Team Approach: Guideline-Based Management of Skin Injury in Individuals with Myelomeningocele. Issue 3 (March 2019)

• Record Type: Journal Article
• Authors: Bradko, Viachaslau; Hill, Jaclyn; Castillo, Heidi; Castillo, Jonathan
• Is Part Of: JBJS reviews. Volume 7:Issue 3(2019)
• Publication Date: 2019-03
• Subjects: Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedics -- Periodicals; Orthopedics; General Surgery; Bone Diseases; Joint Diseases; Bones -- Surgery; Joints -- Surgery; Orthopedics; Periodicals; Electronic journals; Periodicals; 617.47
• DOI: 10.2106/JBJS.RVW.18.00062
• Languages: English
• ISSNs: 2329-9185

Abstract

Abstract : As many as 100, 000 people in the United States live with myelomeningocele. Due to recent advancement in treatment, about 75% of children with myelomeningocele reach adulthood. Up to 77% of patients with spina bifida report skin-breakdown issues annually. The management of patients who have myelomeningocele requires a multidisciplinary approach that should begin early in life and should aid in transitions through health-care settings across the lifespan. Education on the prevention of skin injury must be repetitive, frequent, culturally appropriate, and ongoing. The development of a team approach to evidence-based prevention, education, and treatment is imperative, with the goal of reducing skin breakdown and increasing self-management among individuals with myelomeningocele.