The impact of pediatric brachial plexus injury on families

Emily Louden1, Allison Allgier1, Myra Overton1

  • 1Brachial Plexus Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Insights

Brachial plexus injuries (BPIs) significantly impact families, particularly financially and socially. A multidisciplinary team approach is crucial for addressing the diverse needs of children with BPIs and their families.

Area of Science:

  • Pediatric Medicine
  • Rehabilitation Science
  • Family Studies

Background:

  • Brachial plexus injuries (BPIs) in children can lead to significant challenges for families.
  • Understanding the multifaceted impact of BPIs is essential for providing comprehensive care.

Purpose of the Study:

  • To determine the impact of pediatric brachial plexus injuries on families.
  • To identify clinical and social needs of affected families.

Main Methods:

  • Cross-sectional study involving 102 caregivers of children (1-18 years) with BPIs.
  • Utilized demographic questionnaires and the Impact on Family Scale.
  • Employed factor analysis and item-total correlations to analyze family impact.

Main Results:

  • Overall family impact score was 43, with financial and travel-related factors showing the strongest correlation.
  • Personal strain, family/social factors, financial stress, and mastery were identified dimensions of impact.
  • Injury severity had a marginal correlation with family impact.

Conclusions:

  • Families experience diverse impacts from pediatric BPIs, including financial strain and personal challenges.
  • A multidisciplinary care team should address these varied impacts throughout treatment.
  • Addressing family needs is integral to managing pediatric BPIs effectively.
Abstract

Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
3.6K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
926
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
597
Spinal Nerves: Plexus II01:21

Spinal Nerves: Plexus II

The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
3.3K
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.8K
Relationship with Other Adult Family Members and Siblings01:29

Relationship with Other Adult Family Members and Siblings

Other adult family members and siblings play a crucial role in shaping children’s social and emotional development. While parents or primary caregivers are often the central figures in early attachment and socialization, other adults in a child’s life, such as grandparents, aunts, and uncles, can significantly influence developmental outcomes. These influences depend on each adult’s personality and may help compensate when a primary caregiver is emotionally distant or...
258