To all Level III-B assignment to be pass for tomorrow (NCM 104) COMMON NEUROLOGICAL HEALTH PROBLEMS: A.

Neonate and Infant 1. Cranial Abnormalities Monday--------Assignment: Hydrocephalus Nursing Diagnoses A. Altered Cerebral Tissue Perfusion r/t IICP prior to surgery B. Altered Nutrition: Less than body requirements r/t reduced oral intake and vomiting C. Risk for Impaired Skin Integrity r/t alterations in level of consciousness and enlarged head D. Anxiety (of parents) r/t child undergoing surgery E. Risk for Injury r/t malfunctioning shunt F. Risk for Fluid Volume Deficit r/t cerebrospinal fluid drainage, decreased intake postoperatively G. Risk for Infection r/t bacterial infiltration of the shunt H. Ineffective Family Coping r/t diagnosis and surgery Nursing Intervention for each nursing diagnoses (A-H) Family Education/ Health Maintenance Evaluation (A-H) 2. Spinal Cord Abnormality - Spina Bifida Spina bifida occulta Meningocele Myelomeningocele/ Meningomyelocele Nursing Diagnoses Preoperative: Neonatal Period A. Risk for Impaired Skin Integrity r/t impaired motor and sensory function B. Risk for Infection r/t contamination of the myelomeningocele site. C. Altered Urinary Elimination r/t neurologic deficits D. Altered Tissue Perfusion r/t potential hydrocephalus E. Fear (parents) r/t neonate with neurologic disorder and to surgery Postoperative: Infancy and childhood F. Ineffective Thermoregulation following surgery G. Reflex incontinence r/t sacral denervation H. Bowel Incontinence/ Constipation r/t impaired innervations of anal sphincter and bowel musculature I. Body Image Disturbance r/t the childs appearance, difficulties with locomotion, and lack of control over excretory functions Nursing Intervention Preoperative: Neonatal Period (A-E) Postoperative: Infancy and Childhood (F-I) Family Education/ Health Maintenance Evaluation (It should be handwritten in a short bond paper)

SAMPLE FORMAT: A. Risk for Impaired Skin Integrity r/t impaired motor and sensory function GOAL: NURSING INTERVENTION: 1. 2. 3. EVALUATION: B. Risk for Infection r/t contamination of the myelomeningocele site. GOAL: NURSING INTERVENTION: 1. 2. 3. EVALUATION: IN ANION N SIYA HANGTOD MU ABOT SA LETTER (I) Then sa last is ang family education or family maintenance: (as a whole na siya. Sample is family maintemnance or family education sa hydrocephalus)

Tuesday: Child and Adolescent - Cerebral Palsy Middle Aged Adult - Tic Douloruex (Trigemneuralgia/ Trigemal Neuralgia Wednesday------Reporting: YOUNG ADULT - Encephalocele - Guillaine Barre Syndrome/ Polyneuritis/ Landry- Guillaine Barre Syndrome - Multiple Sclerosis - Myasthenia Gravis