Cerebral Palsy refers to a group of neurological disorders that affect body movement, balance, and posture. In many cases, speech, vision difficulties, seizure or cognitive problem are also affected. It is caused by the abnormal development or damage to a part of the brain that controls movement. It usually appears early in life, usually in infancy or early childhood.
Symptoms of a child with cerebral palsy vary from one person to person which may include: delayed in reaching developmental milestones, weakness in one or more arm or leg, lack of muscle coordination when performing voluntary movements (ataxia), muscle spasms, muscle tone that either are too stiff or too floppy, fidgety, jerky or clumsy movements, walking on tip-toes, or excessive drooling or difficulties swallowing or speaking.
There is no known cure for the condition, but supportive treatments, therapy, medications, and surgery are facilitated to improve the life of the child.
Nursing Care Plans
Nursing goals for a client with cerebral palsy include optimize mobility and prevent deformity, improve nutritional status, strengthen family support, foster self-care, enhanced communication and provide quality of life.
- Impaired Physical Mobility
- Imbalanced Nutrition: Less than Body Requirements
- Impaired Verbal Communication
- Ineffective Therapeutic Regimen Management
- Risk for Injury
- Risk for Delayed Growth and Development
- Risk for Self-Care Deficit
Impaired Physical Mobility
May be related to
- Disease condition (Cerebral Palsy)
- Decrease muscle control
- Neuromuscular impairment
Possibly evidenced by
- Inability to control lower extremities
- Limited range of motion (ROM)
- Muscle spasm
- Child/infant will achieve maximum movement ability and absence of contractures.
|Assess the type of auditory, visual, motor, or intellectual deficit.||Knowing the type of deficit will aid in planning interventions appropriate for the child.|
|Do a developmental assessment and note the development of milestones (such as stand with help, or walk when led).||A client with cerebral palsy usually has delayed developmental milestones.|
If one skill is attained, interventions are changed in order to achieve
the succeeding one.
|Facilitate activities in using fine and gross motor skills (such as giving a ball on hand to encourage throwing, holding a spoon)||Most of the activities of daily living and|
play exercises hasten physical
|Allow the child to perform activities or care routines at his or her own pace.||A child may have difficulty completing tasks in time compared to normal children.|
|Encourage the child to rest between activities that are tiring.||Given the limitations of the child’s ability, rest periods are given to maintain energy.|
|Perform range-of-motion exercises|
every 4 hours for the child unable to move body parts.
|Children with cerebral palsy have a decreased range of motion (ROM) due to limited mobility and the presence of spasticity. ROM exercises promote movement and minimize the risk of contractures.|
|Educate the family on how to use an orthotic device as indicated.||Orthotic devices help build stability while increasing strength, balance, comfort, and independence.|
|Administer medications as prescribed:|
||These medications are used to treat uncontrolled body movements such as tremors, muscle stiffness, and spasms.|
||These medications are used to relax contracted, overactive, or stiff muscles.|
||These medications are given to reduce or prevent seizure activity.|
|Assist the parents in referring the child to a rehabilitation therapist as appropriate.||A rehabilitation therapist|
can provide specialized services in promoting effective mobility.
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database MUST READ!
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other nursing care plans related to neurological disorders:
- Alzheimer’s Disease | 15 Care Plans
- Brain Tumor | 3 Care Plans
- Cerebral Palsy | 7 Care Plans
- Cerebrovascular Accident | 12 Care Plans
- Guillain-Barre Syndrome | 6 Care Plans
- Meningitis | 7 Care Plans
- Multiple Sclerosis | 9 Care Plans
- Parkinson’s Disease | 9 Care Plans
- Seizure Disorder | 4 Care Plans
- Spinal Cord Injury | 12 Care Plans