Professional Documents
Culture Documents
: Lulu Khusnul B
Nanny
Physiotherapist
Condition
Dialogue
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: He is 6 years old, ive been told that he suffered cerebal palsy which attacked
his brain that cause his legs become stiff.
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: Ah, i see. Is he born with this disease or is there any cause that make him
become like this?
: No, he was born normal, theres nothing wrong with his body, neither his
brain. But, when he was 7 months old he got high fever and repeated
convulsions. Then, he had been hospitalized for 2 weeks in Thamrin Hospital.
November 2009, he got convulsions again that made his legs stiffed. We went to
Hermina Jatinegara Hospital and the doctor said that he has meningitis Infection.
The doctor referenced us to go to Cipto Mangun Kusumo Hospital to have
advanced examination. He had been hospitalized for 10 days there.
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:what happened after examination? Was there any progressive with his condition
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: So, did his family just stop all of the program or did they take him to another
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do?
: Now, he can stand up and walk for 2-3 steps. He still come to have a
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the kid now his? Either from mothers family nor his fathers family.
: There was ISPA when he was 5 years 1 month old. Emm I think, neither his
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moms family or his dads family have the same disease with my kid now.
: oke next question. When his mom pregnant him, do you know have she ever
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normal way or some other way? And how old his age at that time?
: the baby was born with caesar at 9 months of pregnancy.
: How about his weight and height mam?
: He was 3000 gr and 51 cm long. His mom had told me that everything was
okay with his condition at the birth time. He got normal round of the head, he
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didnt suffered any abnormality metabolic system. He just like the other baby
: Then meningitis, urinary system infection, and ISPA were came. Am I right?
: Yes youre right mam
: what about the imunitation? He got all of the imunitation program, wasnt
he?
: Yes he was, his imunitation was completed.
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: oke mam, now I want you to remember the age when he able to prone and roll
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year old. He started to eat by his self when he was 2 years old.
: oke nanny, now Im going to check a his round of head. Hi F lets measure
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yay thats good! Oke back sit. May I borrow your hand? (ROM test)
now may I borrow your leg? (ROM test)
nanny do you see that? There are limitations when I tried to move his legs am I
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right?
:Ya, youre right I see that
:He couldnt straighten his hip and knee. And because both of his knee are
formed like X, he couldnt distant his legs or we called it as abduction.
oke now Im going to check his muscle (Tonus examination)
Ah, his legs muscles are pretty stiffed
Nanny, I indicate there are thightness of his muscles, im going to check it
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(Thightness examination)
:Yes please, how is it?
:like what Im expect, there are thightness of illiopsoas, adductor, hamstring,
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while he walking.
:mam, is the shoes can make his leg become normal?
:Im afraid no, because the shoes is only support the way he walk and stand up
:oh I see that
:After this Im going to start the treatment. The treatment are to inhibit his
stiffness, stimulate him to stand up and walk with properly, and exercise his
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paper that placed in zig zag pattern, and ask him to swim
:oke Ill do that at home
:Yes you have to, because our team working may help much for his ability to
stand up and walk. Because my goal is to make him walk as normal as possible.