Volume 28, Issue 3 ,2007
Central auditory processing disorders: Review and case study
By Tatra Dobrzanski Palfery and Diane Duff
In this review paper, the prevalence and characteristics of central auditory processing disorder (CAPD) are reviewed. The causes, pathology and diagnosis of CAPD are also discussed. Recommendations are made for classroom interventions and a case study is presented. CAPDs are complex, heterogeneous disorders involving the process of auditory stimuli within the mechanisms of the central nervous system that can result in profound personal, social and academic consequences. Specificity in diagnosis, support by family members, neuroscience and allied health professionals and educators, and self-management and advocacy are required for children, adolescents and adults to have successful academic and work outcomes.
Ongoing transitions: The impact of a malignant brain tumour on patient and family
By Yasmin Khalili
Although primary malignant brain tumours represent only 1.4% of all cancers, it is considered one of the most devastating types of cancers in adults. From the time of diagnosis, the patient and family embark on a “roller coaster” ride of uncertainty, fear and hope. Despite improved medical outcomes, patients often experience severe functional impairment, as well as behavioural and cognitive dysfunction. Subsequently, they suffer from greater dependency and hopelessness than other cancer patients. The family caregivers are faced with multiple demands such as taking on new roles within the family and caring for their loved one while grieving the loss of the person they knew. The role of the nurse is to support the patient and the family throughout the illness trajectory, identify and promote their strengths and mobilize the necessary resources to facilitate patient and family coping. The purpose of this paper is to present, via a detailed case study, the impact of a malignant brain tumour on the patient and the family. The nursing strategies used to help them make the necessary transitions throughout the illness trajectory are discussed.