Children with complex cerebral palsy (GMFCS levels IV and V) are at risk of a wide variety of complications. They often require skilled management and extensive expertise which can be overwhelming or intimidating for many clinical practitioners. This book shows how to manage many of the medical comorbidities these children encounter. These include orthopedic assessment, mobility and equipment needs, cognition and sensory impairment, challenging behavior, seizures and sexuality, among many others. Summary Points at the end of each chapter provide at-a-glance access to the key recommendation of that chapter. While aimed at the practicing physician and developmental and neurodevelopmental pediatricians, this volume will also be useful for therapists, dieticians, nurses, psychologists, educators, social workers, and trainees across multiple disciplines as well as parents/families of children and youth with complex CP.
- The first handbook to focus exclusively on children with more severe forms of cerebral palsy
- Describes the broad range of comorbidities these children encounter
- Provides summary points of the key recommendations at the end of each chapter
- Includes a Clinical Care Map to guide clinicians in evaluation, preventive care and crisis management
Readership: Primary care pediatricians, developmental and neurodevelopmental pediatricians, neurologists, orthopedic surgeons, physiatrists, physical therapists, occupational and speech pathologists and dieticians, [community pediatricians, nurse practitioners, and trainees in these areas.
Laurie Glader is an Assistant Professor at Harvard University Medical School. She trained in Developmental and Behavioral Pediatrics, ultimately focusing on children with medical complexity. Since 1997 she has directed the Complex Care Service Outpatient Program at Boston Children’s Hospital (BCH), and provides patients with comprehensive medical care and developmental oversight. Her particular area of interest is children with cerebral palsy and models of care delivery. She is co-director of the large multi-disciplinary Cerebral Palsy and Spasticity Center at BCH. She is active in the American Academy of Cerebral Palsy and Developmental Medicine.
Richard Stevenson is Professor of Pediatrics at the University of Virginia School of Medicine in the Division of Developmental Pediatrics, where he has been on the faculty since 1989. He is an attending pediatrician at the Child Development and Rehabilitation Center (CDRC) of the University of Virginia Children’s Hospital, caring for children across the range of acquired and congenital disabilities. He is active in clinical care, education, research and administration. He is Past President of the American Academy for Cerebral Palsy and Developmental Medicine. His main interest and expertise relates to the care of children with cerebral palsy, and he has particular empathy for children with complex needs.