Clinical Manifestations of Down Syndrome Series: Head

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Features of the Head As Seen in Down Syndrome

There are certain features of the head that are seen in people that have Down Syndrome. These features vary in people with Down Syndrome. Some people with Down Syndrome will have all of these features and some will have a few of these features.

Having these features does not mean that someone has Down Syndrome. These features can be present in other medical conditions that are not related to Down Syndrome.

However, if a medical professional sees these features in combination, they may suspect a diagnosis of Down Syndrome.

The objective of this series is to bring awareness that many of the features seen in Down Syndrome, are also seen in individuals without Down Syndrome. These features on their own or as a whole do not define individuals who have them, irrespective of whether you have Down Syndrome or not. What makes these features significant is that they are different from the general population, that’s all. How individuals are treated with these features are more of a perspective problem of society than an individual problem.

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Clinical Manifestations of Down Syndrome Series: Introduction

Citation of picture in a textbook showing text "Down Syndrome".
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If one was to conduct an internet search to find out what are the clinical manifestations of Down Syndrome, it would turn up many sites describing the physical features of Down Syndrome. Typically, you would see the features that are characteristic of a diagnosis of Down Syndrome.

People assume that just because a person is physically different than the typical or normal person, that the difference seen, is abnormal in nature. Further, that this abnormal feature in nature must be incompatible with life or cause difficulty in life. So much so, that when individuals hear that their child has a diagnosis of Down Syndrome, little thought is given to what does that difference actually mean because people are still grasping with the diagnosis itself.

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Bystanders Are Key To You Surviving a Heart Attack

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CPR MUST Start Before the Ambulance Arrives

If you are out shopping, dining, touring, visiting, walking, or simply leisurely enjoying yourself in public, you are likely going to cross paths of many strangers. Strangers that you normally wouldn’t give any attention to or care about. Your main goal is to go out and have fun. However, if you suddenly find yourself having chest pains and collapse because you are having a heart attack, your very survival depends on those very strangers that you passed.

A heart attack is when the flow of blood to a section to the heart becomes blocked and the heart can’t get oxygen. If blood flow is not restored quickly, that section of the heart begins to die. The level of damage depends on how long blood supply is cut off. The result can be mild damage, or it could lead to severe, lifelong problems.-Heart & Stroke Foundation

Resuscitation and survival depends on starting cardiopulmonary resusciatation (CPR) immediately without delay

The Rule of 3

3 Weeks

The length of time adults can survive without food

3 Days

The length of time adults can survive without water

3 Minutes

The length of time adults can survive without oxygen

  • Fact: Ambulances take longer than 3 minutes to arrive at the scene. In Edmonton AB, the response time is 13-18 minutes
  • Fact: Cardiopulmonary Resuscitation (CPR) must be started right away
  • Fact: If CPR is started right away, your chance of surviving doubles and may even triple
  • Your chance of surviving without bystanders intervening is 3%

Death is almost certain without bystanders intervening and giving CPR.

Any CPR is better than no CPR. Chest compressions and allowing the chest to recoil between each compression is crucial. If you have to choose one, choose compressions over giving breaths

  • Fear of Injurying the person.
  • Concern for providing poor or incorrect CPR.
  • Inability or lack of knowledge of how to perform CPR.
  • Legal liability.
  • Risk of infectious disease transmission.

Reality

Public Automated External Defrbrillators (AEDs) electronically tells the Bystander what to do and how to perform CPR

Have no fear if you have never taken a CPR course or don't even know the first step of CPR. All you need to do is find the AED where you are, open it, and press the power-on button. Then sit back, listen, and follow the instructions.

Adult Cardiopulmonary Resuscitation (CPR) in a nutshell

  1. Press firmly down in the center of the chest.
  2. Allow the chest to fully recoil.
  3. Repeat steps 1-2, until the ambulance arrives
  4. Aim for approximately 100-120 compressions per minute. An easy way to remember is to compress to the tempo of the song “Stayin’ Alive” by the Bee Gees.
  5. Compress to 1/3 the depth of the chest or 5 cm. Remember: If the chest pops, don’t stop. “If you hit the spine, that’s not so fine.”-Jason from Saving Grace Medical Academy Ltd.

Disclaimer: All the information found on this website is just that, for informational purposes only.  Nothing on this site is meant to replace the services or advice from any regulated health care body or provider in your province/state/Country. You should not rely on this website as replacement for health services or care. You should instead contact your nearest and available licensed physician or health care provider for all matters pertaining to your health and well-being. This website is not intended to create a nurse-patient relationship and any questions or concerns should be addressed by your licensed physician or health care provider. You agree that you shall not make any health or medical related decisions based in whole or in part of anything contained on this website.

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Patient-Centered Care Part 2 of 2: Being Your Own Health Care Manager

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Patient-Centered Care Part 2 of 2: Being Your Own Health Care Manager

“How can I be the best Health Care Manager for myself?”

The online world of the internet presents many opportunities to engage with information in such a way that has never been done before. Anyone with internet access can research information, find solutions to problems, assess various situations from the experience of other users, seek out persons whose interests align with theirs, etcetera. The internet is such a vast place of information, that if you are not an expert on a particular subject, the information available can be overwhelming. More so, it can be difficult at times to tease what information is relevant, valuable, trustworthy, replicable, realistic, valid, unbiased, reputable, and evidence-based. Continue reading “Patient-Centered Care Part 2 of 2: Being Your Own Health Care Manager”Facebooktwitterredditpinterestlinkedinmail

Patient-Centered Care Part 1 of 2: Patients Are Their Own Health Care Manager

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Patient-Centered Care Part 1 of 2: Patients Are Their Own Health Care Manager

Patient Rights and Managing Your Care: Preventing “Bandage Solutions” by “Taking the Wheel”

When one is seeking services in the health care system, it can be overwhelming if you do not understand what is happening in your body; knowing and understanding your diagnosis; what tests may be performed, why and what they mean; and what kind of treatment you are getting, for what reason and how it is supposed to help you. It can be even more overwhelming when you are in charge of looking after someone else’s health and it is your responsibility to make the best-informed decision that you possibly can with the information you have at hand, provided that you understand all the information that is given to you. Continue reading “Patient-Centered Care Part 1 of 2: Patients Are Their Own Health Care Manager”Facebooktwitterredditpinterestlinkedinmail

Why 94-100% Oxygenation Saturation Doesn’t Necessarily Mean Your Breathing Is Okay When You Have Asthma

FacebooktwitterredditpinterestlinkedinmailHaving asthma and having learnt about asthma are two very different things. I have had asthma my whole entire life. Having struggled with it my whole life, I know what my triggers are and avoid them whenever possible. I also know many different ways that I can get relief from asthma, both medical and natural. My point is, that when it comes to asthma and what is therapeutic for it, I know what works. Continue reading “Why 94-100% Oxygenation Saturation Doesn’t Necessarily Mean Your Breathing Is Okay When You Have Asthma”Facebooktwitterredditpinterestlinkedinmail