Nursing Care Plan for Cerebral Palsy

Assessment

1. Assess the mother's pregnancy history
2. Assess history of childbirth
3. Identification of children who are at risk
4. Assess the child irritable, difficulty in eating / swallowing, delayed development of normal children, the development of less movement, abnormal posture, lack of movement development, abnormal posture, persistent infant reflexes, ataxic, lack of muscle tone.
5. Monitor response to child's play
6. Assess intellectual functioning
7. No muscle coordination when performing movement (loss of balance)
8. Stiff muscles and exaggerated reflexes (spasticas)
9. Difficulty chewing, swallowing and sucking, and difficulty speaking.
10. body shaking
11. Difficulty moving exactly like menulus or pressing a button.
12. Children with cerebral palsy may have additional problems, including the following: seizures, problems with vision and hearing as well as in speaking, there are learning disabilities and behavioral disorders, mental retardation, problems related to respiratory problems, problems in defecation and waste little water, and there are re-shape abnormalities such as scoliosis.
13. Past medical history: premature birth, and birth trauma.
14. History of present illness: muscle weakness, mental retardation, severe disorders-hypotonia, Throwing / Suction eating, impaired speech / voice, visual and hearing.

Subjective data :

1. Parents say that when pregnant mothers experienced tooplasmosis, their children's growth rather late.
2. Parents say son can not walk seendiri, can not feed themselves, can not brush your teeth with help.
3. Parents also say that children can not do the things kids his age do.
4. Parents feel the burden of caring for their children and embarrassed by her condition. Parents worried about their future.

Objective data :

1. Test results showed the body feel warm.
2. Sweat a lot
3. There are involuntary movements (not coordinated)
4. posture opistotonik
5. Children difficulty to eat
6. Often ceguken, and irritabel.

Nursing Care Plan for Cerebral Palsy - Nursing Diagnosis

1. Hypertermia
2. Risk for injury
3. Imbalanced Nutrition, Less Than Body Requirements
4. Impaired verbal communication
5. Activity intolerance
6. Delayed growth and development
7. Knowledge deficit
8. Ineffective breathing pattern

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8 Nursing Diagnosis for Cerebral Palsy

Nursing Diagnosis and Interventions for Cerebral Palsy

Cerebral Palsy is a condition lasting damage to brain tissue and not progressive, occurring in a young (since birth) and hinder normal brain development with clinical manifestations may change throughout life and showed abnormalities in the attitude and movement, accompanied by neurological abnormalities in the form of spastic paralysis, ganglia disorders, basal, cereblum and mental disorders.

Nursing Diagnosis for Cerebral Palsy

a. Risk for injury r/t spasms, uncontrolled movements and seizures

b. Impaired Physical mobility r/t spasms and muscle weakness.

c. Changes in growth and development r/t neuromuscular disorders.

d. Impaired verbal communicationr/t difficulty in articulation.

e. Risk for aspiration r/t neuromuscular disorders

f. Changes in thought processes r/th cerebral injury, learning disabilities.

g. Self-care Deficit r/t muscle spasms, increased activity, cognitive changes.

h. Deficient Knowledge r/t home care and therapeutic needs.

Goal :
a. Children will always be safe and free from injury.
b. Children will have a maximum movement ability and not have contractures.
c. Children will explore how to learn and participate with other children in doing some activities.
d. Children will express their needs and develop a body weight within normal limits.
e. Children do not have aspirations.
f. The child will demonstrate an appropriate level of learning ability.
g. Daily needs of the child tetpenuhi.
h. Parents / family demonstrate understanding of the needs of child care that is characterized by taking an active role in child care.
i. Children do not show a marked impairment of skin integrity with intact skin.

Source : http://nanda-nursinginterventions.blogspot.com/2012/03/nursing-diagnosis-and-interventions-for.html

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