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Chapter 3: Problem 191

A 6-year-old is diagnosed with Legg-Calve Perthes disease of the right femur. An important part of the child's care includes instructing the parents: A. To increase the amount of dietary protein B. About exercises to strengthen affected muscles C. About relaxation exercises to minimize pain in the joints D. To prevent weight bearing on the affected leg

Short Answer

Expert verified
Answer: The most important part of the child's care for Legg-Calve Perthes disease is to prevent weight-bearing on the affected leg to allow proper healing of the femur head and to minimize pain and complications.

Step by step solution

01

Understand Legg-Calve Perthes disease

Legg-Calve Perthes disease is a childhood condition that affects the hip joint. It occurs when the blood supply to the round head of the femur (thighbone) is temporarily disrupted, which can lead to a weakening and collapse of the bone. The main goal of treatment is to reduce pain and to maintain a good range of motion in the hip joint.
02

Evaluate instruction A

Increasing dietary protein can be beneficial for overall health and tissue repair. However, in the case of Legg-Calve Perthes disease, the focus should be on joint care and reducing weight-bearing on the affected leg. Thus, instruction A may be helpful but is not the primary focus of care.
03

Evaluate instruction B

Performing exercises to strengthen affected muscles can aid in the recovery of joint function and minimize the risk of long-term complications. While this is an essential element of treatment, it is not the main focus in the initial stages of the disease.
04

Evaluate instruction C

Relaxation exercises can alleviate pain and discomfort in affected joints. However, they do not directly address the primary issue of weight-bearing on the affected leg, and hence they are not the most critical aspect of care.
05

Evaluate instruction D

The prevention of weight-bearing on the affected leg is crucial in the management of Legg-Calve Perthes disease. Reducing pressure on the weakened femur head allows it to heal properly, preventing further damage, and reducing pain. This instruction should be the main focus of the child's care.
06

Conclusion

Based on our evaluation, the most important part of the child's care for Legg-Calve Perthes disease is instruction D, which is to prevent weight-bearing on the affected leg to allow proper healing of the femur head and to minimize pain and complications.

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