The document provides a nursing care plan for a patient with cerebral palsy. It identifies 3 nursing diagnoses: 1) impaired physical mobility due to spasms and muscle weakness, 2) impaired verbal communication due to difficulty with articulation, and 3) risk for injury due to spasms, uncontrolled movements, and seizures. For each diagnosis, it lists goals, interventions, and expected outcomes to address the patient's needs and safety.
The document provides a nursing care plan for a patient with cerebral palsy. It identifies 3 nursing diagnoses: 1) impaired physical mobility due to spasms and muscle weakness, 2) impaired verbal communication due to difficulty with articulation, and 3) risk for injury due to spasms, uncontrolled movements, and seizures. For each diagnosis, it lists goals, interventions, and expected outcomes to address the patient's needs and safety.
The document provides a nursing care plan for a patient with cerebral palsy. It identifies 3 nursing diagnoses: 1) impaired physical mobility due to spasms and muscle weakness, 2) impaired verbal communication due to difficulty with articulation, and 3) risk for injury due to spasms, uncontrolled movements, and seizures. For each diagnosis, it lists goals, interventions, and expected outcomes to address the patient's needs and safety.
The document provides a nursing care plan for a patient with cerebral palsy. It identifies 3 nursing diagnoses: 1) impaired physical mobility due to spasms and muscle weakness, 2) impaired verbal communication due to difficulty with articulation, and 3) risk for injury due to spasms, uncontrolled movements, and seizures. For each diagnosis, it lists goals, interventions, and expected outcomes to address the patient's needs and safety.
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The document discusses a nursing care plan for a patient with cerebral palsy, including nursing diagnoses, goals, and interventions.
The nursing diagnoses identified are: 1) Impaired physical mobility, 2) Impaired verbal communication, 3) Risk for injury
Goals for impaired physical mobility include increasing physical activity and ability to move with assistive devices. Expected outcomes involve feeling increased strength and using equipment like wheelchairs.
NAME: RUSNANEE RADAENG
NIM: 21114081
NURSING CARE PLAN: CEREBRAL PALSY
Nursing Diagnoses
1. Impaired Physical mobility related to spasms and muscle weakness.
2. Impaired verbal communication related to difficulty in articulation. 3. Risk for injury related to spasms, uncontrolled movements and seizures
NO Nursing Goals and results criteria Intervention
. Diagnoses
1. Impaired NOC NIC
Physical mobility related Joint Movement : Exercise therapy: to spasms and Active ambulation Mobility Level muscle Monitor vital sign Self Care : ADLs weakness. before and after Client outcomes: activity. Provide assistive Increases physical devices if the client activity requires Verbalizes feeling Teach client to use of increased assistive devices strength and ability such as a cane, a to move walker, or crutches Demonstrates use to increase mobility. of adaptive Consult with equipment (e.g., physical therapist wheelchairs, for further walkers) to evaluation, strength increase mobility training, gait training, and development of a mobility plan. If the client is immobile, perform passive range of motion (ROM) exercises at least twice a day unless contraindicated; Repeat each maneuver three times.
2. Impaired verbal NOC NIC
communication related to sensory function : Communication difficulty in hearing & vision Enhancement fear self-control articulation. examine the response Client outcomes: to communication. use the cards / Able to control the pictures / response of fear whiteboards to and anxiety to facilitate speech communication. impairment Involve the family in Able to training a child to communicate communicate. needs with the refer to a speech social therapist. environment teach and assess non- verbal meaning. trained in the use of the lips, mouth and tongue
3. Risk for injury NOC NIC
related to spasms, Risk control Environment management uncontrolled Client outcomes: Identification of movements and environmental factors seizures no physical injury that allow the risk of to the client injury. client is in a safe Keep objects that condition could cause injury to no bruises the patient during a no fall seizure. Install the barrier the patient's bed. Place the patient in a low and flat. Together with the patient in some time after the seizure. Prepare a soft cloth to prevent biting the tongue occurs during seizures.