Cerebral Palsy : a Case Study

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I. INTRODUCTION

Background and rationale of the study:

One of the leading cases of musculoskeletal trauma is fracture. Fractures are any break in the continuity of the bone. It usually occurs when the stress placed on a bone is greater than the bone can absorb. Muscles, blood vessels, nerves, tendons, joints and other organs may be injured when fracture occurs (Nettina, Sandra B. 2006). It can be caused by metabolic bone diseases such as osteoporosis, or as a result of direct force when a moving object strikes the body area over the bone, or it could result from accidental falls.

Accidental falls is on top of the list when we talk about fracture causes, and it can happen as a result of lack of balance and poor muscle coordination. It can also happen because of underlying neuromuscular disorders like cerebral palsy.

Cerebral palsy includes a wide variety of non-progressive brain disorders that occur during intrauterine life, delivery, or early infancy. It is defined as a syndrome of motor disabilities possibly accompanied by mental retardation, seizures, or both. Causes of cerebral palsy are many and include cerebral developmental disorders such as microcephaly, intracranial hemorrhage, cerebral anoxia, and toxins such as excessive bilirubin. Prenatal factors include infection with rubella, nutritional deficiency, and blood factor incompatibility (Bullock and Henze, 2000).

One of the most common types of cerebral palsy, that accounts for 50% of all CP cases, is the Spastic cerebral palsy. It has three different subtypes mainly: diplegia, which mostly affects the lower extremities; Quadriplegia, where all four extremities are involved; and lastly Hemiplegia, the most common type of spastic CP and it involves one side of the body.

The author of this study chose the above mentioned case because the author would want to make a connection between the two major diseases occurring in one individual, since the occurrence of one would not necessarily mean the presence of the other. Likewise cerebral palsy patient are thought to be somebody that should be given special attention and care because of the affected individuals inability to perform activities of daily living, and to have a CP patient get injured indicates that there must be some negligence on the part of the direct care giver, who is the mother. Moreover cerebral palsy patients have a high seizure tendency and soft brittle bones due to lack of usage of the extremities contributing to the risk of acquiring injuries such as fracture. With the given information above, the researcher would like to know more about the disease condition and to provide important information to the parents of the child to avoid future injuries.

Objectives of the study:

This study aims to obtain information regarding Cerebral palsy and closed subtrochanteric fracture of the femur. It as well intends to analyze the diagnostic findings of a patient diagnosed with this condition and to identify medical and surgical interventions appropriate for this disease. Lastly this study aims to provide holistic nursing care to patients diagnosed with this disease.

SPECIFIC OBJECTIVES:
• To know conditions that can possibly lead into cerebral palsy and fracture of the femur. • To be able to connect cerebral palsy to the development of fracture and their relationship to each other. • To be able to gather information on medical interventions and surgical interventions available to possibly cure this disease condition. • As a nurse, to enumerate the responsibilities specific to this kind of disease in order to render compassionate and holistic nursing care.

Significance of the study:

As we all know Cerebral palsy is not a common condition. This means that nit too many in society know about the disease, while fracture on the other hand is very common. Like for example, at the Vicente Sotto Memorial Medical Center Orthopedics...
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