. Pamela Souza, 6 years old, was born with cerebral palsy. Pamela suffers from general spasticity,...

. Pamela Souza, 6 years old, was born with cerebral palsy. Pamela suffers from general spasticity, mental impairment, impaired vision and hearing, and hydrocephalus. She has been admitted to the pediatric unit for evaluation of intrathecal spasticity control. (Learning Objectives 2, 3, 4, and 6)

a. Identify medications that might be used to help control Pamela’s spasticity.

b. What information would the nurse include in the health history?

c. What nursing interventions would be important in Pamela’s care?

d. What information would be important to include in a teaching plan for Pamela and her family?

Solutions

Expert Solution

a. The medication which can be used to control Pamela's spasticity is Baclofen. This medication belongs to skeletal muscle relaxant which can ease the spasticity.

The medication which can be used are

Dantrolene
Diazepam
Clonazepam
Botulinum toxin

b. The information which can be included in the health history are

Vaccination
Any surgery undergone
Diet
Exercise
Medication
Past and present illness
Biographical data
Family history
Personal history
Review of system

c. The nursing intervention which would be important in the care are

Administration of medication to control pain and infection
Observe for any adverse reactions and take preventative measures
Assist in feeding
Meet the personal hygienic need of the child
Maintain oxygen saturation
Monitor for bowel sounds movements
Monitor vital signs
Passive physical therapy

d. The teaching plan should include the following

Medication administration as per order
Inform the expected adverse effects and to report immediately in case of needs
Physiotherapy
Occupational therapy
Prevention of aspiration during feed
Observe for any withdrawal symptoms.

Nightingale answered 1 year ago

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