Multidisciplinary intervention of the

syndrome of Prader Willi

Autor: PhD Elisama Beltrán D., Msc Jorge Bilbao
Affiliation: Metropolitan University - Metropolitan University Hospital Foundation, Barranquilla, Colombia

Summary
Prader-Willi Syndrome (SPW) is a genetic
disease, caused by de novo deletions in the
15q11q13 region on the paternal
chromosome. Characterized by lack of
satiety that leads to morbid obesity,
behavioral disorders, intellectual
disability, short stature and hypogonadism,
the objective of the study is to describe the
results obtained from the multidisciplinary
analysis and intervention performed in
patients diagnosed with SPW.
Methods
Study carried out through a clinical case analysis,
under 8 years old, male sex, diagnosed with SPW,
through multidisciplinary intervention carried out
in three phases: Evaluation, Diagnosis and
intervention with cognitive behavioral approach.
Information gathering: Direct observation, home
visits, multidisciplinary consultation. Data
collection instruments: Clinical History,
Laboratory tests, and diagnostic images,
comprehensive and individual treatment and
treatment plan formats for life projects
(PLATINFA) record of achievement activities
"CAA" behavior modification follow-up reports, ,
rehabilitation plan according to each professional,
and family APGAR.
The Treatment and Follow-up Plan was carried
out in a comprehensive manner through the
intervention of different specialties, given the
complexity of the SPW, such as Geneticist,
neuropediatrics, psychiatry, urology and
ophthalmology, clinical psychology; disciplines
of support in health, dentistry, physiotherapy,
speech therapy and nutrition; Family participation
with Social Work, and integral reeducation
disciplines such as Occupational Therapy and
Special Education

Process Results
The adopted strategies generated significant changes
in the family and social context, among them,
appropriation of the recommendations provided,
adoption of protective factors, identification of roles
and optimization in pharmacological adherence.
Evaluation Diagnosis Intervention Attention to these considerations provide
• Application of • From the • Multidisciplinary improvements, which point to the patient's quality of
biopsychosoci and comprehensive
Medical-Psychological-
al through the intervention, based
life and clinic.
Social and Educational
Techniques, to the different on psychoeducation
patient and family diagnostic and under the
clinical parameters of
techniques cognitive behavioral
therapy.
References
Conclusion • Clinical Oral Investigations. 2018. Vol. 22 (123):1- 9 Disponible en
fecha julio 16 de 2018 https://doi.org/10.1007/s00784-018-2559-y
• Álvarez E. Ruiz M, Sandonis L, Lobato T, De Clascá I. GUÍA DE
The multidisciplinary intervention demonstrates that ACTUACIÓN EN EL SÍNDROME PRADER-WILLI. Edición: 1ª.
2017. Edita: Eusko Jaurlaritzaren Argital pen Zerbitzu Nagusia /
the greater disposition to perpetuate healthy behaviors Servicio Central de Publicaciones del Gobierno Vasco. Disponible
and behaviors in the child with SPW and of all the en fecha julio 16 de 2018 http://www.ogasun.ejgv.euskadi.eus/r51-
catpub/es/k75aWebPublicacionesWar/k75aObtenerPublicacionDigi
people around him, the greater the change he brings to talServlet?R01HNoPortal=true&N_LIBR=051985&N_EDIC=0001
his well-being and the context in which it develops, &C_IDIOM=es&FORMATO=.pdf
which will be It becomes a great motivator for the • Martin I.Rehabilitación Deglutoria En Un Niño Con Sindrome
child, favoring the basic disposition for improvements Prader- Willi. 2015. Tesis de grado posgrados. Facultad de
Medicina, Universidad De Valladolid. Disponible en fecha julio 7
in their attention span and fixation memory. On the de 2018 http://uvadoc.uva.es/bitstream/10324/14126/1/TFG-M-
other hand, the techniques of greatest benefit in the L360.pdf
case management were the playful ones: Miniarco and • Olczak D, Korporowicz E, Gozdowski D, Lecka-Ambroziak A,
pictograms, producing consolidation in logical Szalecki M,
thinking, language, expected attention and positive Elisama Beltrán De La Rosa .
discipline strategies Email: elisama.beltran@unimetro.edu.co
Cel. (057) 3176980548