Question

In: Nursing

. 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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