Get the free Selective Dorsal Rhizotomy For Spastic Diplegic Cerebral Palsy - bacch org

Physiotherapy Information Gathering

How to fill out selective dorsal rhizotomy for

How to fill out selective dorsal rhizotomy form:

1. Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and any specific requirements or guidelines mentioned.
2. Start by providing your personal information. This typically includes your full name, date of birth, address, and contact details. Ensure that all information is accurate and up-to-date.
3. Move on to the medical section of the form. Here, you will be asked to provide detailed information about your medical condition and why you are seeking selective dorsal rhizotomy. Include any previous treatments or surgeries you have undergone related to this condition.
4. If applicable, include information about your primary care physician or other specialists involved in your medical care. This can help provide a comprehensive overview of your healthcare team and facilitate communication between them.
5. In some forms, there may be a section specifically dedicated to documenting the results of diagnostic tests or imaging studies relevant to selective dorsal rhizotomy. Ensure that you provide accurate and current information, including the dates of these tests and their results.
6. Depending on the form, you may be required to provide information about any medications you are currently taking or any allergies you have. Be thorough in listing any medications and dosage information to ensure accurate medical record-keeping.

Who needs selective dorsal rhizotomy:

1. Selective dorsal rhizotomy is a surgical procedure primarily performed on children with cerebral palsy. It aims to reduce spasticity and improve mobility by selectively cutting specific sensory nerve fibers in the spinal cord.
2. Candidates for selective dorsal rhizotomy usually have significant spasticity and motor function impairment due to cerebral palsy. They may experience difficulties with walking, balance, muscle control, and overall movement.
3. Other factors taken into consideration when determining the need for selective dorsal rhizotomy may include the severity of the condition, previous treatments and therapies attempted, and the overall impact on the individual's quality of life.

Please note that filling out the selective dorsal rhizotomy form and determining eligibility for the procedure should always be done in consultation with a healthcare professional or a specialized medical team familiar with the individual's specific condition and needs.

For pdfFiller’s FAQs

What is selective dorsal rhizotomy for?

Selective dorsal rhizotomy is a surgical procedure performed to treat children with spastic cerebral palsy.

Who is required to file selective dorsal rhizotomy for?

The medical team responsible for the patient's care, including the neurosurgeon and rehabilitation specialists, are required to file selective dorsal rhizotomy for.

How to fill out selective dorsal rhizotomy for?

Selective dorsal rhizotomy is filled out by providing detailed information about the patient's medical history, current condition, and the expected outcomes of the surgery.

What is the purpose of selective dorsal rhizotomy for?

The purpose of selective dorsal rhizotomy is to reduce spasticity and improve mobility and function in children with cerebral palsy.

What information must be reported on selective dorsal rhizotomy for?

Information such as the patient's medical history, physical examination findings, imaging studies, surgical technique, and post-operative care plan must be reported on selective dorsal rhizotomy for.

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