Duchenne Muscular Dystrophy: A Case Study

Improved Essays
In the practice of nursing, the scope of care provided is not confined. Nursing care extends to all ages and health deviations. There are particular health deviations that affect children and progress to the child’s adulthood. Numerous parents enjoy the experience of their children reaching developmental milestones; however, every child does not reach milestones or they might have a sort of delay. The developmental delays based on the child’s severity, require special nursing care and responsibilities. It is the intent of this paper to discuss the illness of Duchenne Muscular Dystrophy. Included will be information regarding the course of illness, stressful effects on the family unit, the role of the nurse, consumer groups to help families cope, and strategies to promote optimal wellness.
Course of Ilness Duchene Muscular Dystrophy (DMD) is a rapidly progressive form of Muscular Dystrophy characterized by muscle weakness, wasting, and contractures in young boys (Wong, Hockenberry, & Wilson
…show more content…
When parents are informed that their child has been diagnosed with Duchenne muscular dystrophy, they become overwhelmed and saddened for their loved one. Lots of questions may arise: What will my child’s life be like? How can my child receive the best care? Did I cause this to happen? Parents should be put at ease regarding all concerns and educated on the disease process to prevent a caregiver role strain. Parents should be encouraged to be involved in making decisions about their child’s care because they will play a major in caring for their child. Since there is no cure, supportive care is the treatment of choice. A range of treatments can help with the physical disabilities and problems that may develop such as lordosis, respiratory or cardiac failure. Treatments can

Related Documents

  • Decent Essays

    Tommi Christoff PHI 1600 Advance Directive  Asking for Alex: County mom becomes advocate for pediatric advance directives http://www.enewscourier.com/news/asking-for-alex-county-mom-becomes-advocate-for-pediatric-advance/article_8fe33ddc-6d46-11e5-8099-e76e0dfe412f.html Alex Hoover, 14, has mitral valve stenosis, a condition in which Alex’s mitral valve is very narrow and limits blood flow to his heart and lungs. Alex was also diagnosed with a form of autism that limits his social interactions with other people. He still receives education through a hospital homebound program provided by the county school system. Alex worked hard to make a few friends through the program and wishes to see those friends for a few hours at school each week.…

    • 419 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Huntington Disease Introduction Case 2 presents a story of two brothers Brain and Jeff, whose father was diagnosed some time ago with Huntington’s disease (HD). Upon realization that the father may not live too long, Brain decided to reconcile with his father. Jeff however cannot forgive him the fact that he left the family and refuses to visit his father. The communication between two brothers ceases to the point that Jeff does not want to know anything about his father and his illness. After Brain learns that he tested positive for the HD, he initially wants to tell his brother about this fact, but ultimately, influenced by negative emotion of anger to Jeff, he changes his mind and decides not share this news with him.…

    • 1499 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Many children with this disease will end up in a wheel-chair and will eventually need assistance to move their arms and legs (Signs and Symptoms n.d.). This disease can also cause the weakening of the heart which can lead to a condition that is called cardiomyopathy (Signs and Symptoms n.d.). During the pre-teen years the diaphragm that helps operate the lungs can be affect resulting in less effective lungs (Signs and Symptoms n.d.). Duchenne muscular dystrophies on average affects 1 in 3,500 to 5,000 newborn male’s worldwide (Duchenne and Becker…

    • 372 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    MDA Research Paper

    • 467 Words
    • 2 Pages

    MD is a disease that weakens your muscles and stops you from doing more things. I believe that scientists should work on finding a cure or do something to help for people with MD. If you help donate to Muscular Dystrophy Association you could help make more medicine to help people with MD. I will be talking about how MDA has events, about the association and what MD is. MDA holds a lot of events such as 5k walks/runs to help raise money for the people suffering this disease.…

    • 467 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Muscular Dystrophy Muscular Dystrophy is a group of disorders characterized by a progressive loss of muscle mass and consequent loss of strength. There are multiple types of muscular dystrophy, each type affecting a different part of the body. Examples would be Duchenne muscular dystrophy, which effects toddlers starting from their third birthday and causing them to be in a wheel chair by the time they are 12 and usually dying from respiratory failure in their late twenties, early thirties. Becker muscular dystrophy is similar to Duchenne, it just starts later on in life and has a slower attack, most die in their mid forties.…

    • 530 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    [7,9,11,13] Families with an affected individual are often faced with all the decision regarding treatment. As the disease worsens some chose to withdraw or withhold treatment or request that their child is euthanised. Before death, individuals are completely bed bound and unable to communicate. This poses complication as the family is forced to make a decision regarding life sustaining treatment. Most will either keep their child on life support until death, or take them off and allow the disease to progress without any medical interference.…

    • 1009 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The article called ‘Involving Children in Medical Decisions’ written by author Kenny Harrison purposes an argument that children should be allowed to have a say in their medical care decisions. The point of Harrisons article is that children should be allowed to be part of the decision-making process when it comes to their own health. He discusses that the family-centered is the best approach as it considers everyone’s decisions, concerns and questions while making sure the child the priority. Harrison discusses that the assumption ‘parents know what is best for their child’ is used in other decision making situations, in medical care, Harrison explains that when parents are in a state of distress they often dismiss their child concerns/wishes. He discusses that the child is the only person who truly knows the pain, and suffering they are going through, and with allowing the child to have a say in medical decisions, the child can decide based on their level of pain experience.…

    • 704 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Pneumoni A Case Study

    • 514 Words
    • 3 Pages

    It’s imperative for nurses to continuously assess and work alongside professionals to establish a plan of action that targets the client’s priority problems. The schemes behind a care plan “is to identify client strengths and potential or actual health problems or needs, and to develop specific nursing interventions to achieve mutually agreed-upon outcomes ” (Kozier et al., 2014, p.455). The intent of this analysis will centralize on instituting a specific plan of action on a 13month toddler with no pertinent past medical or surgical history. A.D was rushed to the Montreal Children’s Hospital with a significant fever and persistent signs of respiratory distress. With the confirmation of an x-ray and a respiratory assessment, the doctor came to the diagnosis of lower left pneumonia and bronchiolitis.…

    • 514 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Once the child is born, if they have Duchenne’s, there are ways that the genetics counselor can be used to assist in treatments, such as the myoblast injections. Conclusion What I’ve learned about Duchenne’s muscular dystrophy is that it is a disease of the muscles that ultimately leads to a shortened life of every 1/3,600 males. In addition to the muscles being targeted, I learned that death does not just occur from being confined to a wheelchair and having atrophied muscles, the respiratory system eventually shuts down from the lack of muscle in the heart at diaphragm and that is why death occurs.…

    • 1182 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    “My boyfriend suffers from Muscular Dystrophy.” said 27-year-old Jessica, as she tried fighting tears rolling up in her eyes while I sat beside her hospital bed at Mayo Clinic, listening to her unfolding of symptoms of Multiple Sclerosis. “He has done more for me than my family and friends ever did. My family and friends thought I was faking my symptoms, but only my boyfriend understood what I was going through. The pain, fatigue, and spasms are the worst ones. I try to handle headaches and weakness in my legs, but this disease breaks me down these days.…

    • 598 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Muscle Dysmorphia Essay

    • 396 Words
    • 2 Pages

    Bigorexia Over the years, bigorexia, also known as muscle dysmorphia, has become a growing problem amongst the population, especially for young men. Bigorexia is a psychological disorder where a person feels the urge to get bigger muscles, this account for both men with humongous muscles and for men with small muscles. One in 10 men at the gym is believed to have muscle dysmorphia. This disorder is mostly found in people who were bullied or abused as a child.…

    • 396 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Muscular System Pathophysiology Short Essay The mitochondrial myopathy is described to be a disease of the mitochondrial cells that can cause some serious muscular problems. The mitochondrial myopathy disease affects the muscle function of our body, because the disease does target the mitochondrial cells of which it is one of the small workshops that provides ATP. Therefore, having a mitochondrial myopathy interferes with the proper function of nerve cells that causes the neurological and muscular function to weakened.…

    • 173 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Muscular Dystrophy Essay

    • 1251 Words
    • 5 Pages

    Studies show that children with Duchenne Muscular Dystrophy have poorer verbal memory spans, self-control problems, and physical difficulties, as well. (Hinton, Vivo, and Fee,…

    • 1251 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Cyp 3.1 Summary

    • 7991 Words
    • 32 Pages

    Other medical conditions such as asthma or diabetes can be more easily managed by medication and therefore do not cause such a significant interference on the child’s development and learning. 3.4 EXPLAIN HOW DIFFERENT TYPES OF INTERVENTIONS CAN PROMOTE POSITIVE OUTCOMES FOR CHILDREN AND YOUNG PEOPLE WHERE DEVELOPMENT IS NOT FOLLOWING THE EXPECTED PATTERN A range of professionals can be called upon to help and support families and children whose development is…

    • 7991 Words
    • 32 Pages
    Improved Essays
  • Improved Essays

    In his book author Shane Burcaw tells his story in a unique way of facing the challenges of having Spinal Muscular Dystrophy. Burcaw is a witty and hilarious with no type of filter 22 year old boy who lives every day to the fullest and stays true to his motto you only live once. This is not your typical story of a how a teen overcomes all obstacles and beats the odds. Burcaw tells it how it is and doesn’t sugar coat anything about how his life has been, in fact he has a camera crew following him around and taping the most intimate moments of his life. Burcaw is being filmed for a documentary about inaugural speaking tour of his non-profit organization:…

    • 781 Words
    • 4 Pages
    Improved Essays