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To all Level III-B

assignment to be pass for tomorrow (NCM 104)COMMON NEUROLOGICAL HEALTH PROBLEMS:

A. Neonate and Infant1. Cranial AbnormalitiesMonday--------Assignment:Hydrocephalus

Nursing Diagnoses

A. Altered Cerebral Tissue Perfusion r/t IICP prior to surgery

B. Altered Nutrition: Less than body requirements r/t reduced oral intake and vomiting

C. Risk for Impaired Skin Integrity r/t alterations in level of consciousness and enlarged head

D. Anxiety (of parents) r/t child undergoing surgery

E. Risk for Injury r/t malfunctioning shunt

F. Risk for Fluid Volume Deficit r/t cerebrospinal fluid drainage, decreased intake postoperatively

G. Risk for Infection r/t bacterial infiltration of the shunt

H. Ineffective Family Coping r/t diagnosis and surgery

Nursing Intervention for each nursing diagnoses (A-H)Family Education/ Health Maintenance

Evaluation (A-H)

2. Spinal Cord Abnormality

- Spina Bifida

Spina bifida occulta

Meningocele

Myelomeningocele/ Meningomyelocele

Nursing Diagnoses

Preoperative: Neonatal Period

A. Risk for Impaired Skin Integrity r/t impaired motor and sensory function

B. Risk for Infection r/t contamination of the myelomeningocele site.C. Altered Urinary Elimination r/t neurologic deficits

D. Altered Tissue Perfusion r/t potential hydrocephalus

E. Fear (parents) r/t neonate with neurologic disorder and to surgery

Postoperative: Infancy and childhood

F. Ineffective Thermoregulation following surgery

G. Reflex incontinence r/t sacral denervation

H. Bowel Incontinence/ Constipation r/t impaired innervations of anal sphincter and bowel musculature

I. Body Image Disturbance r/t the childs appearance, difficulties with locomotion, and lack of control over

excretory functions

Nursing InterventionPreoperative: Neonatal Period (A-E)

Postoperative: Infancy and Childhood (F-I)

Family Education/ Health Maintenance

Evaluation

(It should be handwritten in a short bond paper)

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SAMPLE FORMAT:

A. Risk for Impaired Skin Integrity r/t impaired motor and sensory functionGOAL:

NURSING INTERVENTION:

1.

2.

3.EVALUATION:

B. Risk for Infection r/t contamination of the myelomeningocele site.GOAL:

NURSING INTERVENTION:

1.

2.

3.

EVALUATION:

IN ANION N SIYA HANGTOD MU ABOT SA LETTER (I)

Then sa last is ang family education or family maintenance: (as a whole na siya. Sample isfamily maintemnance or family education sa hydrocephalus)

Tuesday:

Child and Adolescent

- Cerebral Palsy

Middle Aged Adult

- Tic Douloruex (Trigemneuralgia/ Trigemal Neuralgia

Wednesday------Reporting: YOUNG ADULT

- Encephalocele

- Guillaine Barre Syndrome/ Polyneuritis/ Landry- Guillaine Barre Syndrome

- Multiple Sclerosis

- Myasthenia Gravis