Medical Administration for Disability - Case Study Example

Running header: CASE MANAGEMENT A case study of Disability Name of the student Name of the institution Date of submission A case study of Disability Referral Russell was referred to a program that supports young supports people with disability. Planning for transition for people with Spina fida is very important as this will enable that to start living independent lives as adult children. This paper gives a practical steps of a case of 16 years old Russell. Russell experiences no sensation below his waist and uses a manual wheelchair for mobility. This paper will assist to give practical steps which will be followed in solving its case. The paper consists of problem presentation, personal status and history, medical administration, summary and conclusion. This paper only deals with one case which can also be applied in other similar cases Problem presentation Russell is a 16 year old adolescent with spina bifida. Russell experiences no sensation below his waist and uses a manual wheelchair for mobility. He is in year 10 at a local secondary school and is largely independent at school apart from the assistance of a nursing aid who conducts the insertion of a catheter during the school day. At home this task is performed by Russell's mum, Andrea. Andrea is a sole parent. Every alternate weekend Russell stays with his dad, Darryl, who lives about 30 minutes away. Andrea also has a younger son, Daniel, 12 years of age, who was born during a relationship subsequent to that with Darryl. Spina fida is a condition which brings disability in children and affects their transition from childhood to adulthood. It affects the entire life of family members and there is need foe collective responsibility in handling children with such problems. Planning for transition for people with Spina fida is very important as this will enable that to start living independent lives as adult children (Bowman eta al., 2001). Some of the challenges that can be faced with people having Spina fida include difficulties in going to school, learning on how to take care of themselves and their health needs. In the case study, we consider the situation of Russell who is 16 years of age living with the mother and is undergoing depression as a result of his condition. Personal status and history Russell has a history of physical problems associated with the spina bifida, including bowel and bladder infections and pressure sores which have at times required him to be hospitalized. Russell dislikes being in hospital and the procedures associated with these visits. He now experiences anxiety attacks when he attends health settings and is fearful of having further procedures. This fear has now generalized to his daily routine of having the catheter inserted, and both the school ‘aid and Russell's mother report the process to be extremely stressful for both them and Russell. When questioned about his concerns, Russell reports a fear of having a perforated bladder and requiring hospital treatment. Andrea also reports that Russell can become very anxious when moving around in his wheelchair. He refuses to use the wheelchair over surfaces that he considers unstable including any grass or paved areas or any concrete that has visible cracks. This has led to restrictions in his ability to participate in activities and has increased his social isolation. According to Andrea, Russell is now spending most of his free time in his room. He sleeps for large parts of the day, is disinterested in school work or taking part in activities, and presents generally as lethargic and irritable. Theory of education knowledge explains by Bowman eta al., (2001) explains the power of education on the disable and how it can be solve. The solution of this case study is based on theory of education knowledge. One of the most devastating things that Andrea must have experienced is the aspect of raising a child with special needs. Having to raise a child with special need like Russell is such a demanding job especially based on the fact that Andrea is a sole parent at the moment. She was so much stressed not knowing whether the child will ever survive. According to Mitchell (2004), the most promising thing about a child born with spinal bifida is that the survival rates tend to be quite good. According to medical analysts, seven of ten children born with the condition normally live an active and productive live past forty years of age particularly with the excellent support from family members Medical Administration: According medical researchers, patients with spina bifida ought to be given extensive medical treatment by well-trained medical experts. As outlined by Mitchell (2004), the educational knowledge theory of personal living with spina bifida, children born with this condition should be examined for appropriate growth and be provided with prolonged physical rehabilitation, gym assets and offered adaptive training while in school. Following this information, Andrea and Darryl decided to register Russell in a school for children with disabilities in order to get assisted whenever he needs medical attention while in school. As reported my medical practitioners, considerable attention is necessary to curb the condition known as “outhouse syndrome.” Other precautionary measures The other aspect towards diagnosing Russell’s disability as acknowledged in the education knowledge theory is helping him realize that he can live. Since spina bifida is a permanent condition that may not be cured in the near future. Russell’s Parents were often advised to offer constructive support which will inspire him and strengthen his self-esteem in terms of development. When the spina bifida is located at the back, it does in some way trigger the paralysis of the body. In the event that spina bifida starts from the upper part of the spinal cord, the chances of the body being paralyzed is very high. Although it is not possible to know how a child with spina bifida will do in life, parents can plan to make a difference in their lives through physical and emotional support. They can as well find educative programs that best suit their children and allow their children to grow and live normal lives while accepting their conditions. Encouragement While, Russell may be able to play normally, the condition sometimes may bring the aspect of emotional social relations problems. Therefore, Andrea and Darryl were advised to be giving some sort of encouragement to him so as enable him gain the confidence of participating in various activities with his peers. The medical practitioners told Russell’s parents that with proper administration of medical assistance, Russell will live a normal life just like any other child in the society. The most promising thing about a child born with spinal bifida is that the survival rates tend to be quite good. According to medical analysts, seven of ten children born with the condition normally live an active and productive live past forty years of age particularly with the excellent support from family members Disability is not inability that should be the key concept in handling the situation of Russell. The brothers should be given thoroughly understanding of the medical condition of their brother and this will enable Russell be confident of himself and inspire him to accomplish his or her activities in life. Given that his brothers are excelling in school, Russell is capable of doing the same provided that he gets the necessary environment for doing so Readiness for Treatment Russell is open to, and believes that she is in need of more support now and in future Client Strengths, Capacities, and Resources While Russell has limited mobility and a number of health issues, she still appears to be very energetic, cheerful, talkative and a personable woman. Russell strengths have shown to be empathy. In the short time Russell has lived in the area she has befriended a number of people who assist her with her daily chores. Case plan Objective Task Who By when Planned Outcome To help Russell learn to take care of his own health needs Physical health activity Russell’s parents should consider taking him for pediatric surgery after every six months This will be done by mother Russell By time he starts turning 15 years of age This will help him bathe, dress and manage their bathroom plans. He will be able to move freely and handle other physical activities. To help Russell on how to live outside his parents’ home Physical mobility and activity This will be done by physiotherapist At the age of 16 years for at least Three months He will be able to engage in physical activities Lift weights Be able to go to school work hard like his other sibling and meet his own expenses. Russell’s father, Darryl, was advised to be supportive in terms of allowing Russell to engage in physical activities with his little brother, Daniel especially over the weekend. This will promote physical development of his bones and body as a whole. To help Russell to develop healthy relationship Counseling services This will be done by a psychologist and counselor Should start as early as possible Be able to socialize freely and go about his daily activities as usual. Be able to express his wants and desires in life MEDICATIONS To treat Hydrocephalus treatment Hydrocephalus drugs Hydrocephalus physician After physical therapy This will help in managing the skin diseases in the body. Hydrocephalus is a condition whereby a fluid accumulates in the child’s brain causing the swelling of the head in most occasions; therefore medication administration is always advisable just like in the situation of Russell To prevent Orthopeadics related complications Orthopeadics drugs Orthopeadics physician After Hydrocephalus drugs These are type of medications that handles the prevention and treatment of skeleton system injuries and other muscular disorders. These complications includes ankle and foot injuries which Russell is prone to while using the crutches, muscle contractions due to the fact that the foot is normally bend most of the time while using the wheelchairs and there could be a broken bone since children with this condition tend to be having weaker bones compared to the others To treat Bladder and bowel related problems Physiotherapy Physiotherapist The catheters when used for some time may be rendered weak and thus may not empty the foodstuff completely as required or sometimes be resulting to constipations Skin condition follow up Skin therapy Skin therapist After administering all the medications They were encouraged to be careful with Russell’s skin especially in areas of the body such as thighs, heels, elbows, buttocks, hands, and necks and even back. This is necessary because while Russell may be sitting for long time in one position or moving from point to other while using the wheelchair, the named parts of the body may develop pressure sores To help in preventing latex heat Latex precaution measures Immediately Appropriate dress Russell’s should be very careful when handling him since with exposure to latex; there is high probability of developing allergy as a result of the many medical and surgical procedures he undergoes every six months. Therefore, it is of great importance to keep him away from the products that might be containing latex To provide continuous support Personal Assistance Personal assistance Immediately These support mechanisms that are often taught to enable be able to position themselves as they move from one point to another without the help of crutches or wheelchair. These are mostly of importance especially when one is bathing or movement within the room Adequate monitoring of the child’s nutrition Balanced diet By parents especially the mother Good food to boost his immune system Russell’s parents were encouraged to observe a proper diet for him to support his growth rate. They had to ensure his food is proper smashed into powdery form and mixed with nutritious fluid in order to enable easier passage in the catheters Reference Bowman, R., McLone, D., Grant, J., Tomita, T., & Ito, J. (2001). Spina bifida outcome: a 25-year prospective. Pediatric neurosurgery, 34(3), 114-120. Mitchell, L., Adzick, N. S., Melchionne, J., Pasquariello, P., Sutton, L., & Whitehead, A. S. (2004). Spina bifida. The Lancet, 364(9448), 1885-1895. Read More