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They can teach patients and families more about what the disease is and what resources are available (fig. 3). Informational resources on moyamoya vasculopathy and childhood stroke emotional support of the child and family is another important role for nurses caring for children with moyamoya vasculopathy. Fear, uncertainty, and anxiety were experienced by most of the families we studied. viagra without a doctor prescription Although parents did not always explicitly describe their emotions with words such as "sadness" and "grief," grief was an underlying theme as parents had to face having a sick child and grieve for their once-healthy child. Meehan (2005) interviewed five mothers of children who had hemiplegia after strokes and found that they struggled with sadness as they faced their child's disabilities. One of the mothers she interviewed described "mourning what could have been" (p. 269). Nurses should provide information regarding social support groups to help families with the grieving process. Nurses can aid in the care of children with moyamoya vasculopathy and their families by educating and supporting families. Families worry about the progressive nature of the disease, recurrent strokes and seizures, and future family planning. Nurses can help families address those fears and empower them in the care of their child. The authors would like to thank ms. Nina talib for technical assistance. Bowen, m. viagra online without prescription D. , burak, c. R. , & barron, t. F. (2005). Childhood ischemic stroke in a nonurban population. Journal of child neurology, 20, 194-197. [context link] fung, l. E. , thompson, d. , & ganesan, v. safest place to buy viagra online (2005). Revascularization surgery for pediatric moyamoya: a review of the literature. viagra bph insurance coverage Child's nervous system, 21, 358-364. [context link] ganesan, v. , & kirkham, f. J. (1997). Noonan syndrome and moyamoya. organic viagra for women Pediatric neurology, 16(3), 256-258. [context link] garg, b. P. , bruno, a. , & biller, j. (1997). safest place to buy viagra online Moyamoya disease and cerebral ischemia. buy viagra In h. H. Batjer (ed. ), cerebrovascular disease (pp. 489-499). buy cheap viagra Philadelphia: lippincott-raven. [context link] golby, a. J. , marks, m. viagra without prescription P. , & thompson, r. C. (1999). Direct and combined revascularization in pediatric moyamoya disease. Neurosurgery, 45, 50-58. [context link] gosalakkal, j. A. youtube la viagra (2002). Moyamoya disease: a review. Neurology india, 50(1), 6-10. [context link] hannon, k. E. generic viagra (1996). Pial synangiosis for treatment of moyamoya syndrome in children [home study program; electronic version]. Aorn journal online, 64(4), 540-560. Retrieved december 6, 2005, from [context link] hosain, s. A. , hughes, j. T. , forem, s. L. , wisoff, j. , & fish, i. (1994). Use of a calcium channel blocker (nicardipine hcl) in the treatment of childhood moyamoya disease. Journal of child neurology, 9(4), 378-380. [context link] isobe, m. , kuroda, s. , kamiyama. viagra expiration of patent
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