As diagnosis may take a greater amount of time to develop or emerge, treatment may not be an option. In some cases the child may require a heart transplant. A young boy by the name of Joseph Gonzalez-Sales, age 10, was a child that required a heart transplant due to dilated cardiomyopathy (Kotojarvi 1). Joseph waited about 2 years to receive his procedure and finally underwent surgery to obtain his new and healthy heart on his 11th birthday (Kotojarvi 1). Other children, in not as consequential cases, can receive some form of treatment that may not require a procedure. Treatment may vary from patient to patient and is directed toward their symptoms and diagnosis (“Pediatric Cardiomyopathy” 7). Unfortunately many drug therapies and surgical
In this paper I will discuss two different case studies. The first case study involves a 35-month old girl named Kim who struggles with meal time, potty training, and play time with others. I will discuss four assistive technology devices, that would work for Kim. These devices will assist Kim with balance, mobility and undressing. The second case study involves a school age child name Billy, who struggles with benchmark objectives. Billy is in the fourth grade and use Assistive technology devices reading and math. I will discuss different AT devices that can be used to assist Billy with reading and math.
“Hypoplastic left heart syndrome accounts for 9% of all critically ill newborns with congenital cardiac disease, causing the largest number of cardiac deaths in the first year of life.(2) ” HLHS is a severe heart defect that is present at birth. HLHS combines different defects that result in an underdeveloped left side of the heart. This syndrome is one of the most challenging and difficult to manage of all of the congenital heart defects. Multiple portions on the left side of the heart are affected including the left ventricle, the mitral and aortic valve, and the ascending aorta. These structures are greatly reduced in size, or completely nonexistent causing the functionality of the left heart to be reduced, or non-functional all together.
There are four different categories of treatment: lifestyle changes, surgical procedures, non-surgical procedures, and medications. Lifestyle changes include having a healthy diet; increasing physical activity; eliminating cigarettes, alcoholic beverages, and illicit drugs; and getting enough rest and sleep; losing excess weight. These lifestyle changes are to lower the patient’s blood pressure, cholesterol, and reducing any other future medical conditions. There are also surgical options to help cure, prevent, or control cardiomyopathy. Surgical method include a septal myectomy, surgically implanted devices, and a heart transplant. A septal myectomy is used to specifically treat hypertrophy cardiomyopathy which is where the heart muscle cells enlarge and cause the walls of the ventricles to thicken. The thickening of the walls may not affect the size of the ventricles but instead may affect the blood flow out of the ventricle. Usually along with the ventricles swelling, the septum in between the ventricles can become enlarged and block the blood flow causing a heart attack. When medication is not working well to treat hypertrophic cardiomyopathy, a surgeon will open the chest cavity and remove part of the septum that is blocking blood flow. Surgically implanted devices include a pacemaker, a cardiac resynchronization therapy device, a left ventricular assist device, and an implantable
During a physical examination, a specialist may hear a heart murmur which will prompt a referral to a pediatric cardiologist for an analysis. Diagnostic testing will vary by the child’s age, clinical condition, and institutional preferences. Such test may incorporate a chest X-ray, electrocardiogram, echocardiography and cardiac catheterization. A chest X-ray uses unseen X-ray beams to cr...
It is estimated that 356,00 people lose their homes to fires. The Sodder family was one of these people. The Christmas eve of 1945, the Sodder house caught on fire and burned to ashes. Out of 10 children, only 5 survived the fire ,but the remains of the other 4 were never found. The Kids were taken by 4 adults that had no help and the kidnapper paid off the police and fire department to keep quiet are two theories surrounding the mystery behind what really happened to the Sodder children.
For Great Artery Stenosis in Children with Congenital Cardiac Disease." Cardiology in the Young 22.2 (2012): 178-183. Academic Search Premier. Web. 17 Nov. 2013.
Pain assessment is critical for pediatric patients not only in order to select a proper approach to treating pain but also to prevent further complication that might develop. With age appropriate
I appreciate that you have decided to share your personal experience within this post. Pediatric care is an entity within itself within the medical field. Ill children are extremely difficult to manage as patients and have the tendency to have a rapid change in status while patients in the hospital. Providing safe care for pediatrics during hospitalization is an area that I am not too familiar with. Working the ER I have had many pediatric patients, but the parents always remain with the patient. When peds patients are admitted, hospital protocol states that the patient must be present during the transfer of the patient to the admitting floor. So, in my experience the parent always provides the safety aspect of care in the ER, patient are expected
Medicating our children for problems such as; Attention Deficit Hyperactive Disorder, bipolar disorder, or autism seems to be a new trend. Unfortunately, these medications have very dangerous side-effects especially in sensitive children like those in foster care. Healthy alternatives are often overlooked for a quick fix pill. Do parents even know what these medications do? Do they know what these medications were originally for?
Approximately, 1 of every 500 people is affected with hypertrophic cardiomyopathy, it is important for patients to understand the dynamics of the disease as it could potentially be life threatening. In most cases, the patients quality of life is not affected, but a few will experience symptoms that cause significant discomfort or undetected complications that could lead to sudden cardiac death. With that in mind, it would be beneficial to recognize what it is, specific causes, the steps of diagnoses, and the options for treatment.
QMHP visited the client as agreed. Mrs. Luna welcomed QMHP. She appeared thankful for QMHP’s presence, as she shared that she was stressed out, as her children would not listen to her. IIHC reinforced the relevance of encouraging her children using positive words, instead of raising her tone of voice. QMHP demonstrated to Mrs. Luna how to prepare the children to get ready for the activity they had at the church that afternoon.
The documentary “The Medicated Child” gave me a lot of insight into the lives of children diagnosed with bipolar disorder. When we hear and learn about bipolar disorder, we do not normally think of children. However, there are many children diagnosed with bipolar disorder ranging from all ages. As we saw in the documentary, bipolar disorder can be very hard on both the child and the family, so finding a cure that is effective and safe is important. The video also highlighted how little research there has been on the effectiveness of antidepressants on children.
(Slide 2) What is Cardiomyopathy? If we break down the word we can see “Cardio” which means of the heart, “myo” which means muscle, and “pathy” which means disease, therefore cardiomyopathies are diseases of the heart muscle. (Slide 3) There are 3 main types of cardiomyopathies; hypertrophic, dilated, and restrictive. I will only be discussing dilated cardiomyopathy, which is characterized by the enlargement of the hearts chambers with impaired systolic function. It is estimated that as many as 1 of 500 adults may have this condition. Dilated cardiomyopathy is more common in blacks than in whites and in males than in females. It is the most common form of cardiomyopathy in children and it can occur at any age (CDC).
Five year old Jacob Turner is a healthy boy without many cares in this world. His father takes sole care of him because his mother died suddenly. Genetic testing after death, showed a genetic mutation in Jacob's mothers genes that caused her to have an irregular heart. Unfortunately, Jacob has also inherited this mutation, but fortunately, this disorder can be controlled by medications. Now, Jacob's father has another problem. No insurance company will cover young Jacob because of his known heart irregularity.
These causes will change the heart significantly. The pathophysiology of heart failure is described differently as: (1) an oedematous disorder, by means of which the deviations in renal hemodynamics and excretory ability lead to salt and water holding; (2) a hemodynamic disorder, considered by peripheral vasoconstriction and decreased cardiac output; (3) a neurohormonal disorder, mainly by stimulation of the renin-angiotensin-aldosterone system and adrenergic nervous system; (4) an inflammatory syndrome, related with amplified local and circulation pro-inflammatory cytokines; (5) a myocardial disease, started with an damage to the heart trailed by pathological ventricular transformation. In heart failure, the heart sustains either a sudden or longstanding structural injury. When damage occurs, sequences of firstly compensatory but consequently maladaptive mechanisms follow (Henry & Abraham, ).