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Self esteem and body image problems
Self esteem and body image problems
Body image and self - esteem problems
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Chronic pain related to bone disease secondary to benign tumor as evidenced by complaints of pain, guarding behavior, facial grimaces, limping, alterations in sleep patterns, and alteration in muscle. tone.
This nursing diagnosis is appropriate for client, as he has struggled with pain for the last eight months. Osteoid osteoma is a painful experience that could have a domino effect on an adolescent psychosocial development as well, such as disturbed body image, powerlessness and low self-esteem. It is is crucial, especially during the adolescence period that this will be addressed and a proper intervention be placed, to alleviate the client’s physical pain, as well as preventing possible psychosocial issues of the adoslescent.
Wellness nursing diagnosis and rationale:.
Readiness for enhanced health perception management
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This includes discussion with his parents about staying active in sports, knowing when to rest, taking NSAIDs as needed. Taking charge and getting involved in his own care decreases feelings of powerlessness and promotes compliance for enhanced management of therapeutic regimen.
“Risk” nursing diagnosis and rationale:
Risk for disturbed body image related to alterations in physical mobility.
Limping, facial grimaces, guarding behavior and alteration in muscle tone could all lead to a disturbed body image. The client is at risk for developing a negative body image, affected by changes in the structure or function of his body (Gulanick, 2006). Social relationships, such as peers, are particularly important during this time. It is worthwhile to present to the client the disease process for further understanding and encouraging him to express his feelings can enhance the coping strategies. Discuss treatment options and keep an open communication.
Summary and wellness plan for the
Mrs. Farrington was constantly worrying about allowing him out of the house or be with other kids. The hospital constantly kept correcting this behavior by stating that she needs to allow him to be like other kids but sometimes it was her first instinct to prevent hospitalization. Mainly Cody is hospitalized due to weight loss or to clean mucus out of his lungs completely. Unlike Mrs. Farrington who has to deal with the medical treatments daily, her husband is in more denial. When Cody becomes sick he understands to call the hospital but Mr. Farrington has no understanding of Cody’s medicine and such. Though studies have shown that children who are cared by their mother recover faster and are discharged earlier, Mr. Farrington behavior is very concerning (Family-Centered Care and the Pediatrician’s Role, 692). He avoids the topic overall by working constantly. Mrs. Farrington finds this behavior to be strange because if something negative happened to her, Mr. Farrington needs to know these treatments, so they aren’t neglected or performed incorrectly. However, this arrangement between the parents is not very healthy because the stress of Cody condition is completely Mrs. Farrington burden. This makes Mrs. Farrington struggle giving her other children the fair attention they deserve as
As previously discussed, the weakness of bone and associated pain inhibits the movement of limbs, including the joints. Although joint involvement is not common in osteosarcoma, since the articular cartilage is a relative barrier to tumor invasion, there is evidence of the cancer causing joint effusion which prevent normal movement of joints (Quan G, et al. 2005).
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
Each morning before school I took him to the hospital where he received blood transfusions or chemotherapy to treat the lymphoma that was destroying his body. After school, I raced home to complete my homework so that I could later go to his apartment. There I cooked meals, cleaned up, and administered his oral and intravenous medications. Working with IVs became second nature to me. I found myself familiar with the names of drugs like Cytovene, used to treat CMV, Neupogen, to raise one's white blood cell count, and literally countless others.
Pediatric care is extremely individualized with the treatment plan for each child, families are highly encouraged to participate in goal setting, and the type of care is proactive with the intention of family-centered education (DiMarco & Kolcaba, 2005). The comfort theory can be intervened with all age groups. Some interventions that may be used to comfort a child or family during a stressful time are social, psychospiritual, environmental, and physical (Dimarco & Kolcaba, 2005). An example of each are; social, avoidance of using the word pain, psychospiritual, during a simple procedure you may have the parent present, environmental, utilization of a treatment room instead of the patients room, and physical, comfort of the patient with procedures and in bed (DiMarco & Kolcaba, 2005). Comfort is able to provide the patient with a positive outcome that encourage them and their families to commit themselves to health-seeking behaviors (DiMarco & Kolcaba,
Besides their other medical studies, osteopathic students get 200 hours of training in "osteopathic manipulative medicine," a hands-on technique for diagnosis and healing. Limited motion in the lower ribs, for instance, can cause pain in the stomach that seems a lot like irritable bowel syndrome. Identifying the muscle strain in the ribs through manipulation, and then treating it, can relieve the stomach distress. An osteopath learns to apply specific amounts of pressure on a body part, attempting to relax it or stimulate it. While such an approach might have raised eyebrows in the profession a decade or two ago, these days almost no one--except perhaps the crustiest old M.D.'s--dismisses it as New Age nonsense. Manipulative medicine is based on the not terribly heretical idea that structures in the body influence function, and that a problem in the structure of one body part can cause problems in the function of other parts.
Fibrodysplasia Ossification Progressiva, or more commonly known as “Stone Man’s Syndrome” because it turns the person into a “Statue”. It is a disorder in which the “soft connective tissue progressively turns to bone.” It is a very rare, and painful disorder. It affects about one person out of 2 million, it is so rare that it can sometimes even be misdiagnosed for other diseases and disorders. Some disorders that FOP is mistaken for would be Juvenile Fibromatosis, Lymphedema, or soft tissue sarcomas. Since it is commonly misdiagnosed, it is also mistreated, and can lead to even more harm for the patient. Because flare-ups can occur with “Muscle or connective tissue trauma, Intramuscular vaccinations, dental work, bumps, bruises or even falls.” The cause of this disease is believed to be “linked to a mutation in activin receptor IA/activin-like kinase 2 (ACVR1/ALK2) a bone morphogenic protein (BMP) type I receptor.
Chronic Pain is described as a long lasting pain that people experience beyond a normal healing time (Hasenbring, Rusu & Turk, 2012). This time is usually up to three or six months prior to an incident (Hasenbring, Rusu & Turk, 2012). Chronic back pain can include common diagnosis of muscle spasms, back strain, or myofasical syndrome (Weiner & Nordin, 2010). There are three different types of chronic back pain; simple musculoskeletal back pain, spinal nerve root pain and serious spinal pathology (Jackson & Simpson, 2006). (Hasenbring, 2012)
Any learning that occurs should focus on treatments, tests, and minimizing pain and discomfort as they improve they can shift their focus of learning (Kitchie, 2014, p.127). I will continue to provide a meeting location that is both comfortable and private. In the emotional aspect of M.M. and her family I will try to identify moments when members feel emotionally supported as it sets the stage for a teachable moment (Miller & Nigolian, 2011, p.56). I will also discuss with each member their previous coping strategies that used that have been successful and to encourage them to find a way to build on and strengthen these qualities. Using teaching methods that are interactive and allow patients equal contributions and participation can help promote health compliance (Habel, 2005,
Osteomyelitis is an infection of the bone or bone marrow. Osteomyelitis is a very destructive disease that affects the skeletal system. Most commonly affected bones of the skeletal system are the long bones. Osteomyelitis can be caused from a broken bone, or even from a hospital stay. The total prevalence of osteomyelitis in the general population is about 1 in 5,000 patients, while in newborns it is about 1 in 1,000. (Mantero) This paper will explain the types, causes, individuals at risk, signs and symptoms, diagnosis, treatment, and prognosis of osteomyelitis.
The most significant problems are: Infection spreading from the bone into the joints and cause septic arthritis. Also, in children, osteomyelitis commonly occurs in the epiphyseal plates (growth plates) which can cause complications with the growth of the child. Skin cancer can also occur from pus draining from open sores caused by osteomyelitis. Finally, if infection of the bone is prolonged and the blood supply to that portion of bone is cut off then osteonecrosis, which is the death of bone, can ensue. ("Osteomyelitis",
Interventions provided during this service: Intensive care coordination services were provided via a CFT (Child Family Team) meeting. WYP gathered information during the meeting. The client wants to engage in boxing as a positive activity and a positive coping tool for his frustration. The DPO gave the approval for the client to begin boxing. Client is excited to begin boxing. WYP updated the team of the client's achievements. The client is showing improvement in being more independent (wanting to do things on his own instead of having his mother doing it fr him). The client is doing better with conveying his feelings toward his mother doing the meeting (wanting to find work as soon as possible). WYP advised the client to apply for jobs online,
When interacting with parents and their child, we should speak in a warm, caring, patient, and professional tone. Parents that we will interact with will not only be experiencing the same vulnerability and exhaustion that all new parents experience, but may also be nervous or fearful for their child. As OT professionals we should provide as much relevant medical information as possible in a professional and empathetic manner. At times we may have to reassure the parent that we and any associated healthcare team will do all we can to help. A health literacy assessment can be given to the parent so we can provide instructions in ways they will understand and be able to implement proper care for their child. Repeating important information at the beginning and end of therapy sessions will help to ensure that the caregiver understands. When providing parents with essential information we should practice the “teach back technique”, as we learned in class, to confirm their understanding. We should do our best to be available to answer any questions that the parent or care giver may have. Because infants learn through play, pamphlets that provide information about a diagnosis, or play activities designed to help encourage an infant’s growth may be very helpful. Parents of infants with specific diagnoses may benefit from individual or group therapy. Providing positive emotional resources to the parent of an infant will help them to fulfill their child’s
The “Disease” usually manifests itself with the onset of pain, either in the back (generally the lower part of the back) or in the neck. That pain can, over time, become excruciating.