What Defines a child that is Medically Fragile?

This entry was posted by Tuesday, 13 April, 2010
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“Medically Fragile or Special Health Care Needs Dependent”

To be defined as a special needs child, children must have special health care needs meaning the child must have a the need for specialized in-home health care based upon one or more of the following criteria:

  • Enteral Feeding Tube (nutrition fed through a tube placed in the nose, the stomach, or the small intestine.)
  • (TPN Dendent) Total Parenteral Feeding (supplies all the nutritional needs of the body by bypassing the digestive system, dripping nutrient solution directly into a vein.)
  • Cardiorespiratory Monitoring
  • Intravenous Therapy
  • Ventilator dependent
  • Oxygen Support
  • Urinary Catherization
  • Renal Dialysis
  • Ministrations imposed by tracheotomy, colostomy, Ileostomey, or other medical, surgical procedures.

Also, any condition that can rapidly deteriorate resulting in permanent injury or death. These children are commonly referred to as “medically fragile.” Typically, medically fragile children are infants under 3 years of age who are prone to hospitalization.

The following are a few examples of conditions that often, but certainly not always, qualify a child as medically fragile.

  • Prenatal exposure to drugs and/or alcohol
  • Congenital or hereditary defects such as spina bifida, sickle cell, anemia, cystic fibrosis, netherton syndrome, heart , lung defects.
  • Burns
  • Cerebral Palsy
  • Muscular Dystrophy
  • Epilepsy
  • BPD – Bronchopulmonary dysplasia
  • Failure to thrive
  • HIV positive and symptomatic
  • Permaturity

With the on going advances in medicine, the quality of life and longevity has vastly improved for medically fragile children. Many medically fragile children are able to be cared for in “specialized licensed foster care homes” with mandated individualized care plans outlining the child’s medical care needs as opposed to having to stay in hospital ward. This home setting has proven to to facilitate improvements in the child’s condition and well being.

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John Bunn Neb-u-Tyke Neb-a-Doodle Nebulizer Compressor

Features of the John Bunn Neb-u-Tyke Neb-a-Doodle Nebulizer Compressor:This interactive, child-friendly design provides a solution for effective aerosol treatment for children. Designed with an integrated drawing board, the Neb-a-Doodle will keep child relaxed and entertained during aerosol treatment and can be used over and over again. The John Bunn Neb-u-Tyke Neb-a-Doodle is the latest addition to the Graham-Field line of quality nebulizer compressors that offer innovation, performance, and value for both patients and providers.* Reliable, piston-driven compressor.* Interactive, drawing board for child to draw, doodle and write during nebulizer treatment.* Convenient and compact design for easy transport and storage.* Comes complete with Nebulizer Accessory Kit.* Five year limited warranty.The John Bunn Neb-u-Tyke Neb-a-Doodle Nebulizer Includes:* 1 Neb-u-Tyke Neb-a-Doodle Nebulizer Compressor* 1 User Manual* 1 Nebulizer Accessory Kit complete with* 1 Reusable nebulizer (single patient use only)* 1 Adult mask* 1 Pediatric mask* 1 Mouthpiece* 1 PVC tubing* 1 “T” adapter* 3 Spare filters* 1 Reservoir tubeProduct Specifications:* Power: 115VAC, 60Hz* Power Consumption: ≤ 60 watts* Operating Temperature Range: 41°F TO 104°F* Operating Humidity Range: 30 to 95% RH* Storage Temperature Range: 40°F TO 158°F* Storage Humidity Range: 10 to 95% RH* Dimensions: 10" × 6.5" × 4.2" (255 mm x 166m x 108 mm)* Weight: 4 lbs* Max Pressure (Compressor): 32.5 psi* Max Flow (Compressor): Approx 12 LPM* Particle Size (Nebulizer): ≤5 microns* Capacity (Nebulizer): 5 ml* Method Of Nebulization: Piston Driven* Sound Level: under 57 dBA


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