CONGENITAL CONDITIONS- ENCEPHALOCELE (Health Education (Take 400…
CONGENITAL CONDITIONS- ENCEPHALOCELE
Provide symptomatic and supportive care
Consist of preoperative and post operative care
monitor for signs and symptoms of increased intra cranial pressure
providing adequate nutrition and hydration
preventing rupture of the sac
sometimes known as cranium bifidum, is a neural tube defect characterized by sac-like protrusions of the brain and the membranes that cover it through openings in the skull. These defects are caused by failure of the neural tube to close completely during fetal development.
Signs and Symptoms
Failure of the neural tube to close completely during fetal development
Encephaloceles of the face are generally classified as nasofrontal, nasoethmoidal, or naso-orbital
They can also appear along any part of the cranial vault, as they result from abnormal closure of cranial bones
the most common location for encephaloceles is the occipital region
Endoscopic Endonasal Approach (EEA).
minimally invasive technique uses the nose and nasal cavities as natural corridors to access hard-to-reach or previously inoperable tumors
The neural tube is a narrow channel that folds and closes during the third and fourth weeks of pregnancy to form the brain and spinal cord. Encephalocele is a sac-like protrusion or projection of the brain and the membranes that cover it through an opening in the skull. Encephalocele happens when the neural tube does not close completely during pregnancy. The result is an opening anywhere along the center of the skull from the nose to the back of the neck, but most often at the back of the head
Take 400 micrograms of the B vitamin, folic acid, every day before and during early pregnancy
Avoid alcohol at any time during pregnancy
Keep diabetes under control
Talk to a healthcare provider about taking any medications.
Talk to a healthcare provider about vaccinations
Strive to reach and maintain a healthy weight
Nursing Care Plan
Risk for Altered Family Processes/Role Performance
Promote exchange of feelings and listen for verbal cues indicating feelings of failure, guilt, or anger. Discuss normalcy of feelings.
Review family’s strengths, resources, and past coping skills
Assess present family situation and psychological status.
Patient demonstrates individual involvement in problem-solving process directed at resolution of crisis.
Patient expresses feelings freely and appropriately.
Patient identifies needs and resources to nurture roles/family ties.
Patient verbalizes understanding of role expectations/obligations.
Include partner in planning care. Grant opportunity for partner to be seen individually. Reinforce discussion of concerns.
Support free flow of emotional expression. Only restrict behavior that is dangerous to well-being of patient/couple (e.g., pulling out IV, using fists to pound on abdomen).
Allocate private room if patient wants it, with regular contact by care providers. Encourage of feelings unlimited visiting by family and friends.
Patient looks toward/plan for future, one day at a time.
Patient identifies and expresses feelings (e.g., sadness, guilt, fear) freely.
Patient recognizes impact/effect of the grieving process (e.g., physical problems of eating, sleeping) and inquires proper help.
Patient participates in self-care activities of daily living (ADLs), as able.