Case Study:
Melissa is an 8-year-old girl with a diagnosis of myelomenigocele.
Melissa's mother had a difficult pregnancy. The baby was born by vaginal delivery and surgical closure of the back was performed immediately A CT scan confirmed a diagnosis of hydrocephalus and a ventriculoperitoneal shunt was indicated.
Melissa has a neurogenic bladder with recurring urinary tract infections. She has partial paralysis of the lower extremities, but she can ambulate with short leg braces and forearm crutches. At times, she prefers to use a wheelchair. Her mother reports that Melissa has difficulty with the short leg braces due to flexion contractures of the knees. Melissa is bright and enjoys school. However, she often feels "left out and alone"
Q1. Describe the potential secondary complications associated with myelomenignocele.
Q2. Explain the difference between spina bifida occulta and spina bifida cystica.
Q3. Identify and explain the types of medical and surgical procedures that may be involved throughout Melissa's childhood.
Q4. What is the prognosis for this diagnosis?
Q5. Address the role of a medical professional during a 20 year time period, starting at age 3. Example, physical therapist.
Q6. Analyze and discuss the impact of this type of disability on a person's quality of life. Discuss the implications for family members.
Your answer must be typed, double-spaced, Times New Roman font (size 12), one-inch margins on all sides, APA format.