Mrs.Duangkaew Rod-ong has completed master degree of nursing for 13 years from Khon Kaen University. She is the Nurse specialist and Psychiatric Nurse and work at outpatient Department.Srinagarind Hospital,Faculty of Medicine, KhonKaen University, KhonKaen,Thailand.
Cleft lips and palates (CLP) are congenital facial deformities that affect patient’s breathing, swallowing, talking, and often resulting in unclear communication. These facial defects also limit the ability of intellectualization, socialization and education of the children. At the same time, families are affected by both feelings of loss and regret, and have to face those challenges arising from their children due to the facial abnormalities. Restorative care for the patients with CLP requires clear care goals. The care includes correction of the defect and restoration of the physiological functions, and also psychological care in order to develop the image that children will have for themselves from adolescence to adulthood. Care and rehabilitation require close coordination of multidisciplinary teams and understanding for patients and families, social context and the disease. Family adjustment, understanding from society around and limitations on access to medical services, is important factor that need to take into account when providing care for the patients with CLP in order to meet the real need of the patients and their families. Tawanchai centre has been trying to improve the care of this group of patient by integrating care of the various sectors. A home visit project was conducted to see family context from the real situation with the aim of making the care team understands the system that links care from families, communities, hospitals, and various levels of care. This would lead to a complete care system appropriately for each age group and promptly detect emerging problems from the care in order to be a truly complete care model.
Mrs.Somchit Maneeganondh has completed bachelor degree of nursing for 34 years from Boromarajonani College of Nursing ,Saraburi. She is the specialist and Psychiatric Nurse and work at outpatient Department.Srinagarind Hospital,Faculty of Medicine,KhonKaen University, KhonKaen,Thailand.
The condition of cleft lip and palate (CLP) is considered a birth defect of the head and face and the incidence has been found to correlate with economic status. CLP is prevalent in the Northeast of Thailand, and long-term treatment has a significant impact on families’ economy and lifestyle, especially their residence, which is a factor that affects development of CLP children. Therefore, Tawanchai Foundation, seeing the importance of the quality of life of CLP patients, conducted a home survey of children with CLP.