Hip Dysplasia
Age: 2 year’s old
Anne Elise Rinehart
OT 2028
4/21/16
I. Diagnosis
A. Etiology
Developmental dysplasia of the hip (DDH) is a congenital condition (i.e, present at birth) of the hip joint. According to the International Hip Dysplasia Institute (2012), DDH is defined as general instability or looseness of the hip joint. In normal development, the hip joint is created as a ball and socket joint around the time of birth and continues into infancy or childhood. In DDH, the hip socket is shallow and in result, the “ball” of the long bone (i.e, femoral head) slips out of the socket. Many factors are involved in the inheritance of DDH, but the exact causes are not known (Hip Dysplasia Institute, 2012). According to O’ Brien and Solomon (2016), “an infant may be genetically prone to instability of one or both of the hip joints, and stretching of an unstable hip or prolonged time in a position that makes the hip vulnerable may cause dislocation” (p. 201).
B. Disease process
Since DDH is considered a congenital condition, positioning of the baby in the womb can cause pressure on the hip joints, stretching the ligaments. Skaggs and Storer (2006) states, the left hip is affected
…show more content…
Occupational Therapy Intervention
A. Activities of Daily Living
a. Children’s Hospital at Stanford Activities of Daily Living Assessment
b. Purpose of this seventy-six item assessment is to identify strength and deficits in performing self- care tasks. It assists the OT practioner in setting goals for the rehabilitation process, records progress, and states the level of recovery of function (OTA faculty, 1935).
c. An activities of daily living assessment is appropriate for this two-year-old child because it assess basic ADL tasks that the child should already be familiar with or will participate in the future. Due to complications of the hip(s), tasks such as dressing, toileting, and hygiene are restricted.
B. Education
a. Peabody Developmental Motor Scales, 2nd
After reading Kim’s case study I noted that at 17 months she was referred to an early intervention program called 619. Kim was diagnosed with cerebral palsy and seizures; she also suffers with toilet learning. However, according to Kim pediatrician, she no longer suffers from seizures, but can use improvement with gross motor and language. Kim’s mother Mrs. Doe feels early intervention has assisted Kim in becoming more independent, although she still struggles with balance, mobility, and undressing. To better assist Kim with her development I came up with four assistive
Sacket et al, cited in, Duncan, E,A,S, (2006) Foundtions for practice in Occupational Therapy, 4th edition, Elsevier Ltd.
STEIN, F., SODERBACK, I., CUTLER, S., LARSON, B., 2006. Occupational therapy and ergonomics. Applying ergonomic principals to everyday occupation in the home and at work. London: Whurr Publishers.
Klara’s biosocial development is appropriate for her age. Gross motor development, balance, fine motor skills, personal care routines, and personal safety were reviewed in accordance to the DRDP.
Hip Dysplasia is a genetic attribute which is affected by environmental factors such as excessive growth, exercise, the dog’s weight and the dog’s nutrition intake. This chronic disease often arises while the dog is still young and physically underdeveloped around the five-month mark the symptoms will appear and it will deteriorate as they grow. This abnormality can eventually cause lameness and agonizing arthritis or even loss of function of the hip joint altogether. The larger breeds of dog such as Great Danes, Saint Bernards, Labrador Retriever and German Shepards are most likely to hold this genetic
A., de Rijk, A., Van Hoof, E., & Donceel, P. 2011). The therapist has to assess the patient to see if they have a need for splints or supports which may benefit the patient and then step in to help design the specific assistive devices needed. It is the job of the occupational therapist to come up with plans to overcome the inconvenient limitations while still helping the patient to reduce strain and prevent further damage by teaching them techniques that will conserve their energy. There are a variety of different ways to make daily living much easier. The most crucial part of therapy is assessing the patient's environment. All the people, cultural conditions and physical objects that are around them, create their environment. The behavior and development of people is a direct result of the interaction between them and their surroundings. A patient's behavior is greatly affected when they are mismatched with their environment. A person's environment match is present when the person's level of competence matches the demands of the environment. Full participation by the patient is required to make it practicable. “The science and practice of occupational therapy are well suited to develop, refine, and test approaches to translate therapeutic gains into
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
Osteopetrosis is a rare, genetic disease that causes extremely dense and brittle bones. This is because individuals affected with osteopetrosis do not have normal osteoclasts, which bones need to work correctly. Healthy bones require properly functioning osteoblasts and osteoclasts. Osteoblasts are responsible for making new bones and osteoclasts are bone cells that are responsible for bone resorption, which is the breaking down of bones and providing space for new bone marrow to grow. An individual with osteopetrosis has osteoclasts that do not function properly, therefore their bones are not healthy (Stocks, Wang, Thompson, Stocks, & Horwitz, 1998).
techniques, and promoting rehabilitation as an aid to full recovery. This is what Dr. Lyle J.
The big picture. Where the two schools of medicine differ is in philosophy. Doctors of osteopathy "treat people, not just symptoms," says Karen Nichols, dean of the Chicago College of Osteopathic Medicine. "The course list looks exactly the same, but the M.D.'s focus is on discrete organs. The osteopathic focus is that all of those pieces are interrelated. You can't affect one with out affecting another." That means paying more than simple lip service to the idea of the "whole" patient: It means that diagnosis and treatment rely on an examination of a person's environment and family and general situation as well as his or her body. Not surprisingly, about 65 percent of the nation's 52,000 licensed osteopaths (by comparison, the country boasts at least 900,000 M.D.'s) are primary-care physicians. The American Association of Colleges of Osteopathic Medicine has a description of osteopathic training, as well as short profiles of 20 schools, at www.aacom.org. The D.O. programs and their contact information are listed in the directory section of this book.
This publication was printed with the generous support of the National Institute on Disability and Rehabilitation Research
Scientists know that low BMD genes can have an increase for osteoporotic fractures. Mutations of the estrogen ER gene can cause osteoporosis; as well COLIA1 and COLIA2 gene mutations can result in severe forms of osteoporosis. The most reliable knowledge is the identification of BMD r...
...defects or sensory impairment). In order to assess the functional capacity of upper extremity and performance, the following tests can be done
Bone Fractures – a difficult delivery can sometimes cause newborns to be born with broken bones, the most common being a broken clavicle
During my freshman year of high school, I was diagnosed with developmental bilateral hip dysplasia. I was told that I would be able to put off surgery until my late 20’s and strengthen the muscles around my hip with physical therapy. I ended up being referred to a different doctor in Chicago right before my junior year of high school. My new specialist, Dr. Michael Stover, said that I would need surgery as soon as possible and my first hip surgery was scheduled for December 16, 2014. Two years later, after more physical therapy, my left hip began to weaken. My second hip surgery and first screw removal was scheduled for May 9, 2017.