Physical Mobility Interference Problems in Children | Unit 12 – Wong’s Pediatric Nursing (11th)

Описание: This unit provides a comprehensive examination of nursing care for children experiencing musculoskeletal, neuromuscular, and integumentary dysfunction, focusing on the unique physiological and developmental differences in pediatric patients. It begins by analyzing the systemic impacts of immobilization, detailing the nursing interventions required to mitigate complications across the respiratory, cardiovascular, metabolic, and renal systems during the use of casts, traction, and distraction devices. The text explores the management of traumatic injuries, including soft tissue damage and fractures, with specific attention to growth plate involvement and the rapid pediatric bone healing process. Congenital and developmental defects such as developmental dysplasia of the hip, clubfoot, and osteogenesis imperfecta are discussed alongside acquired conditions like Legg-Calvé-Perthes disease, slipped capital femoral epiphysis, and scoliosis. The unit further investigates infections of the bones and joints, including osteomyelitis and septic arthritis, as well as chronic autoimmune disorders like juvenile idiopathic arthritis and systemic lupus erythematosus. Shifting to neuromuscular dysfunction, the content covers the spectrum of cerebral palsy, emphasizing the multidisciplinary approach to managing spasticity and promoting functional mobility. Neural tube defects, particularly spina bifida and myelomeningocele, are examined in depth, including the critical management of neurogenic bladder, bowel function, and the prevention of latex allergies. Degenerative and acquired neuromuscular disorders, such as Duchenne muscular dystrophy, spinal muscular atrophy, Guillain-Barré syndrome, and spinal cord injuries, are detailed with a focus on respiratory support and long-term rehabilitation. Finally, the unit addresses integumentary dysfunction, categorizing skin lesions and the phases of wound healing. It covers the nursing management of common dermatologic conditions, including atopic, seborrheic, and contact dermatitis, as well as bacterial, viral, and fungal skin infections. Significant attention is given to infestations like scabies and pediculosis capitis, vector-borne illnesses like Lyme disease, and the critical care of pediatric burns, outlining the emergent, acute, and rehabilitative phases of burn recovery, fluid resuscitation, and wound debridement to ensure optimal patient outcomes.


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