Term Paper: Different Muscle Weakness Discussion

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[. . .] After hearing her husband\'s condition, his tearful wife asks you how it is possible her husband\'s brain might not function if it was his heart that stopped beating. How would you answer?

Since her husband had a history of atherosclerosis, diabetes mellitus type 2, and coronary artery disease (CAD) this could have been contributing factors that resulted in the brain lacking enough oxygen resulting in minimal brain activity. The brain can survive with a minimal supply of oxygen and the supply takes place through the blood. The patient could have gone for a long time without breathing and this might have resulted in the brain not receiving enough blood supply, which limited the amount of oxygen received by the brain leading to brain damage. Atherosclerosis could have resulted in the blocking of arteries that supply blood to the brain and this might have contributed to reduced oxygen being received by the brain. This reduced supply could have resulted in the brain continuously increasing the flow of blood in order to increase the oxygen supplied to the brain. When they became unconscious, the brain could not survive with limited blood flow and an attempt to increase the flow could have resulted in brain damage.

The medical staff is right to state that the patient will most likely not recover, and it would be advisable that care is withdrawn as early as possible. While there have been reports to demonstrate that some patients do recover, the cases differ from this particular one in various ways. It seems that the amount of time the patient was unconscious was longer than earlier thought and this might have resulted in permanent brain damage. Therefore, maintaining care for the patient will not result in any improvement. Also, the age of the patient plays a vital role in the recovery of the patient. Having been aged and with a history of atherosclerosis, diabetes mellitus type 2, and coronary artery disease the patient\'s chances of fully recovering are further diminished and it would be advisable that care is withdrawn.

Hypotonia, hyperreflexia, and respiratory distress

Explaining the condition to the parents in the simplest of terms is the best way forward. The first thing is to let the parents know that the constipation being experienced by the child will only continue even if they receive medication for constipation. It is vital that the parents know their child has a muscle weakness condition that should be treated as early as possible. From the initial physical examination, the infant\'s hypotonia is caused by peripheral nervous system and not central nervous system (Peredo & Hannibal, 2009). This condition is not life-threatening but will result in further muscle weaknesses that will affect the infant\'s motor unit or mobility in the future. There is also need for laboratory examination to rule out systemic disorders.

Ethically speaking, parents have a responsibility and authority for making medical decisions on behalf of their child. Having advised the parents and informed them of the impact the illness will have on the child, the clinician could seek the involvement of a child protection agency or a court order. Considering that the best interests of the child lie in them being admitted and further tests being conducted, the clinician should challenge the parent’s decision since it is not in the best interest of the child. If the child is not treated for the condition, the child is at a significant risk of serious harm, and this should be enough ground to challenge the parent\'s decision.

References

Fritzsch, B., & Elliott, K. L. (2017). Evolution and development of the inner ear efferent system: Transforming a motor neuron population to connect to the most unusual motor protein via ancient nicotinic receptors. Frontiers in cellular neuroscience, 11, 114.

Huebner, E. A., & Strittmatter, S. M. (2009). Axon regeneration in the peripheral and central nervous systems Cell Biology of the Axon (pp. 305-360): Springer.

Peredo, D. E., & Hannibal, M. C. (2009). The floppy infant: evaluation of hypotonia. Pediatrics in Review, 30(9), e66-e76.

Wu, M., McIntosh, J., & Liu, J. (2016). Current prevalence rate of latex allergy:… [END OF PREVIEW]

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