아동간호학 소아 Case Study(케이스) - 뇌성마비 [진단 4개]

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"아동간호학 소아 Case Study(케이스) - 뇌성마비 [진단 2개]"에 대한 내용입니다.

목차

Ⅰ. 서론
1.연구의 필요성 및 목적············································································································1p
2.환아의 전반적 질병의 과정 요약························································································1p
3.문헌고찰··········································································································································1-2p

Ⅱ.본론
1.일반적 사정·······································································································································2p
2.건 강력················································································································································2-5p
3.발달사정·············································································································································5p
4.신체사정·············································································································································6p
5.진단검사·············································································································································8p
6.경구투약·············································································································································8-12p
7.간호과정············································································································································13-18p

Ⅲ. 결론
1.결론 및 제언···································································································································17p
2.실습소감············································································································································17p
3.참고문헌·············································································································································18p

본문내용

1. 연구의 필요성 및 목적

1) 연구의 필요성 및 목적
재활병원에서는 선천적 또는 후천적인 원인으로 인한 뇌성마비(CP)를 가지고 있는 환아가 대부분 차지하고 있다. 뇌성마비는 3세 이전에 발달과정 중에 뇌의 운동조절 중추가 손상되어 신체운동과 체위조절에 장애가 나타나는 만성 비진행성 대뇌 기능장애이다. 뇌성마비 환아 에서 나타나는 다양한 신경학적 증상들 중 섭식장애나 연하곤란은 유병율이 높다. 연하곤란은 환자와 보호자의 삶의 질을 저하시킴과 더불어 흡인, 반복되는 폐렴, 만성폐질환 및 영양실조 등의 합병증을 유발시켜 뇌성마비 환아의 사망위험도를 6배 증가시킨다는 보고가 있다. 따라서 연하곤란을 가지고 있는 아동의 사례연구를 통하여 질환의 원인, 증상, 진단/검사, 치료방법 및 적절한 간호를 이해하고, 간호과정을 대상자에게 적용하여 대상자에게 적절한 간호를 제공하고 이 연구를 통해 더 깊게 공부하는데 목적을 둔다.

2) 연구기간 및 방법
(1) 연구장소: 재활병원

b. 연구방법 : 환아 보호자와 면담, 신체검진, 문진, EMR Chart를 통한 정보 수집

3) 사례로 채택하게 된 동기

2. 환아의 전반적 질병의 과정 요약
아동은 만 1세 7개월의 남아로 태동검사 시 심박동수 저하로 응급 C-sec출생하였다. 제주도 한마음병원에서 1일간 intubation 치료 후 퇴원하여 발달하던 중 11개월까지 기기, 앉기 불가하였고 영유아발달검사에서 대소근육 발달 0%소견으로 삼성서울병원 내원하여 B-MRI검사하여 뇌성마비 진단으로 재활치료 시작하였으며 신촌연세병원, 푸르메를 거쳐 본원 첫 입원하였다. 11월 30일부터 물을 마실 때 사레 걸림이 있었으며 단순히 사레걸림이라고 생각했지만, 최근들어 2틀에 한번씩 구토양상을 보이며 뇌성마비로 인한 연하곤란으로 사료된다.

참고 자료

김미예 외(2014), 아동 건강 간호학, 수문사, p.362~368
김미예 외(2014), 신생아 건강 간호학, 수문사, p.110
성미혜 외(2018), 비판적사고기반 간호과정의 적용, 수문사 p.249~325
정호익(2010).뇌성마비 아동에서 비구어기제기능에 기초한 삼킴 곤란에 대한 평가(석사학위논문).
연세대학교 대학원, 서울 p.2~23
https://www.youtube.com/watch?v=wKjO-JygEX0&feature=share
https://www.youtube.com/watch?v=X-NC7-FES4Q&feature=share