Spina bifida nursing care plan. Nursing Care Plan on Spina Bifida 2022-11-07
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Spina bifida is a birth defect that affects the spinal cord and vertebral column. It occurs when the neural tube does not close properly during fetal development, resulting in the spinal cord and surrounding tissues being exposed. This can lead to a range of physical and cognitive impairments, including difficulty with mobility, bladder and bowel control, and sensory processing.
A nursing care plan for a patient with spina bifida will depend on the specific needs and abilities of the individual. However, some common elements of a nursing care plan for spina bifida may include:
Mobility: Patients with spina bifida may have mobility impairments due to muscle weakness, paralysis, or other factors. Nurses can work with patients to develop strategies for mobility, such as using assistive devices, physical therapy, and other interventions.
Bladder and bowel management: Patients with spina bifida may have difficulty with bladder and bowel control due to nerve damage. Nurses can help patients develop a routine for managing these issues, including using catheters or other devices, and ensuring proper nutrition and hydration to support healthy bowel function.
Pain management: Some patients with spina bifida may experience chronic pain due to nerve damage or other factors. Nurses can work with patients to identify the source of their pain and develop a plan to manage it, using a combination of medication, physical therapy, and other approaches.
Skin care: Patients with spina bifida may be at increased risk for skin irritation and pressure sores due to immobility or other factors. Nurses can help patients develop a skin care routine to prevent these issues, including frequent repositioning, use of pressure-relieving devices, and proper hygiene.
Education and support: Nurses can play a key role in educating patients with spina bifida and their families about the condition and its management. This may include providing information on treatment options, coping strategies, and resources for support.
Overall, the nursing care plan for a patient with spina bifida should be tailored to the individual's needs and goals. By working closely with patients and their families, nurses can help patients manage their condition and lead fulfilling lives.
7 Spina Bifida Nursing Care Plans
Note presence or absence of spontaneous effort and quality of respirations labored, using accessory muscles. If the results are still high, you'll need further evaluation, including an ultrasound exam. Design and methodological considerations of the Centers for Disease Control and Prevention urologic and renal protocol for the newborn and young child with spina bifida. Encourage and acknowledge patient attempts in doing self-care activities. The nurse should explain that the doctor has recommended the test: A. In other words, most II.
Assist and allow the patient to sit in the bedside commode or toilet at the same time each day. There are two types of spina bifida: spina bifida occulta is the most common and is a defect in the closure without the herniation and exposure of the spinal cord or meninges at the surface of the skin in the lumbosacral area. Injury, 49 8 , 1409-1412. The study reported by the Spina Bifida Association states that the survey and focus group discussions held with parents and clinic physicians and IV. And affects approximately 7 million people in the United States Scoliosis Research Society website. Observe skin color for developing May reveal impending respiratory failure, need for immediate medical Assess for abdominal distension and muscle spasm. Allow family members to express their feelings and concerns regarding the physical condition of their relative with spina bifida.
Background spina bifida include nursing care nursing interventions Sources
It will test for AFP. Also include the patient care and activities into the family routine. Research suggests that children with spina bifida who had fetal surgery may have reduced disability and be less likely to need crutches or other walking devices. Hypoventilation is common and leads to accumulation of secretions, atelectasis, and Note strength or effectiveness of cough. ADVERTISEMENTS spinabifida occultais the most common and is a defect in the closure without the herniation and exposure of the spinal cord or meninges at the surface of the skin in the lumbosacral area. Utilize stimulation and suppository if warranted.
Spina Bifida Pediatric Nursing Care Management and Study Guide
In this form of spina bifida, the gap in the spine is small and there is no opening or sac formation at the back of the patient. There are several different treatments that can be used to manage symptoms or conditions associated with spina bifida such as Nursing Care Plans Nursing care planning goals for clients with spina bifida include prevent infection, maintain skin integrity, prevent trauma related to disuse, increase family coping skills, education about the condition, and support. Therefore, this examination is crucial to identify and rule out congenital anomalies such as spina bifida. Talk to your doctor about prenatal testing, its risks and how you might handle the results. Sleep-disordered breathing in patients with myelomeningocele. However, it does not mean the United States will never have any problems. Provide radiant warmer or place infant in an incubator isolette based on hypothermia evaluation keeping sac moist postoperatively.
Ultrasonographic examination of the fetus may show an incomplete neural tube. If a woman gives birth to a baby with spina bifida, she has a higher-than-normal risk of having another baby with spina bifida too about 5% risk. Nurse Marianne is caring for an infant with spina bifida. In cases of spina bifida, a caesarean birth or C-section is the preferred method of delivery. This tube might be placed just after birth, during the surgery to close the sac on the lower back or later as fluid accumulates.
Guidelines for the Care of People with Spina Bifida
Spina Bifida Nursing Interventions Rationale Assess and monitor the characteristics of urine, such as amount, frequency, color, odor, and turbidity. Centers for Disease Control and Prevention. Additional Surgical Management Many specialists are involved in the treatment of these newborns, especially in the case of myelomeningocele. Evaluating their problem-solving skills and its effect will reveal dynamics that would either need improvements or changes in order to cope with the crisis. Excerpt from Essay : Spina Bifida and Nursing Care Interventions The purpose of this study is to examine spina bifida and nursing care interventions.
This may mean walking with or without braces, using walking aids such as canes or crutches , or exclusively using a wheelchair. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. It is normally discovered only by accident when going for a scan for something else. It is also involved in the formation of white and red blood cells. Nursing Interventions Nursing interventions for patients with spina bifida include providing psychological support to assist.
Ensure that the patient utilizes clothing and undergarments, even when the patient is using incontinence pads. Even children who need a wheelchair can learn to function very well and become self-sufficient. Depending on the location of spina bifida, nerves controlling the bowels and bladder may become affected causing problems in the functions of the bladder and bowels. However, the spinal cord does not go into the sac; hence, there is usually no nerve damage involved. Protect the sac, cover with sterile, moist normal saline , nonadherent dressing and change the dressing every 2-4 hours 6. Adequate fluid intake ensures for better passing of stools by softening them. If cough is ineffective, suctioning may be needed to remove secretions, enhance gas exchange, and reduce risk of respiratory infections.
Minor disabilities may occur in this type of spina bifida. A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. Hip and joint deformities; 4. She is a clinical instructor for LVN and BSN students along with a critical care transport nurse. Educate the family on the causes, treatment and prognosis of spina bifida. This specialized surgery should only be done at a health care facility that has experienced fetal surgery experts, a multispecialty team approach and neonatal intensive care.