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Pectus Excavatum:

Pectus Excavatum:. A Little Known Chronic Health Condition. Meet “Jim”. Case Example: 30 year old White male College graduate Manager of a company Married for 5 years Strong family and friendship ties Lives with a chronic health condition. What is Pectus Excavatum?.

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Pectus Excavatum:

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  1. Pectus Excavatum: A Little Known Chronic Health Condition

  2. Meet “Jim” • Case Example: • 30 year old White male • College graduate • Manager of a company • Married for 5 years • Strong family and friendship ties • Lives with a chronic health condition

  3. What is Pectus Excavatum? • Common Chest Wall Deformity • Appearance • Age, Gender, Race, Genetics • Severity Image courtesy of www.umm.edu

  4. Images of the Severity of the Condition • Mild Image courtesy of www.kidsdoc.at/kinderchirurgie/trichterbrust_details_09.html

  5. Moderate Image courtesy of www.science-et-vie.net

  6. Severe Image courtesy of www.pectus.org

  7. Physiological Concerns • Volume of the chest area • Affects the heart and lungs • Physical experiences

  8. Psychosocial Concerns • Inability to participate in activities • Embarrassment • Psychological concerns

  9. Treatment • Surgery • Severity • Age • Insurance • The Nuss Procedure.: • Minimally Invasive Surgery Image courtesy of www.surgeryencyclopedia.com

  10. Benefits of the Nuss procedure • Small incisions • Short operating time • Minimal blood loss • Quick recovery • Postoperative Precautions

  11. Tools for Working with Clients Living with Chronic Health Conditions • Family-Centered Therapy • Cognitive Therapy • Family Systems Perspective

  12. Importance of this topic “I've come to accept it as being part of who I am… I look at it as something that sets me apart from people, makes me different, not necessarily in a bad way”. ~ Jim, 2008

  13. Questions and Comments?

  14. References • Gehlert, S. & Browne, T.A. (Eds.) (2006). Handbook of health social work. Hoboken, NJ: John Wiley & Sons. • Goretsky, M., Kelly, M., Croitoru, D., & Nuss, D. (2004). Chest wall deformities: pectus excavatum and pectus carinatum. Adolescent Medicine Clinics, 15. 455-471. • Hu, T., Li, Y., Liu, W., Wu, X., & Feng, J. (2008). Surgical treatment of pectus excavatum: 30 years 398 patients of experiences. Journal of Pediatric Surgery, 43. 1270-1274. • Patterson, J. (1991). A family systems perspective for working with youth with disability. Pediatrician, 19. 129-141. • Patterson, J. & Warwick, A. (1994). The impact of chronic illness on families: a family systems perspective. The Society of Behavioral Medicine, 16(2). 131-142. • Pilegaard, H. & Licht, P. (2008). Routine use of minimally invasive surgery for pectus excavatum in adults. The Society of Thoracic Surgeons, 86. 952-957. • Smith, K. (2004). Pectus Excavatum: More than meets the eye. Orthopaedic Nursing, 23(3). 190-193.

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