattern and postures caused by nonprogressive abn brain function
-large variety of s/s and disability
-2 common co-morbidities in pt's with CP: hydrocephalus and seizures
What are the treatment goals for JIA? (6)
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1) Relieve pain
2) Preserve join function and prevent deformities
3) Achieve remission
4) Control inflammatory process
5) Minimize side effects of the disease and treatment
6) Promote normal G&D
, What is the nursing management for cerebral palsy: (3)
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1) Promote mobility
-physiotherapy, pharmacologic management, and surgery
2) Orthotic devices
-maintain skin integrity
-proper application of removable appliances
3) Promote nutrition
-pt may have difficulty eating and swallowing due to poor motor control of
the mouth, tongue, and throat
-give increased time to eat
-provide special diet and positioning
-dietician and/or speech therapy consult to evaluate nutrition and feeding
ability
What is the etiology and pathophysiology regarding scoliosis?
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1) Neuromuscular occurs in children w medical conditions and that impairs
their ability to control the muscles that support the spine
2) Idiopathic structural scoliosis has no known cause
-most common is a right thoracic and left lumbar deformity
-as the curve progresses, structural changes occur:
rib hump and asymmetric vertebral column
What is included in the spinal fusion patient educational teaching? (5)
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1) Increased pain
2) Increased edema
3) Pale or blue color
4) Skin coolness
5) Numbness or tingling
6) Prolonged cap. refill
7) Decreased pulse strength (or absence of)
What is the clinical treatment for idiopathic scoliosis?
Give this one a try later!
, Treatment regimen depends on degree and progression of the curvature
and the reaction of the child and family to medical management:
1) Mild (curvature 10-25 degrees)
-exercise
2) Moderate (curvature 25-45 degrees)
-bracing (start immediately upon diagnosis & wear 23 hrs a day)
3) Severe (curvature >45 degrees)
-requires spinal fusion surgery
-postop: pt wears antero-posterior plastic shell that's worn for several
months to provide stability
What is the goal of treatment for OI?
Give this one a try later!
To decrease the incidence of fractures and maintain mobility
Describe the nursing management regarding the application of a cast: (4)
Give this one a try later!
, 1) Perform baseline neurovascular assessment
-color, movement, sensation, quality of pulses
2) Reduce fear by showing child cast materials
3) Premedicate to reduce pain when manual traction is applied to align the
bone
4) Use distraction during application
What is cerebral palsy?
Give this one a try later!
Range of non-specific clinical symptoms characterized by abn motor
pattern and postures caused by nonprogressive abn brain function
-large variety of s/s and disability
-2 common co-morbidities in pt's with CP: hydrocephalus and seizures
What are the treatment goals for JIA? (6)
Give this one a try later!
1) Relieve pain
2) Preserve join function and prevent deformities
3) Achieve remission
4) Control inflammatory process
5) Minimize side effects of the disease and treatment
6) Promote normal G&D
, What is the nursing management for cerebral palsy: (3)
Give this one a try later!
1) Promote mobility
-physiotherapy, pharmacologic management, and surgery
2) Orthotic devices
-maintain skin integrity
-proper application of removable appliances
3) Promote nutrition
-pt may have difficulty eating and swallowing due to poor motor control of
the mouth, tongue, and throat
-give increased time to eat
-provide special diet and positioning
-dietician and/or speech therapy consult to evaluate nutrition and feeding
ability
What is the etiology and pathophysiology regarding scoliosis?
Give this one a try later!
1) Neuromuscular occurs in children w medical conditions and that impairs
their ability to control the muscles that support the spine
2) Idiopathic structural scoliosis has no known cause
-most common is a right thoracic and left lumbar deformity
-as the curve progresses, structural changes occur:
rib hump and asymmetric vertebral column
What is included in the spinal fusion patient educational teaching? (5)
