• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Of Nursing and Health.

Extracts from this document...


RUNNING HEAD: Nur 323 Case Study: DMD Nur 323 Case Study: DMD Kevin P Jones Wright State University Miami Valley College Of Nursing and Health 8 May 2003 TH is a 28 pound, 34.5 inch, 8 year-old male that presents with diagnoses of Duchenne Muscular Dystrophy (DMD), Asthma, and Cerebral Palsey. At birth, TH suffered a perforated bowel and stroke at birth. He has fully recovered from the stroke except has minimal fine motor control of his left hand and wrist. Presently, Duchenne Muscular Dystrophy (DMD) is causing the greatest threat to TH's health. DMD, also known as pseudohypertrophic, is an X-linked disorder affecting males almost exclusively (Wong 2001). "DMD results from mutation of the gene that encodes dystrophin, a protein product in skeletal muscle" (Wong 2001). DMD will usually progress through the following seven motor function ability stages (Jansma & French 1994). 1. Walks with a mild waddling gait with accompanying lordosis. ...read more.


The child will have difficulty going up steps (Emery 2002). "[This is characterized by having] to first put one foot, then the other foot, on the same step before moving on to the next one" (Porter et al., 2002). Soon he'll have to pull himself up using the handrail (Porter et al., 2002). The progressive weakness of the muscles results in Gower's maneuver (Emery 2002). Gower's maneuver is characterized by "climbing up his/her thighs, pushing down on them, to extend the hips and trunk" (Emery 2002). Most patients will have large calves. This enlargement is due to fatty infiltration (Wong 2001). "Over the next few months, he will walk more and more on his tiptoes, and develop...lordosis. He'll start to fall more often and be able to rise again only by pulling on objects or by placing his hands on the floor while standing and then lifting his upper body by "climbing" up on his legs with his hands. ...read more.


Eventually, his body curves until his ribs may be resting on his hip bones. The affected youngster may also develop tightening of the joints or "contractures" at the hips, knees, ankles, shoulders and elbows, to the point where the legs are bent up against the stomach with the feet pointing down and the arms locked into the sides with elbows bent. With additional weakness of the chest muscles, the youngster will be unable to breathe deeply or cough properly, and even minor colds and chest infections have a high chance of leading to pneumonia. Severe respiratory problems mark the disease's final stages, usually claiming the lives of those affected during their twenties. The heart muscle is affected at times, and some children may die of heart failure. Some degree of mental impairment is usual, about 20 percent of boys have an IQ of less than 70. Weakness is mainly proximal and progressive. Ultimately, a wheelchair becomes necessary, in most cases by age 12. Pneumonia compounded by cardiac involvement is the most frequent cause of death, which happens in the late teens or early 20's" (Emery 2002). ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our GCSE Child Development section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related GCSE Child Development essays

  1. Examining the advantages of creative activities to the client.

    Intellectual - This activity was in a way intellectual as they were able to look at the seaside collage and notice what pictures I've put on the piece of cardboard and try to figure out what they are and whereabouts they will see them at the seaside.

  2. Definition & Causes - Cerebral Palsy.

    Some of the other difficulties brought on by CP can include, incontinence a deficiency of muscle control that keep the bladder closed. This infliction can take the form of bed-wetting, uncontrolled urination during physical activities, or the slow leaking of urine from the bladder.

  1. Health, Social Care and Early years provisions.

    As you can see below: The government allocates funding to the social services. It receives money through grants and contracts, allowing a constant flow of money. This allows improvements and funding for current projects, the type of grants received by the council doesn't always have to be through the government.

  2. Child development study - I will compare my visits and look at Aroushs development ...

    hall a child of 18 months should be able to do this. Aroush also used her fine motor skills in opening the door. During the activity aroush again used her fine motor skills when holding a pencil and turning the pages of the activity book.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work