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Plan of Care

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Plan of Care

       Every person wishes to live a healthy life without any complications. As a result, parents have to check the health progress of their infants. According to Srinath et al. (2019), assessment and treatment of childhood illnesses are multidisciplinary activities combining information from parents, diagnosis, and differential diagnosis to arrive at the best medicine.

Information. Pertinent positive information drawn from the case scenario of the patient (D.J) includes the family health history of his grandparents, challenging right-turning his head, flattening head on the right side, folding of his right ear, plagiocephaly, and ROM presence and shortened right sternocleidomastoid muscle. Subsequently, the negative data include the absence of any other treatment history, no history of tobacco use by the mother, normal heart sounds, healthy lungs function as well as bowel sound.

Differential diagnosis. After consultation and taking several tests, some differential diagnoses recorded are such as, presence of a flat lump sport behind the right ear, flattened right side of the head, and tilting on one direction, which reflects the straining muscle (Park et al. 2018). As claimed by Eddinger (2017), there were atlantoaxial rotation instability, spinal subluxation, Chiari malformations, and Grisel syndrome, which form part of the principal diagnosis.

Care Plan. Early diagnosis of D.J condition forms bases on his recovery journey. As claimed by Sargent et al. (2019), D.J’s condition requires physical therapy to rectify head formation and neck movement. Therefore, the physiatrist needs to work closely with D.Js’ parents, explain the condition and treatment procedures. The most preferred therapy is to encourage the child to move the neck to the left side and tummy timing, By doing so, the muscle will loosen and allow smooth movement and reform the head, within a short period since the child is still young.

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Eddinger, C. V. (2017). The importance of differential diagnosis.

Park, Y. H., Kim, C. H., Kim, J. H., Park, J. E., & Yim, S. Y. (2018). Rare concurrence of

congenital muscular torticollis and a malignant tumor in the same sternocleidomastoid

muscle. Annals of rehabilitation medicine42(1), 189.

Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical practice guidelines for

assessment of children and adolescents. Indian journal of psychiatry61(Suppl 2), 158.

Sargent, B., Kaplan, S. L., Coulter, C., & Baker, C. (2019). Congenital muscular torticollis:

Bridging the gap between research and clinical practice. Pediatrics144(2), e20190582.

 

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