1월 8일 강의.free

1.상황: grasp reflex fading, posterior pontanel closed, 목 제한된 ROM,

의심 문제되는 질병

spinal disease

dehydration

hydrocephalus

torticollis #

2.가장 가능성 높은 질병(torticollis-다음 상황에 진단받았다고 나옴),

중재, teaching

3개월 아동 시력문제

안구근육사용,

시야

immature retina

weak eye muscle#

#20/640.~6개월 까지 성장

muscle weakness, could be indicative of myasthenia gravis, a neuromuscular autoimmune disease.

3. 2개월 아기 사경(2개월 아기 아동발달 및 사경치료)

For a 2-month-old baby with strabismus, treatment is determined by a doctor and can start with monitoring, as the eyes often align on their own. If the condition persists, treatments may include glasses, eye patching, or atropine eye drops to strengthen the weaker eye. Surgery is considered if conservative treatments are not successful, involving the adjustment of the eye muscles.

4.골관절염 할머니에 대한 ngn 설명 OA

Osteoporosis NGN 근데 Depression 도 있음 우선순위...?

.예상되는 질병>>골다공증

5.어떤 중재?

조깅,

active rom

담배 끊는거

체중 부하 운동#

6.62세할머니NGN - back pain호소+hypothyroidism BMI 23.f/u 필요

BMI

Ca

back pain #

골관절 소리

7.필요 중재

주에 몇번씩 수영한다

매일 관절부위 스트레칭한다 #

살도 뺀다

Swimming is great for cardiovascular health and muscle strength with osteoporosis, but its buoyancy makes it not weight-bearing, so it doesn't directly build bone density like walking or lifting weights;

Osteoporosis joint stretching focuses on gentle, controlled movements to improve flexibility, posture, and balance, counteracting bone loss and fracture risk by maintaining mobility without spinal flexion or twisting, using limbering (mobilizing) and lengthening (static holds) techniques, like doorway chest stretches and full-body elongations, always prioritizing spinal alignment and consulting a doctor.

8.무슨 검사해봐야 하는지?

X-ray

DEXA scan # is considered the "gold standard" or most accurate test.

Standard X-rays are not the primary tool for diagnosing osteoporosis,

9.-dronate 약물에 대한 설명 여러개 맞는지 틀린지 선택

약 먹고 앉아있는다,

칼슘 같이 먹는다 #

물 많이

take calcium supplements at least 30 minutes after taking alendronate, but waiting 2-4 hours is often recommended for better absorption of alendronate.

10.어떤 음식이 좋은지?

Salmon#

poultry,

pork