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 Self-Care Deficit

Nursing Diagnosis

May be related to

  • Impaired mobility
  • Cognitive changes
  • Decrease muscle strength and endurance

Possibly evidenced by

  • [not applicable]

Desired Outcomes

  • Child will safely perform self-care activities to utmost capability.
Nursing InterventionsRationale
Assist the child to learn self-care measures (e.g., eating, toothbrushing, toileting, bathing, and dressing).Learning these self-care skills will enable the client to gain self-esteem from accomplishing them.
Advise the parents to supervise the child during bathing.Due to the lack of muscle coordination, the child is at risk of slip underwater and drowning.
Provide modification techniques self-care activities such as putting straps on their feeding utensil or toothbrush.These straps allow the child to securely hold them and have an ease in utilizing.
Use energy-conservation techniques.Decreases fatigue, and improves child’s capability to execute tasks.
Encourage parents to increase intake of high-roughage foods such as whole grain foods, vegetables, and fruits.These food items aid in bowel evacuation and prevent constipation.
Encourage the parent to provide adequate time for the child to finish self-care activities.Letting the child to completely finish self-care measures will give them confidence and feeling of self-worth.


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.