Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Nursing care to child with esophageal atresia: description of a case report |
|---|---|
| Name | Spinella Simona |
| Supervisor(s) | Barbara Masoni |
| Academic Year | 2014/15 |
| Thesis type | Non research thesis |
Abstract
The Esophageal Atresia (A.E.) is the most frequent malformation affecting the esophagus and the tracheobronchial tree. The incidence of A.E. is about 1 out of 3000-4500 newborn and is caused by an imperfect differentiation of the primitive intestine, respectively in the esophagus and the trachea. About 30% of cases happens in premature babies and can be associated with other congenital malformations that can affect various organ systems: cardiovascular, intestinal, urinary, skeletal and central nervous system.
The classification of A.E. includes five different types which are differentiated by the presence or not of tracheoesophageal fistula and by the exact point of its location.
The embryonal malformation may be diagnosed by prenatal ultrasound scan , but in most cases the diagnosis is made at birth on the basis of certain clinical signs: the presence of copious salivary and mucous secretions from the mouth and nose, suffocation when trying to feed the newborn, from minor to moderate respiratory insufficiency, inability to insert a gold- gastric tube beyond 10 cm from the gingival rim.
The surgery is the definitive treatment for this pathology , which varies according to the type of anatomical malformation. The surgery hardly ever has emergency characteristics , it most frequently has urgency ones , moreover complications following the intervention can be early or late. ( belated )
It is a matter of a high emotional impact pathology , for which an appropriate support is necessary , through taking on the case by a multidisciplinary team that also takes care of the psychological needs of the family ,by providing right tools to overcome the long disease process.
Moreover , the nursing process in the previous and following phase to the surgical intervention is illustrated through the taxonomy NANDA-I, NIC and NOC.