It usually appears early in life, usually in infancy or early childhood. It is caused by abnormal development or damage to a part of the brain that controls movement. Administer Medications and Provide Pharmacologic SupportĬerebral Palsy refers to a group of neurological disorders that affect body movement, balance, and posture. In many cases, speech, vision difficulties, seizures, or cognitive problems are also affected. Preventing Growth and Developmental Delays Promoting Adherence to Therapeutic Management Providing Adequate Nutrition for Normal Growth Promoting Physical Mobility and Preventing Contractures Enhance your ability to provide specialized care for cerebral palsy. Gain insights into nursing assessment, interventions, goals, and diagnosis customized for their specific needs. Proper nutrition is required to maintain adequate energy level.Īntispasmotic medications may reduce muscle spasms or spasticity that interfere with mobility.Deliver effective care to patients with cerebral palsy this nursing care plan and management guide. Initiate supplemental high-protein feedings as appropriate. To optimize hydration status and prevent hardening of stool. Use incentive spirometer to increase lung expansion.ĭecreased chest excursions, and stasis of secretions are associated with immobility.Įncourage liquid intake of 2000 to 3000 ml per day unless contraindicated. Use prophylactic antipressure devices as appropriate. Turn patient to prone or semiprone position once daily unless contraindicated. Research supports that strength training and other forms of exercise in older adults can preserve the ability to maintain independent living status and reduce risk of falling. To promote increased venous return, prevent stiffness, and maintain muscle strength and endurance Perform passive or active assistive ROM exercises to all extremities Support feet in dorsiflexed position (Use bed cradle) To prevent footdrop and/or excessive plantar flexion or tightness. Maintain limbs in functional alignment (e.g., with pillows, sandbags, wedges, or prefabricated splints). To optimize circulation to all tissues and to relieve pressure. Turn and position every 2 hours, or as needed. Keep side rails up and bed in low position. Hospital workers and family caregivers are often in a hurry and do more for patients than needed, thereby slowing patient's recovery and reducing his or her self-esteem. Encourage independent activity as able and safe. Patients may be reluctant to move or initiate new activity from a fear of falling.Īllow patient to perform tasks at his or her own rate. Provide positive reinforcement during activity. Mobility aids can increase level of mobility. The longer the patient remains immobile the greater the level of debilitation that will occur.Įncourage appropriate use of assistive devices in the home setting. Obstacles such as throw rugs, children's toys, pets, and others can further impede one's ability to ambulate safely.Įncourage and facilitate early ambulation and other ADLs when possible. Proper use of wheelchairs, canes, transfer bars, and other assistance can promote activity and reduce danger of falls.Įvaluate the safety of the immediate environment. Safety with ambulation is an important concern.Īssess patient or caregivers knowledge of immobility and its implications.Įven patients who are temporarily immobile are at risk for some of the effects of immobility, such as skin breakdown, muscle weakness, thrombophlebitis, constipation, pneumonia, and depression).Īssess for developing thrombophlebitis (calf pain, Homans' sign, redness, localized swelling, and rise in temperature).īed rest or immobility promotes clot formation. Restricted movement affects the ability to perform most ADLs. Identifying the specific cause guides design of optimal treatment plan.Īssess patient's ability to perform ADLs effectively and safely on a daily basis. Note: you need to indicate time frame/target as objective must be measurable. be free of complications of immobility, as evidenced by: intact skin, absence of thrombophlebitis, and normal bowel pattern.performs physical activity independently or with assistive devices as needed.Inability to perform action as instructedĬLICK HERE for Free NCLEX –RN & CGFNS Practice Questions Objective/Expected Outcome The patient will:.
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