Caring for the Technology Dependent Child – A Case Study
Taima Campbell, RGON, BN, Community Resource Nurse – Child Health, Community Health, Hamilton
Reference: Campbell, T. (1998). Caring for the Technology Dependent Child – A Case Study Nursing Praxis in New Zealand 13(2),5-10
Matthew  is six years old and is an identical twin. He and his brother Sam were born prematurely and are the first children of Kay and Robert. The boys also have a younger sister, Bridget. Matthew has chronic idiopathic intestinal pseudo-obstruction, a rare disorder of impaired gastrointestinal motility that is defined as functional obstruction of the bowel without evidence of mechanical occlusion (Milla, 1996). Matthew is dependent on parenteral nutrition as his pimary source of nutritional support, combined with gastrostomy feeding to maintain normal growth and development. Management of chronic pseudo-obstruction is primarily supportive, with the mainstays of care being nutritional support, antibiotic therapy for central venous line infections combined with appropriate developmental intervention.
technology dependent, case management, community
 Names have been changed to protect client confidentiality. Parental permission to use medical and personal information in this case study has been obtained.