An unusual neurologic problem: Werdnig-Hoffmann disease

1990 ◽  
Vol 10 (10) ◽  
pp. 60-67
Author(s):  
C Barden ◽  
R Lee ◽  
Y Parchment ◽  
RM Dempsey

Werdnig-Hoffmann Disease, its pathophysiology, and the resulting symptoms are described in this article. A case study is presented with treatment goals outlined, and the appropriate nursing interventions are delineated.

2017 ◽  
Vol 11 (12) ◽  
pp. 5163
Author(s):  
Patrícia Peres Oliveira ◽  
Carolina Eloi Miranda ◽  
Eduardo Henrique de Oliveira Lima ◽  
Marina Bueno Dias ◽  
Edilene Aparecida Araújo da Silveira ◽  
...  

RESUMOObjetivo: operacionalizar o processo de Enfermagem para adolescentes em cuidados paliativos, baseado no Modelo de Adaptação de Roy, utilizando NANDA, Classificação dos Resultados de Enfermagem e Classificação das Intervenções de Enfermagem. Método: estudo qualitativo, no qual se adotou, como estratégia metodológica, o estudo de caso, realizado com dois adolescentes e famílias, por meio de visitas domiciliárias. Como referencial teórico, foi utilizado o Modelo de Adaptação de Callista Roy. Resultados: observou-se que os cuidados aos adolescentes e suas famílias favoreceram a adaptação, pois os jovens apresentaram melhora significativa frente aos estímulos; as condições socioeconômicas identificadas interferiram no bem-estar da família e da adolescente do sexo feminino e, consequentemente, percebeu-se o impacto gerado. Todavia, deve-se propor intervenções como orientações sobre o manejo dos sintomas apresentados e sessões de musicoterapia, contribuindo para a melhora no ambiente familiar, além da redução da ansiedade. Conclusão: as intervenções implementadas foram importantes para a substituição de respostas ineficazes por respostas adaptativas. Descritores: Cuidados Paliativos; Neoplasias; Saúde do adolescente; Processos de Enfermagem.ABSTRACTObjective: to operationalize the Nursing process for adolescents in palliative care, based on the Roy Adaptation Model, using NANDA, Nursing Outcomes Classification and Nursing Interventions Classification. Method: a qualitative study, in which the case study, was adopted, as a methodological strategy, carried out with two adolescents and families, through home visits. As a theoretical reference, the Callista Roy Adaptation Model was used. Results: it was observed that the care to the adolescents and their families favored the adaptation, since the young showed a significant improvement in front of the stimuli; the identified socioeconomic conditions interfered with the well-being of the female family and adolescent, and consequently, the generated impact was perceived. However, one should propose interventions as guidelines on the management of the presented symptoms and sessions of music therapy, contributing to the improvement in the environment reduction of anxiety. Conclusion: the interventions implemented were important for the substitution of ineffective responses by adaptive responses. Descriptors: Palliative Care; Neoplasm; Adolescent health; Nursing Process.RESUMENObjetivo: operacionalizar el proceso de Enfermería para adolescentes en cuidados paliativos, basado en el Modelo de Adaptación de Roy, utilizando NANDA, Clasificación de los Resultados de Enfermería y Clasificación de las Intervenciones de Enfermería. Método: estudio cualitativo, en el cual se adoptó, como estrategia metodológica, el estudio de caso, realizado con dos adolescentes y familias, por medio de visitas domiciliarias. Como referencial teórico, se utilizó el modelo de adaptación de Callista Roy. Resultados: se observó que los cuidados a los adolescentes y sus familias favorecieron la adaptación, pues los jóvenes presentaron una mejora significativa frente a los estímulos; las condiciones socioeconómicas identificadas interfirieron en el bienestar de la familia y de la adolescente femenina y, consecuentemente, se percibió el impacto generado. Sin embargo, se debe proponer intervenciones como orientaciones sobre el manejo de los síntomas presentados y sesiones de musicoterapia, contribuyendo para la mejora en el ambiente familiar, además de la reducción de la ansiedad. Conclusión: las intervenciones implementadas fueron importantes para la sustitución de respuestas ineficaces por respuestas adaptativas. Descriptores: Cuidados Paliativos; Neoplasia; Salud del Adolescente; Procesos de Enfermería.


2018 ◽  
Vol 10 (5) ◽  
pp. 1
Author(s):  
Maha S. Yaseen ◽  
Radwan S. Mahadin

This paper presents a case study of a Jordanian child with phonological speech disorders. It seeks to investigate functional phonological disorders and their treatment among Jordanian children within an Optimality Theoretic (OT) perspective. It aims to provide treatment for children’s speech errors within a constraint-based system. The analysis of the data identifies seven error patterns in the child’s productions, namely: fronting, lateralization, stopping, devoicing, de-emphasization, syllable deletion and cluster reduction. Furthermore, OT is employed at the end of the study as a guideline to select the priority of treatment goals by demoting responsible markedness constraints below faithfulness constraints. 


2008 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Patricia Josefa Fernandes Beserra ◽  
Maria Miriam Lima da Nóbrega ◽  
Greicy Kelly Gouveia Dias Bittencourt

ABSTRACTThe traumas represent a great problem of public health, being the traffic accident the most frequent type of trauma and its victims considered high risk patients due to the immediate unknowing of the happened lesions. In spite of time limitations in the service to the trauma victim patient, a care of better quality can be rendered through the systematized attendance, once, it allows to discover relevant data, to judge situations, to make decisions and to manage the care discriminating the priorities and reactions, in a minimum of time and with a maximum of efficiency. This case study was accomplished during the service to an accident, that happened on a public road, with the objective of describer the nursing attendance to a trauma victim, taking as base the Model of Adaptation of Callista Roy, especially the physiologic way of the adaptation, and the International Classification for the Nursing Practice - ICNP© Version Beta 2. After the data collecting, an individual process of judgment on the trauma victim's answers and on the stimulus that were provoking those answers took place. Starting from the collected data, it was possible to build the nursing diagnosis considering the components in the physiologic way of adaptation; to establish the nursing goals and the nursing interventions. Descriptors: nursing process; classification; accidents; nursing theory; nursing diagnosis.RESUMOOs traumas representam um grande problema de saúde pública, sendo o acidente de trânsito o tipo de trauma mais freqüente e suas vítimas consideradas pacientes de alto risco devido ao desconhecimento imediato das lesões ocorridas. Apesar das limitações de tempo no atendimento ao paciente vítima de trauma, pode-se prestar um cuidado de melhor qualidade mediante uma assistência sistematizada, uma vez que, ela permite descobrir dados relevantes, julgar situações, tomar decisões e administrar o cuidado discriminando as prioridades e reações, em um mínimo de tempo e com um máximo de eficiência. Este estudo de caso foi realizado durante o atendimento de um acidente, que se deu em via pública, com o objetivo de descrever a assistência de enfermagem prestada a paciente vítima de trauma, utilizando o Modelo de Adaptação de Callista Roy e o sistema de Classificação Internacional para a Prática de Enfermagem - CIPE® Versão Beta 2. Após a coleta de dados, realizou-se um processo individual de julgamento sobre as respostas da vítima de trauma e sobre os estímulos que estavam provocando essas respostas. A partir dos dados coletados, foi possível construir os diagnósticos de enfermagem levando-se em consideração os componentes do modo fisiológico de adaptação; estabelecer as metas e as intervenções de enfermagem. Descritores: processo de enfermagem; classificação; acidentes; teoria de enfermagem; diagnóstico de enfermagem.RESUMENLos traumas representan un gran problema de la salud pública, siendo el accidente de transporte el tipo más frecuente de trauma y sus víctimas consideradas pacientes de elevado riesgo, debido al desconocimiento inmediato de las lesiones sufridas. A pesar de las limitaciones de tiempo en la atención al paciente víctima del trauma, se puede prestar un cuidado de mejor calidad a través de la atención sistematizada, una vez que, permite descubrir datos relevantes, juzgar la situación, tomar decisiones y administrar el cuidado discriminando las prioridades y las reacciones en un mínimo de tiempo y con un máximo de eficiencia. Este estudio de caso fue realizado durante la atención de un accidentado, que sucedió en una vía pública, con el objetivo de describir la atención de enfermería a una víctima del trauma, tomando como base el modelo de Adaptación de Callista Roy, especialmente el modo fisiológico de adaptación, y la Clasificación Internacional para la Práctica de Enfermería - CIPE® Versión Beta 2. Después de la recolección de datos, se procedió a un proceso individual de evaluación de las respuestas de la víctima del trauma y de los estímulos que estaban provocando esas respuestas. A partir de los datos recogidos fue posible construir los diagnósticos de enfermería con base en los componentes del modo fisiológico de la adaptación, establecer las metas y las intervenciones de enfermería. Descriptores: proceso de enfermería; clasificación; accidentes; teoría de enfermería; diagnóstico de enfermería. 


2017 ◽  
Vol 9 (1) ◽  
pp. 45 ◽  
Author(s):  
Victoria Policastro Vega

The purpose of this paper is to define addiction and co-occurring disorders, review the current music therapy literature with regard to techniques and treatment goals and finally to accentuate gaps in research for future investigation. Mental health practitioners have been becoming increasing more aware that persons with addiction disorders have a high incidence of co-occurring mental health disorders. The term “comorbidity” is defined by the National Institute on Drug Abuse (NIH) as a person who exhibits more than one disorder or illness concurrently or sequentially, one after the other (NIH, 2011). The most common music therapy techniques is music songwriting and music improvisation. Most goals focus on the domains of education, social, emotion and behavior. The music therapy literature contains only seven studies, four quantitative, one case study and one descriptive study.  With the exception of one study, the research reflects finding in an eight-year time span with the most recent study being 3 years old. Future research needs to be reported with persons with addiction and co-occurring disorders. 


1990 ◽  
Vol 1 (2) ◽  
pp. 331-338
Author(s):  
Barbara Sechrist Cavender

Bronchopulmonary dysplasia (BPD) requires collaborative management in the pediatric health care setting. Because of the nature of the medical diagnoses, BPD can be viewed by nurses using selected nursing diagnoses. With the pediatric client, nursing diagnoses can assist the nurse to identify system alterations, and thereby address nursing interventions most appropriate for the child. Nursing interventions are based on collaborative decision making using both medical and nursing diagnoses. This case study will identify selected nursing diagnoses useful in the care of the child with BPD and nursing interventions used to treat frequently occurring health problems


2019 ◽  
Vol 13 (2) ◽  
pp. 91
Author(s):  
Nirva Rantesigi ◽  
Agusrianto Agusrianto

Non-pharmacological actions that can prevent and treat constipation are abdominal massage and therapy to drink 500 cc of warm water in the morning.  Doing massage can help encourage faeces and reduce abdominal muscle tension.  The purpose of this study is the application of nursing care in stroke cases.  This research is a type of case study research by applying comprehensive nursing care to patients.  The results showed data of patients who have not defecated for 4 days, the stomach feels full, there is a desire to defecate but it is difficult to get out, bowel sounds 6 times / minute.  The goal of nursing care is to prevent and overcome constipation, from moderate to mild constipation.  Nursing diagnosis of constipation is related to decreased gastrointestinal.  Nursing interventions Management constipation / impication.  Implementation of nursing doing abdominal massage and therapy to drink 500 cc of warm water in the morning.  Evaluation after 5 times giving patient intervention can defecate.  Conclusion: The application of abdominal massage and 500 cc warm water drinking therapy can prevent and overcome constipation in stroke patients in Poso District General Hospital.


Author(s):  
Wuriani Wuriani ◽  
Kelana Kusuma Dharma ◽  
Cau Kim Jiu ◽  
Kharisma Pratama ◽  
Gusti Jhoni Putra ◽  
...  

First trimester pregnant women will adapt to various things of discomfort, one of which is morning sickness. If not given a virginity intervention, then this pregnant woman could experience nutritional deficit. The aim of this case study is to provide an overview of how pregnant women in their first trimester cope with their complications during the COVID-19 pandemic. This research method uses in-depth interviews and observations of pregnant women in their first trimester at home. The results obtained were that there were three problems described by Mrs. L, namely; physical discomfort such as dizziness, nausea and fatigue, which can be dealt by taking a warm bath, or smelling some aromatherapy oil such as mint, disturbance of nutritional fulfilment which can be overcome by consuming fresh food, ginger water in a small portion yet frequently and the risk of stress which can be overcome by praying five times a day and gardening, cleaning up the house, discussing with other pregnant friends in whatsapp group. This study can serve as a guide for nurses in providing nursing interventions to pregnant women in the first trimester during the COVID-19 pandemic.


2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Nurul Ainul Shifa ◽  
Aisyah Safitri

Introduction: Perilaku kekerasan adalah suatu keadaan seseorang melakukan tindakan yang dapat membahayakan secara fisik baik terhadap diri sendiri, orang lain dan lingkungan. Dampak atau perubahan yang terjadi dapat berupa perasaan tidak sabar, cepat marah, dari segi sosial kasar, menarik diri, dan agresif. Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with a diagnosis of violent behavior. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mr. J. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is using the mental nursing care format and the SOP on Implementation Strategy (SP). The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: The client was escorted by his family on the grounds of fighting with his friends, feeling humiliated for not working, drugs being hidden and not being taken, being angry at home, speaking rudely and throwing tantrums, having trouble sleeping, the patient dropped out of medicine for approximately 4 weeks Mr. J had previously been admitted to the hospital with the same case, namely violent behavior. There are no families with mental disorders, the patient's communication pattern is closed with the family and the parenting pattern of the client's family is authoritarian. Conclusion: The main nursing problem is violent behavior


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Yunita Devi Anggarsari ◽  
Yuyun Setyorini ◽  
Akhmad Rifai

Background: Pleural effusion is a fluid above the normal in the pleural space. Widespread pleural effusions will cause shortness of breath that affects the fulfillment of oxygen demand, so that nursing interventions can be arranged one of them is to set the semifowler position and collaborate in the giving of O2. The purpose of this study was to obtain a picture and experience in providing nursing care significantly for patients with pleural effusion with respiratory disorders. Method: This study uses data analysis method that is comparing the results obtained from two patients with pleural effusions who experienced ineffective breathing disorder and then compared with case study journal or other sources. Result: Based on the results of interviews and observations concluded that with the same diagnosis and performed the same implementation there are differences in outcomes in the intervention group with the control group. Conclusion: Forward in this study is the need to pay attention to accuracy in conducting assessments to maximize data in determining the priority problems that occur in patients and interventions based ONEC (Observation, Nursing Treatment, Education, Collaboration).


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