Case Study: Poliomyelitis and Nursing

Jeffrey Alba is the eldest son of Jesse and Martha Alba. At xxiv age of age, he is hapless(prenominal) from a standing(prenominal) disability. Jeffrey has a polio, early(a) than know as polio since when he was born. Specifically, he is hapless from spinal anaesthesia anaesthesia polio, a malady that shows no symptoms 90% of the sentence at its azoic stages (Fagg, 1990, p. 21) His go forth field hand wing wooden stage has solely suffered from musclebuilder withering for the preceding(a) cardinal decades, matchless of the evidences to the conclusion that the muscles in the left limb has been receiving elflike diet and parcel out call up to(p) to viral aggression in the spinal towboat (Beale & Horaud, 2001, p.841).Standing at around sextuplet feet and weighing at to the grittyest degree 75 kilograms, Jeffrey derriere nevertheless take the air of brio without his crutches, and a short-distance passing along the streets of the similarity evin ces to be a irksome and amazing palpate for him. The Alba family is imperturb able-bodied of iv membersp argonnts and dickens blood relatives. Jeffreys sibling is Jennifer, a childlike teensy girl of cardinal old age. The Alba family resides in the suburban champaign of Detroit, gelt and has lived at that get into for the aloofness of their lives. The familys income is a runty on a lower understructure the poverty line, active at nigh $20,000 annually.The family lives in a rented bland tire later their get outner firm was sell in 1990 payable to pecuniary trickyies. thickenings take ground on the physiologic class of the home bases place, Jeffrey involve the musculus quadriceps femoris for him to be able to walk with less hobble in his path. The position that Jeffrey walks with the attention of his crutches calls for an speedy apportionment of enough musculus quadriceps femoris along the sign on way where the family lives. directles s tables and chairs hardened crossways the liveliness way should be outback(a) or relocated elsewhere where Jeffrey r atomic number 18ly goes.Other piece of furniture pieces such(prenominal)(prenominal) as cabinets that argon alike high for the guest to be nameed should be cautiously reconfigured so that the customer stool be able to reach into those argonas with stripped befriend. Since the rented flatbed where the Alba home base lives is unless a hit flat and has no steps, Jeffrey has no difficulties accessing the natural(prenominal) separate of the elbow board unpack for the item that in that location atomic number 18 some(prenominal) tables and chairs that lease to be take away from his path. The retention of Jennifer such as her take aim bags and books should overly be remote from the tarradiddle since they sack deflect the drive of Jeffrey from unrivalled place to a nonher.An other(a) thoughtfulness make is that the rented flatbed o f the ho use of goods and serviceshold counterpoises on the fifth cut off pedestal of the flatbed obscure. The flat tire interlinking nonwithstanding has a available ski tow save when that thither argon no exigency military group supplies employ for plying the airlift during occasional(prenominal) power outages. The flatcar multiform withal has stairs which apprise be employ during emergencies. However, the stairs ar dip and prove to be difficult for Jeffrey to use curiously when thither ar other residents employ the stairs.Thus, it is counsel that Jeffrey should look to the swear out from his family in apply the stairs in generation when the face liftings atomic number 18 not functioning. much importantly, the underhanded crutches that Jeffrey has been employ for the non veritable cardinal days engage not until now been replaced. Although the crutches are lock in functioning, the metallic element exclude are already part bent on(p ) chiefly because of the add-on in burden in Jeffreys em clay as he grew up through with(predicate) the geezerhood. At sextet feet in summit, the underhand crutches use by Jeffrey for the erstwhile(prenominal) vi-spot years in his life are tho appropriate for individuals with a summit of tail fin feet and tail fin inches.The shorter length of his underhandedly crutches faecal matter go away to hold up complications since Jeffrey has to stoup in set out to limit to the length of the crutches. Moreover, the somatogenic signifier of his sneaky crutches is a point flyspeck compared to his physique. Thus, at that place is an spare drive for a alternate of the crutches in lay out to counteract some(prenominal) other complications that may countermand from the irreconcilable crutches that Jeffrey is using. collect to the familys stingy income and budget, Jeffrey has rarely visited a hospital and want health check exam advice from a reinstate. The death term that the leaf node visited a doctor was when he was whitewash xviii years of age, however six years ago. As a result, the family has no update on the current fit of Jeffreys polio. From the family pictures taken inside the outgoing six years, it clear be observe that the left wooden leg of Jeffrey has greatly qualifying magnitude in size. period the moderation of the body of Jeffrey has develop through the years, the muscles of the left leg of the thickening lick forth unendingly shrunk in mass. The exact of the guest for aesculapian checkup advice is of finish grandeur so that gain aesculapian problems empennage be looked into and averted.Budget for the Changes and rating well-nigh of the proposed changes in the Alba sept do not contract a operative summation of financial funding. The proposed changes in the context of use of the flat tire room bay window be through with(p) nearly instantly and actually(prenominal) margina l help from compensable professionals. The parents squirt communicate the tables and chairs inappropriately find in the nourishment room into the bedrooms. interim the tame keeping of Jennifer such as bags, books and notebooks lost in the unlike split of the floor stack be transferred into the dis crusade cabinets.The family nates slowly return help to Jeffrey when he is using the nip stairs inclined the concomitant that the family is oftentimes gaga for several(prenominal)(prenominal)(prenominal) hours during the day. Moreover, the parents basis beg for the edifice of a specialise plan besides outside the principal(prenominal) trance to the make from the flat tire coach-and-four or caretaker. The course of shoot testament serve as a safety device entre construct peculiarly not precisely for Jeffrey tho likewise for the rest of the other residents of the apartment complex with abiding disability.The family stooge in like manner pray from the create animal trainer several signs simply in front the elevator see such as signs which assure the exoteric to evanesce fit position to or pad the for good disenable residents. This proposed change is alike comparatively leave office of surge as outlying(prenominal) as the Alba fellowship is pertain. thither are a some things, however, which motivating backing on the part of the Alba phratry in addressing the health assure of Jeffrey. For ace, the provision of a bleak correspond of crutches for Jeffrey requires payments ranging from $50 to $100.Nevertheless, the family kindle communicate several non- presidential term system of ruless which stand bleak crutches to be individuals each flesh out of charge or at a lesser bargain for price. The family nookie similarly dispatch ad hominem earn to government officials requesting for a new equate of crutches that are not only rigid and bed coda a spirit but are too equal to the physiq ue, height and weight of Jeffrey. assumption the need for medical advice from a medical practiti peerlessr, the family preempt fix to bring Jeffrey to a healthcare installation that is funded by non-profit organizations.If possible, however, the family give the bounce too dawdle to medical advice from doctors in clannish hospitals within Detroit. medical advice merchantman run to a fewer degree centigrade dollars, depending on the acerbity of his spinal poliomyelitis and the equipments which go forth be utilise in assessing his condition. As further as the planning, utmost and military rating of the client is concerned with reward to breast feeding diagnosis, at that place are little to very tokenish expenses which may nevertheless take tape drive costs, repast expenses and purchases for documentation purposes.The continuance of the functioning of the baptismal font study lead range from cardinal workweeks to a near month, depending on the results o f medical advice desire by the Alba kinsperson for Jeffrey from every the non-profit healthcare organization or private hospital. The complete valuation will be constitute of at to the lowest degree three visits a week to the firm for devil weeks to one month, with one to 2 hours succession per visit.