Chronic Childhood Problem covering the pathophysiology of the illness, nursing management and available Community Resources.
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Factors affecting the quality of life in children with congenital heart disease. (includes abstract) Nousi D; Christou A; Health Science Journal, 2010; 4 (2): 94-100.
http://www.annals.in/article.asp?issn=0971–9784;year=2007;volume=10;issue=1;spage=19;epage=26;aulast=Chowdhury
http://www.aafp.org/afp/1999/0401/p1857.html
The chronic childhood problem that will be examined in this summary is congenital heart disease in children as it occurs in 8 children for every 1000 live births making it the most chronic condition in children and common birth defect across the world. The pathophysiology of congenital heart disease in children results in at least 50% of children born with this birth defect producing haemodynamic effects. Because of the seriousness of this condition, this defect represents the second leading cause of death in infancy and childhood across the globe. The most common pathophysiology in children suffering from this chronic childhood condition is left to right shunts. This physiological condition is characterized by oxygenated blood returning back to the lungs to obtain re-oxygenation thus creating a redundancy in the circulation. Children suffering from this chronic condition suffer an increased venous return from the lungs via their pulmonary veins to the left atrium and the left ventricle (LV). This condition results in a volume overload on the LV thus with children suffering from this ailment volume overloads to the LV are the catalyst for altered pulmonary circulation and a decreased systemic cardiac output.
The amount of alterations to the child’s hear emanates from the left to right shunt lesions and the size of the defects that cause the post-natal changes in systemic and pulmonary vascular resistances. The foetal stage represents the …
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