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Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena

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Thesis TitleArnold-Chiari's syndrome: role of nurse about care and herapeutic education for parents
NameRizzo Simona
Supervisor(s)Scacchetti Daniela
Academic Year2014/15
Thesis typeNon research thesis

Abstract

Arnold-Chiari syndrome is a condition characterized by an anatomical defect of the cranium base and in which the cerebellum and brain stem curve through the foramen magnum into the spinal canal. The onset of symptoms usually occurs in the second decade of life (25 years) for type 1 and from birth for type 2. Symptoms of the disease may transform with phases of remission and worsening, derive from the efforts made. The diagnosis is made through neuroimaging techniques. The most efficient therapy for patients with this malformation is surgical decompression of the foramen magnum; there are still non-surgical therapies, pharmacological and non-pharmacological, to relieve neuropathic pain.
It’s important to determine patients needs about health and educational and relational and informative care: the nurse has a primary role in ensuring that assistance individually. He must be able to recognize all the needs of the patient, not only clinical but also socio-economic and spiritual, and to establish the right priorities and then create a series of interventions appropriate. Its presence is important inside of the diagnostic and therapeutic operating unit, the operating room and the patient's home.
Since the Chiari malformation is more displayed in the pediatric age, it is more important perform a proper therapeutic education to the patient himself, if he is able to learn, and to his parents, which must be properly instructed to monitor any changes that may condition the health of their child and to live the hospitalization serenely.