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Duchenne Muscular Dystrophy
Pages 7 (1757 words)
Duchenne Muscular Dystrophy Name Institution Duchenne Muscular Dystrophy Clinical description of the patient The patient is a twelve year old boy with Duchenne Muscular Dystrophy and is confined to a wheel chair. He showed symptoms of Duchenne Muscular Dystrophy (DMD), as a pre-scholar at the age of 3 his legs were first affected making his walking and balancing a problem.
At the age of six, he had already developed contractures with the calf muscles being the most severely affected (Larsen & Lubkin, 2013). By the age of nine climbing stairs and rising unaided was impossible, and at ten years, he was confined to a wheelchair. He has weakening trunk muscles which can easily cause scoliosis. His diaphragm muscles are also weakened which makes breathing and coughing difficult, and increases chances of lung infection. Complications such as sleep disordered breathing; ineffective cough and nocturnal hypoventilation are being experienced. The patient also has difficulties learning through listening and attention span is low (American Thoracic Society, 2010). DMD symptom management The focus of this study is the symptom management of neuromuscular and skeletal muscles. In a review article by a team of 84 practitioners representing the specialists who provide care to DMD patients selected by Centre for Disease control (CDC), they independently rated the interventions and assessments that are used in DMD management (DMD Care Considerations Working Group, 2009). From this assessment, CDC expert panelists came up with management interventions for the neuro and skeletal muscles for a DMD patient at the stage in which this patient is. ...
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