Social Cerebrovascular Disorder : An 2nd Grade Student At Charleroi Middle School

1804 Words Nov 20th, 2016 8 Pages
Student 1: Adam
Adam is an 8th grade student at Charleroi Middle School. Adam was diagnosed with Moyamoya disease. It is a rare, progressive cerebrovascular disorder caused by blocked arteries at the base of the brain in an area called the basal ganglia. The name “moyamoya” means “puff of smoke” in Japanese and describes the look of the tangle of tiny vessels formed to compensate for the blockage (“NINDS Moyamoya disease information page,” 2016). He has suffered three strokes leading to dystonia, a state of abnormal muscle tone resulting in muscular spasm and abnormal posture, and left hemiparesis, weakness of the entire left side of his body.
Health Care Needs The IHP for Adam is complicated and long and involves collaboration with multiple members of the healthcare team. His symptoms are listed as: neglect of the left side of his body, impulsiveness, facial weakness, and short term memory loss. He has a brace on his left foot and left hand to help with the dystonia. He reports to the school nurse twice a day: first at 10am for his medications and then during his fourth period to have his TENS unit (a small battery operated device that stimulates nerves) on his foot. The nurse reports Adam as in “fair health- on mediations for previous strokes and Moyamoya disease”. He has a licensed practical nurse (LPN) with him at all times expect for lunch. An occupational therapist and physical therapist come to school once a week for thirty to forty-five minutes to work with Adam.…

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