Question
Explain the nursing management of a child with Hydrocephalus
Hydrocephalus is a condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) within the brain, leading to increased intracranial pressure. Nursing management of a child with hydrocephalus involves a comprehensive approach aimed at monitoring, preventing complications, providing supportive care, and collaborating with the healthcare team to ensure optimal outcomes for the child. Here's an overview of the nursing management of a child with hydrocephalus:
1. Assessment and Monitoring:
- Neurological Assessment: Regular assessment of the child's neurological status is crucial. Monitoring for signs of increased intracranial pressure (ICP) such as changes in level of consciousness, headache, irritability, vomiting (especially in the morning), and changes in vital signs.
- Head Circumference: Monitoring and documenting head circumference regularly, especially in infants, to detect abnormal growth patterns indicative of increased intracranial pressure.
- Fontanelle Examination: Assessing the fontanelles for tension or bulging, as it can indicate increased ICP.
- Developmental Milestones: Assessing developmental milestones to identify any delays or regressions that might require intervention.
2. Collaboration and Education:
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