Gastroschisis

Paper Summary:

The paper focuses on a case of an 8-month old female with gastroschisis and details her clinical situation, treatment in the hospital, the family's functional status and an assessment of the child's development and growth. The paper provides a discussion of gastroschisis, including its prevalence, external and internal factors that affect it and its pathophysiology. The paper also describes the management needs this child has and outlines current research on catheter use and sepsis.

Outline:
Introduction
The Child and her Family
Developmental Milestones
Laboratory Results
Fluids and Nutrition
Medications
Client Learning Needs
Pathophysiology of Gastroschisis
Application of a Nursing Research
Summary

From the Paper:

"Gastroschisis is a congenital abdominal wall defect and is associated with a significant fetal and neonatal mortality rate of less than 10% (Vu, Nobuhara, Laurent, and Shaw, 2008). The intestines protrude through the defect and are exposed to the amniotic fluid, which has toxic substances, such as urine and small quantities of antenatally-defecated material. This may result to life-crippling complications such as bowel atresias and increased risk for sepsis. Such effects in the child's quality of life may lead to a prolonged stay in hospitals and consequent high health care cost."

Sample of Sources Used:

• Abad-Sinden, A. and Sutphen, J. (December 2003). "Nutritional management of pediatric short bowel syndrome." National Issues in Gastroenterology, 12,28-39.
• Brizee, L. S. (16 November 2007). Short bowel syndrome. [Online.] Retrieved 21 July 2008 from the Web site: http://depts.washington.edu/growing/Assess/SBS.htm
• Engle, W. D., and LeFlore, J. L. (2007). "Comparison of nonelective removal of percutaneously versus surgically placed central venous catheters in high-risk neonates." Journal of American Academy of Nurse Practitioners, 19(3): 111-115.
• Kepos, P. (2008). Infant Nutrition - nutrient requirements, breastfeeding, formula feeding, Beikost (solid food), self feeding. [Online.] Retrieved 21 July 2008 from the Web site: http://www.faqs.org/nutrition/Hea-Irr/Infant-Nutrition.html
• Parrish, C. R. (September 2005). "The clinician's guide to short bowel syndrome." Nutrition Issues in Gastroenterology, 31: 67-95.

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