Overview
Introduction
Duchenne muscular dystrophy (DMD) is a progressive, X linked neuromuscular disorder that almost exclusively affects boys, occurring in about 1 in 3,500 to 5,000 male births.
NCLEX-RN
NCLEX-RN
Duchenne muscular dystrophy (DMD) is a progressive, X-linked neuromuscular disorder that almost exclusively affects boys, occurring in about 1 in 3,500 to 5,000 male births. Children in Canada are usually followed by a paediatric neuromuscular clinic with a multidisciplinary team of neurologists, respirologists, cardiologists, physiotherapists, occupational therapists, dietitians, social workers and nurses. Becker muscular dystrophy (BMD) is caused by the same gene and follows a milder, later course. Care across the lifespan requires: recognising a neuromuscular gait pattern in a preschooler, protecting the airway in a child with a weak cough, preventing complications of long-term corticosteroids, recognising cardiomyopathy that presents atypically, keeping the child safe in the operating room, and supporting a family through transition to adult services and palliative care. Survival now commonly reaches the thirties, so paediatric nurses increasingly help plan the move to adult care.
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