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Spina bifida guidelines
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The tanner staging results should then be compared to societal norms for sexual maturity ratings. 3,4 in general, precocious puberty is defined as the onset of puberty before the age of 8 years in girls and 9 years in boys. After the spina bifida diagnosis has been made, it is recommended that the spina bifida care coordinator should be readily available to the family to provide support 9 and education throughout the pregnancy. These consults may take place as part of a maternal fetal health visit in a high-risk pregnancy center. The following integument (skin) guidelines focus on prevention, not treatment, of existing problems. Though spina bifida-specific evidence is limited, practices related to wound prevention can be applied to the spina bifida population. These guidelines are built on that evidence as well as clinical expertise. Use barrier creams to protect perineal area from breakdown as needed. Keep a bowel habit diary to better understand triggers for incontinence and overall patterning to direct a choice of options for bowel management. Discuss management of bowel program as it may impact sexual relations. One hundred spina bifida experts from around the world spent three years developing these guidelines that cover 24 topics ranging from bowel management to sexuality to physical activity and more. The guidelines for the care of people with spina bifida have been accepted by the ecri institute guidelines trust. Acknowledge that sexual health is an important part of life. (clinical consensus) discuss healthy relationships in gender-neutral language as the teen years are the time when many achieve self-awareness about sexual orientation. Educate teens about intimate partner violence and sexual assault There is a few animation at this slot, the Banker, spina bifida guidelines.
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