Parse s Human becoming Theory, in a seventeen months infant with vanishing white matter disease (VWM)

Background: Childhood central nervous system hypomyelinatation also known as ‘vanishing white matter disease’ It is a leukoencephalopathy with autosomal recessive inheritance. So VWM disease may be seen in all age groups, including antenatal, infantile, early childhood, juvenile, and adult, and shows a wide phenotypic variation. But early childhood type is the most common type of VWM. The proposed diagnostic criteria for VWM include the following: Initial motor and mental development is normal or near normal .Neurological deterioration has an early-childhood onset with an episodic and chronic progressive course and Neurological signs of spasticity and cerebellar ataxia (epilepsy and optic atrophy may also occur, but are not mandatory. MRI findings of symmetrical and bilateral involvement of the cerebral white matter, with parts or all of the white matter demonstrating signal intensities similar to that of CSF over time.Case: We reported a 17 months infant. She referred to our hospital after a prolonged tonic clonic seizure that was detected with hyperpyrexia. Her family didn’t report any family history of seizure, neurological diseases and other illnesses .She had normal results on physical examination. The physician diagnosed FC. After two days of hospitality, she had a seizure again. Lumbar puncture was performed and the results had shown any abnormalities. Brain MRI obtained at the request of physician, but her parents denied because of their concern about the procedure. After educating and alerting parents by the neonatal nurses, parents were satisfied to doing MRI. Finally the MRI scanning showed VWM disease. Conclusion: Parse s model of humanbecoming emphasizes how inviduals choose responsibility for patterns of personal health. The nurse s role involved helping inviduals and families in choosing the possibilities for changing the health process according to Parse s theory, Counseling with a nurse, can be helpful in cases such as this case where families do not consent to a procedure.

Keywords:

VWM , Parse s Theory , infant