Question

Cerebral palsy has been described as a group of permanent disorders of the development of movement and posture. In addition to motor disorders, the condition often involves disturbances of sensation, perception, communication, cognition, and behavior. After completing the reading, develop a nursing plan of care for the client and family in the following scenario.

Scenario:

Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s office and was diagnosed with spastic cerebral palsy. The pediatrician’s office referred him because he is not rolling over or attempting to sit. He has hypertonia of the lower extremities. Romel is the fourth child of a 26-year-old single mother, who developed preeclampsia. He was born at 24 weeks’ gestation with a birth weight of 1 pound 4 ounces, and spent 3 months in the neonatal ICU, where his treatment included mechanical ventilation and tube feedings. When he was discharged home 8 months ago, he was on an apnea monitor, receiving bronchodilator medication via nebulizer, and was taking bottle feedings. His weight gain has been slow but steady, and currently he weighs 15 pounds and is 26 ½ inches long. Romel is seen monthly by a public health nurse, who has been assessing his health status and development, and teaching his mother about using a nebulizer. Romel’s mother is very upset at hearing his diagnosis. She states she knew they were going to follow him for possible developmental problems, but that she had not heard anything about cerebral palsy before.

Intial Discussion Post:

Using the Nursing Process and information from your textbooks, develop a nursing plan of care for the above client. Your plan of care must include:

• One (1) priority NANDA-I nursing diagnosis (must be an actual nursing diagnosis) based on the information presented. Include the related factor and the rationale for the selected nursing diagnosis.
• One (1) measurable patient outcome.
• Two (2) nursing interventions. Remember: the intervention moves the client toward the outcome.
• Provide a rationale for each of the nursing interventions.
• Identify one (1) interprofessional health care team member to include in the plan of care. Include your rationale for this choice.

Answer 1

Nursing care plan for cerebral palsy in children

Goals

• Child will show maximum movement ability
• Child with explore how to learn
• Child will Express their needs and develop body weight
• Child will always be safe and free from injury
• Child will demonstrate appropriate level of learning
• Family will demonstrate understanding of the needs of child

NANDA nursing diagnosis

1. Ineffective breathing pattern related to neuromuscular disorder
   1. Interventions
   • Assess the breathing pattern of the child
   • Provide semifowlers or high Fowler's position
   • Provide nebulization
   • Provide steam inhalation
2. Impaired physical mobility related to spasms and muscle weakness
   1. Interventions
   • Examine the extend of movements of joints and muscles
   • Teach use of walker
   • Educate how to sit, walk
   • Educate how to reach objects
   • Educate how to move limbs
   • Educate range of motion exercises
3. Impaired verbal communication related to difficulty in articulation
   1. Interventions
   • Examine the extend of ability to communicate
   • Educate the use of lip, mouth
   • Educate the family to assist the child for communicate
   • Consult a speech therapist
4. Imbalanced nutrition less than body requirement related to decreased oral intake
   1. Interventions
   • Assess the nutritional status of the child
   • Educate the need of food intake
   • Provide small and frequent meals
   • Weigh the child
5. Risk for injury related to spasms, uncontrolled movements
   1. Interventions
   • Be with the child
   • Assist the child in doing ADL
6. Deficient knowledge of family related to home care and therapeutic needs
   1. Interventions
   • Assess the educational status of the family
   • Explain about the disease condition and treatment method
   • Educate the family about the care and the needs of child
7. Changed in growth and development related to neuromuscular disorder
8. Self care deficit related to muscle spasms, cognitive changes
9. Anxiety related to disease condition