Nursing Care Plan for Cerebral Palsy

Comments

1. S.L. Page says

   May 16, 2014 at 9:26 am

   Hey Tina! Welcome to the site and thanks for your kind words regarding the site 🙂 I remember doing nursing care plans in nursing school and I’m one of the weird ones that liked them haha. So I was excited to see your forum question. Here are my thoughts:

   Possible Nursing Diagnoses for a child with Cerebral Palsy who has spastic movements:

   -Risk for injury related to inability to control movements as evidence by patient having spastic movements.
   -Feeding self-care deficit related to sensory-motor impairments as evidence by patient having spastic movements. *You could also do the nursing diagnosis “toileting self-care deficit” & “grooming self-care deficit” depending on how old the child is.
   -Risk for deficient diversional activity related to effects of limitations on ability to participate in recreational activities.

   Possible Patient Goals for a child with Cerebral Palsy who has spastic movements:

   -The patient will be free from injuries during hospital stay.
   -The child’s parents will verbal and demonstrate 4 ways on how to prevent injury at home before discharge.
   -The child will demonstrate an increased ability to feed self by discharge.
   -The child will be able to participate in activities he or she enjoys.

   Possible Nursing interventions for a care plan for a child with cerebral palsy with spastic movements:

   Every shift the nurse will identify possible factors that could increase injury risk.
   The nurse will teach the parents to expect frequent changes in the child’s mobile ability and to take precautions to prevent injury at home.
   The nurse will assist and educate the parents on using adaptive devices such as plate guards, padded utensils handles, wrist or hand splits, and special drinking cups.
   The nurse will help the parents assess proper food temperatures to prevent injury from spastic movements.
   The nurse will help the parents by demonstrating how to provide an environment for the child that includes access to playthings that suit the child’s development.

   Tina I hope this helped! Does anyone else have any thoughts on some more things about cerebral palsy.

   Sarah

2. Kayla says

   May 16, 2014 at 10:39 am

   I would like to add a nursing diagnosis regarding what the parent could experience such as caregiver role stain (risk for) because children with cerebral palsy require a lot of attention and care.

   So Tina if you want you could use “Risk for Caregiver Roles strain related to duration of caregiving required” or “related to no or unavailable support (if there is no support for the parent)

   Goals: the parents will develop a plan on how to continue social activities despite caregiving responsibilities.
   Interventions: the nurse will help the parents identify activities that are important to them and help them identify community resources such as support groups or respite care agencies.

   -Kayla