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[Cerebral palsy associated urological pathologies. Nurse´s role.]

Fabiola Barrón-Garza1, María Esther Garza-Montufar1, Pedro Arredondo-Garza1

  • 1Insituto Nuevo Amanecer A.B.P. San Pedro Garza García. Nuevo León. México.

Archivos Espanoles De Urologia
|September 3, 2019
PubMed

Insights

Nursing plays a vital role in managing urinary issues in children with cerebral palsy (CP). Early detection of urinary tract infections is crucial before initiating toilet training programs for improved independence.

Area of Science:

  • Pediatric Urology
  • Neurology
  • Nursing Care

Background:

  • Cerebral palsy (CP) often presents complex urological challenges in children.
  • Effective management requires understanding the interplay between neurological conditions and urinary function.

Purpose of the Study:

  • To investigate common urological consultation reasons in children with CP.
  • To define the role of nursing in pediatric urological care for CP patients.
  • To explore the link between urinary tract infections (UTIs) in children with CP and their functional independence.

Main Methods:

  • Retrospective analytical observational study.
  • Reviewed clinical records of 47 pediatric patients diagnosed with cerebral palsy (ages 2-16).
  • Patients were selected via simple randomization from a specialized outpatient clinic in northern Mexico.

Main Results:

  • Key reasons for urological consultation in children with CP, often identified by nursing, include UTIs, phimosis, undescended testes, cryptorchidism, hypogonadism, overactive bladder, and hypospadias.
  • A significant correlation was found between urinary infections in children with CP and their level of urinary sphincter control, impacting independence.

Conclusions:

  • Nursing staff are instrumental in the diagnosis, timely referral, and monitoring of urinary disorders in children with CP.
  • Toilet training programs for children with CP should only commence after ruling out underlying urinary tract infections.
Abstract

Keywords:
Atención de enfermeríaCerebral PalsyDeambulación dependienteDependent ambulationNursing careParálisis cerebralUrologyUrología

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