Answer to Question 1
Cerebral palsy is the result of nonprogressive brain damage that occurs before the age of 5 that causes motor dysfunctions. Common issues include: seizures, muscle tone complications, impaired cognitive abilities, dysphagia, GERD, constipation, and growth/orthopedic problems.
Would just classify as congenital and acquired CP.
Risk factors for congenital CP: prematurity, low birth weight, multiparity, severe jaundice, fetal stroke, infections during pregnancy, and birth complications where the oxygen supply to the infant's brain is decreased.
Risk factors for acquired CP: Head injury or anoxic insult, brain infection
Olivia was born prematurely at 32 weeks GA and was VLBW at 1200g.
Answer to Question 2
The client should remain upright during and immediately after meals.
He should avoid eating or drinking anything for up to 3 hours prior to retiring in the evening.
Mr. Gupta may also benefit from smaller meals prior to bedtime.
The head of his bed may also be elevated at night to assist with nighttime reflux.
Possibly consume smaller, more frequent meals
Avoid tight-fitting clothing
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