Spina bifida is a skeletal system disease and birth defect in which the neural tube fails to close properly during the first five weeks of pregnancy. Since the neural tube failed to close, the child will have damage to the nerves, spinal cord, and brain that varies in severity. Although the disease has declined since 1982, there has not been a significant decline and the disease has relatively stayed at the same percentile over the last several years. When I was born, I had a hole above my anus, where the end of my spinal cord is, that was no larger than the tip of a pen, but was still noticeable. After tests were conducted, it appeared to the doctors that I was almost a spina bifida newborn and that my neural tube barely closed in time for the developmental process, which is why this disease is so appealing to me. Reading of the side effects that I almost contacted, this article focuses on a major issue: urinating. Spina bifida children, and even adults, have various problems conducting daily activities alone and successfully, such as their slowed motor and cognitive skills. What many people …show more content…
The children’s parents chose the setting in which the experiment was conducted, with most of them choosing a home setting to provide a comfortability factor for the participants. During the experiment, each child was timed from when they entered the bathroom, to when they exited. They quickly realized that due to the motor skills that are significantly lower than an average person, the children could not keep their attention on the task at hand and nearly half of the participants took five or more minutes to complete the task. It was found that if it took the children twenty-five minutes to urinate, and due to NBD, had frequent urination, the patients could spend upwards to one-hundred minutes in the bathroom a
According to Wikipedia, Spina bifida is a birth defect where there is incomplete closure of the backbone and membranes around the spinal cord (Spina Bifida). This incomplete closure of the back is most often located on the lower back, but sometimes can occur on
What are your thoughts about patients ' reluctance to talk about incontinence with their providers?
One scholarly journal I found summarized the conclusion of various intervention studies for the management of incontinence and promotion of continence in care home residents. Once urinary training was implemented in a facility to analyze, incontinence rates, cost of supplies and efficiency ratios, random assignment, patterns of urinary incontinence, urological evaluations to reaffirm effectiveness and pre and post cost of hourly wet/dry checks were all documented to evaluate the program. The study ended with, “managing incontinence and promoting continence in care homes is complex, requiring time and cost-efficient management procedures to contain the problem and deliver quality, achievable care.”(Flanagan et al., 2014) The cost was a major issue that deterred many facilities from executing any sort of bladder training
Spina bifida is a type of birth defect called a neural tube defect, it happens if the spinal column of the fetus does not close completely during the first month or pregnancy, that can damage the nerves and spinal cord" (U.S National Library Medicine, 2014). Spina bifida's symptoms are defending on how severe the defect is. Children with mild form of spina bifida do not have any problems. According to WebMD, children with the most severe form often, have spine, and brain issues that cause serious problems (2014). Scientists believed that spina bifida is caused by a condition of genetic and environmental factors such as the mother's nutrition. "The long-term problems associated with spina bifida are; bowel problems, muscles movement, sensation, intellect and education, sexual function, emotional and family support (which are the most, needed on both affected person and their family), and urine and kidney problem; almost all
Spina Bifida is a birth defect in which a baby’s spine fails to develop properly during pregnancy due to neural tube defects. These neural tube defects prevent the backbone from forming around the spine and closing properly. Spina Bifida can be detected during pregnancy or after birth and in
Spina Bifida is a birth defect where the spinal cord does not develop correctly, or is not closed all the way while still in the mother. Back many years ago people who were diagnosed with spina bifida were not expected to live very long. Their lifespan was only about 6-12 months and then they would die. From having the spinal cord not developed it can cause massive defects on the child. It can be as simple as just a limp in the walk, but it can get as bad as not being able to use their legs at all. These children still have the right to work out and become stronger individuals. The children may also want to be involved in a sport. Many people may think this is impossible, but with slight modifications the child can participate
The book is a well-researched supported intervention because it is very structured, straightforward, all the procedures are laid out, and it is easy to take data and track progress. There are different components in the toilet training procedure. First, we start off with having the child not wear diapers anymore and transitioning them into underwear (Cocchiola, Martino, Dwyer, & Demezzo, 2012). We then put the child on a toileting schedule, so setting up a routine where every 20 or 40 minutes we are taking the child to the toilet. Next, we increase their fluid intake by which the child will go to the bathroom frequently (Cocchiola et al. 2012) and can practice what they are supposed to do and the learning will increase as well. Furthermore, by increasing the fluid intake we are increasing the probability that the child is going to go to the bathroom in the toilet and we are increasing the probability that we are going to have a coincidence, so when we put the child on the toilet every 20 minutes, one of those times the child is finally going to go. Thus, giving us the desired behavior and this is difficult because this is a behavior that we cannot prompt and we have to wait for it to happen at the right time and then reinforce the child for it. So, we are trying to essentially create a lot of probability that the child is going to go in the toilet when we take them and then reinforce them for it, so a little bit of learning traction can happen. Additionally, there is a dry pants check where it is a procedure where we check the child’s pants in between their trips to the toilet and if the pants are dry then we praise them for it, so that they have the idea that staying dry is the right
Spina bifida is a nervous system disorder that takes place during the first month of pregnancy. It looks like a sac on the infants back, varying in size. In some cases, a part of the spinal cord and nerves can be enclosed in the sac. This can cause physical and neurological damage to the infant, the severity depends on the size and area of opening or if the spinal cord and nerves are affected.
As a congenital malformation commonly affecting children born with Spina Bifida, the Arnold-Chiari malformation, or Chiari Malformation Type II, involves the irregular extension of both the cerebellar tonsils and the brain stem tissue into the opening to the spinal canal – the foramen magnum (NINDS, 2013). Typically, the brain stem and the cerebellum sit above the opening to the spinal canal, where the brain stem houses most of the cranial nerves that supply the body. Providing the control centres for vital bodily functions such as breathing, regulation of the body’s internal environment through maintenance of heart rate and blood pressure, as well as providing sensory and motor control to a significant portion of the body (Joynt, 2014), the Arnold-Chiari malformation causes substantial problems for patients. Likewise, the congestion of these structures in the spinal canal limits the flow of the cerebrospinal fluid (CSF) from the brain to the spinal cord (Medway, 2006), causing other medical issues that become regularly associated with Spina Bifida as a result, such as hydrocephalus (Columbia Neurosurgery, n.d.). Issues associated with the Arnold-Chiari malformation can only be relieved, rather than treated, through surgical processes that aim to eliminate or reduce these symptoms (WebMD, 2014).
Spina bifida, a type of birth defect meaning, “cleft spine” affects many babies around the globe in that their neural tube incorrectly closes and affects their spinal cord and brain. The three most common types of spina bifida are spina bifida occulta, meningocele, and myelomeningocele—in the order of least to the most debilitating. The birth defect is most commonly diagnosed with the Maternal Serum Alpha-Fetoprotein blood test, as well as other tests. The complications occurring with the most severe case of spina bifida include meningitis and the Chiari II malformation. Spina bifida can be treated with a wide variety and number of surgeries such as prenatal surgery, as well as prevented by intake of folic acid. The birth defect, spina
Night-time urine production. The body usually makes less urine at night. If that does not happen, the child will need to urinate.
Congenital abnormalities occur during a fetus’s development before birth. In the United States, about three to four percent of babies are born with some sort of congenital abnormality. Spina bifida is the most common congenital abnormality, occurring in about one in every one thousand births. Spina bifida happens when the spinal bones do not close properly during formation. Spina bifida can be seen in a newborn by a small sac located on the spine. Surgery must be done within the first few days of the infant’s life in order to remove the sac. The sac contains spinal fluid and damaged nerves, but little can be done to repair the damaged nerves.
Myelomeningocele is a neural tube defect, resulting from hernial protrusion of a saclike cyst containing meninges, spinal fluid, and a portion of the spinal cord with its nerves. They may involve the entire length of the neural tube or may be restricted to as small area (Perry, Hockenberry, Lowdermilk, & Wilson, 2014, p. 1579). Many babies born with spina bifida get hydrocephalus (water on the brain); this means that there is extra fluid in and around the brain. The extra fluid can cause the spaces in the brain, to become too large and the head can swell (Sandler & Merkens, 2014, p.
Spina Bifida is a very serious and unpredictable disease it affects many people their are numerous of symptoms that come with this disease it's growing worldwide which is an problem. This disease is a growing problem it's becoming a big problem because scientist are still trying to find a cure and leads to this disease and why is it affecting so many people it's growing rapidly.
Urinary incontinence (UI) in women has detrimental effects on quality of life including physical, psychological and social well being. A lot of studies has been done and data is available to diagnose and manage urinary incontinence, however there is still limited quality information on predisposing factors and clinical practice guidelines on prophylaxis of urinary incontinence. This review article is designed to highlight predisposing factors and prophylactic measures taken to avoid urinary incontinence in women. The predominant predisposing factors of urinary incontinence are age, BMI, parity, pregnancy, perineal damage during childbirth, genetic predisposition, diabetes, constipation, smoking, alcohol consumption, intake of carbonated drinks,