7 Cerebral Palsy Nursing Care Plans


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.

Here are seven nursing care plans and nursing diagnosis for cerebral palsy:

  1. Impaired Physical Mobility
  2. Imbalanced Nutrition: Less than Body Requirements
  3. Impaired Verbal Communication
  4. Ineffective Therapeutic Regimen Management
  5. Risk for Injury
  6. Risk for Delayed Growth and Development
  7. Risk for Self-Care Deficit

Risk for Delayed Growth and Development

Nursing Diagnosis

  • Risk for Delayed Growth and Development

May be related to

  • Activity restrictions
  • Environmental and stimulation deficiencies

Possibly evidenced by

  • [not applicable]

Desired Outcomes

  • Child will receive environmental stimulation; express interest in people and activities around him/her; attends school setting that is as free of restrictions as possible.
Nursing InterventionsRationale
Reassess developmental levels at intervals appropriate for illness or other problem (specify).Provides evidence of progress to evaluate the care plan to improve any deficit in the growth and development.
Explore the family’s feelings regarding child’s health condition and required treatments.Encourages an attitude of acceptance and adjustment to child’s abilities and health status.
Provide positive encouragement to a child while doing his/her activities.As children learn how to perform activities themselves, it can promote a feeling of self-worth.
Encourage age-related play and other activities that strengthen gross and fine motor development, sensory and cognitive development such as letting the child put green balls on the left basket and red balls on the right.These activities enhance growth and development and provide needed stimulation for the child.
Choose appropriate toys that match an individual child’s skills to play with it.Choose a toy that is easy to grasp since some children with cerebral palsy have difficulty in gripping.
Initiate referral to an occupational therapy as appropriate.Occupational therapy improves physical, cognitive and social abilities, motor skills and posture of a child with cerebral palsy.
Encourage the parent to enroll the child in a school program.A school program that is consistent with the child’s intellectual abilities is necessary to provide needed outside exposure.

Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other nursing care plans related to neurological disorders:

Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.