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A 11-year-old child with Spina Bifida is receiving home care. The family has recently moved to...

A 11-year-old child with Spina Bifida is receiving home care. The family has recently moved to a new area and is in their new house. The nurse from the new agency arrives for the first assessment in the home. The child has limited use of his lower extremities. The nurse notes that the child's parents rush to help whenever the child needs something or goes to do something. In addition, the grandparents of the child live in the home and you have noticed they use "baby talk" when talking to the child.

How will your child's age impact your nursing assessment? What type of nursing assessment would you do for this specific child with this specific illness?

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Expert Solution

Answer: The child's age affects the nursing assessment in many ways, but it depends upon the age of the child such as he/she is Neonatal and infant, child and geriatric. Taking care of neo-natal is easy as compared to the infants. At the age of 11, it is quite difficult to do an assessment as some of the children are stubborn or many of them are not ready to take medicine or eat proper food. These are the main problems that are related to the child's age which makes nursing assessment difficult.

When the spinal cord don't form properly it give rise to Spina bifida. It is a birth defect, which falls under the category of neural tube defects. The neural tube is the embryonic structure that eventually develops into the baby's brain and spinal cord and the tissues that enclose them. Children suffering from this unable to sit or move. The nurse has to encourage the child to tackle with the situation because encouragement is necessary as a child may go into depression. The child can not move so there are many chances of infections, so nurse has to prevent infection, and also maintain skin integrity.

Prevent trauma related to issues, making a family to understand how to cop up with the child and not to get frustrated and also educating them about the condition.

Nightingale answered 2 years ago
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