The patient suffering and undergoing gastrostomy, rectal and anal hemorrhage and Congenital Varicella Syndrome is most likely to feel and develop inferiority. The patient can be classified under the pre-adolescent stage wherein rapid growth and maturation happens (Timby and Smith, 2005). The normal weight range for preadolescent stage, according to Timby and Smith (2005), is 77-88 lbs. , which means that the patient is underweight. The normal child is expected to relate with his peers and learn skills through playing and studying.
The patient will be excluded from other children and cannot enjoy outdoor play and normal schooling (if ever studying is possible). The patient already has tracheostomy and is already Ventilator dependent, which further obstruct his mobility. It also makes him more susceptible to diseases and further complications such as dislodgement, suffocation and decreased ability to speak. This might result to a weakened self-image, which reduces competence and aggravates inferiority complex.
Compare to normal children aged 10; the patient is restricted in several ways such as speaking, moving, eating and even breathing. Psychosocial development of industry versus inferiority might not be experienced freely, if not absent. The presence of previous illness such as Tracheostomy and Right Thoracic Scoliosis indicates a positive correlation to Congenital Varicella Syndrome. According to Lokeshwar and colleagues (2007), one of the neurological abnormalities that are present in Congenital Varicella Syndrome involves spinal cord atrophy, which can lead to scoliosis.
Also, the gastrointestinal abnormalities that are involved in Congenital Varicella Syndrome primarily include gastroesphaegeal reflux (Lokeshwar and colleagues, 2007), which requires antireflux surgery that involves gastrostomy (Browne, 2006). Rectal and Anal hemorrhage might be a result of anal sphincter malfunction and\or immune system failure (Lokeshwar and colleagues, 2007). The admitting diagnosis of the patient is highly affected by the previous illnesses. The patient’s illnesses impair his psychosocial development.
Although his life is prolonged by several medical treatments, his development is hindered by the limitation that the treatment poses. Although the patient’s disease, according to the diagnosis is ‘congenital’ it still affects and limits the patient’s life and activity even at the age of 10. Works Cited Browne, T. C. Nursing Care of the Pediatric Surgical Patient. Jones and Bartlett Publishers. 2006 Corman, M. Colon and Rectal Surgery. Lippincott Williams and Wilkins, 2005. Kruzel, T. Homeopathic Emergency Guide. B. Jain Publishers Ltd, 2005.
Lokeshwar, M. R. , Bavdekar, S. B. , Shah, N. and Shahani,P. Varicella Infection in Pregnancy – Consequences for foetus and neonate. Pedriatic Oncall. 2007. Retrieved on December 28, 2008, from https://www. pediatriconcall. com/fordoctor/diseasesandcondition/infectious_diseases/varicellainfectinpreg. asp. Thomas, B. , Bishop, J. and British Dietetic Association. Manual of Dietetic Practice. Blackwell Publishing, 2007. Timby, B. K. and Smith, N. E. Essentials of Nursing: Care of adults and children. Lippincott Williams and Wilkins, 2005.