The admitting diagnosis is Congenital Varicella Syndrome. It is a congenital disease caused by the exposure of the fetus and/or the mother to Varicella-Zoster Virus. This virus is the main caused of chicken pox and herpes. According to Lokeshwar and colleagues (2007), the Congenial Varicella Syndrome results from a transplacental transfer of maternal varicella infection. This usually occurs during the first 20 to 25 weeks of gestation.
The most common signs and symptoms associated with Congenital Varicella Syndrome are intrauterine infections, cicatricial skin lesions and scars, low birth weight, mental retardation and gastrointestibnal abnormalities (Lokeshwar and colleagues, 2007). The second admitting diagnosis is gastrostomy. Gastrostomy, according to Thomas and colleagues (2007), is ‘the creation of an artificial tract between the stomach and the abdominal surface and is commonly used for long-term eternal support.
’ Browne (2006) enumerated that gastrostomy devices may cause complications such as ‘skin or stoma infection, exacerbation of gastroesophageal reflux, dislodgement, stomach perforation and intestinal obstruction’. Usually, gastrostomy is used for feeding and decompression for antireflux surgery or treatment. The third admitting diagnosis is rectal and anal hemorrhage. Hemorrhage is simply excessive blood loss (Kruzel, 2005). Kruzel (2005) explained that there are two types of hemorrhage, internal and external.
Internal hemorrhage is commonly not visible, the area will probably be tender, pulse is weak and skin clammy and cold. The person also experienced restlessness and dizziness. Kruzel (2005) noted that during external hemorrhage, on the other hand, blood oozes out or spurt out. Marvin Corman (2005) elucidates that lower gastrointestinal hemorrhage are probably caused by ‘immunosuppression’ or can be a ‘consequence of renal transplantation. ’ The diagnosis shows that the patient suffers from a congenital disease that further results to several other abnormalities or complications.
The patient must be confined in a hospital or be under strict medical supervision due to the gastrostomy and anal and rectal hemorrhage. Since the patient is currently 10 years old, weighs 67. 8 lbs. , his ability to enjoy the schooling years, and play with other children is greatly disturbed. Timby and Smith (2005) explained that according to Erickson’s psychosocial development model the child’s industry would be different from the normal child.