CEREBRAL PALSY

preterm births
multiple gestation
one -time brain injury, abnormal development oxygen
intrauterine growth restriction
deprivation
male sex before birth, during birth, or immediately after
trauma
low APGAR score birth infection
intrauterine infections
Maternal thyroid abnormalities
prenatal strokes
birth asphyxia
Oral muscle relaxants: botox onabotulinumtoxinA
maternal iodine deficiency damage to the white
baclofen, tizanidine,
matter of the brain diazepam, dantrolene
Contracture
Orthopedic surgery Malnutrition
Cutting nerve fibers mental health
joint pain, Redness
(selective dorsal rhizotomy) conditions bruising Redness
abnormal back pain,
heart & lung disease infection and pain bruising
brain muscle pain,
osteoarthritis at the injection site dizziness
development respiratory infection,
osteoporosis may occur nausea
or and injection-site
brain damage pain. headache
muscle weakness

bleeding in
the brain

lack of
oxygen in the
brain

nutrition
deplexion to
sustain the
functionof the
brain

affects
affects the affects the
cerebral
cerebellum basal ganglia
cortex

spastic CP athetoid atomic

dystonia
Physical therapy hyperreflexia chorea Shaky when doing precise
Other occupational therapy hypertonic movements Neuroimaging- MRI and CT Scan
athetosis
Speech and language therapy clonus reflex Balance and coordination problems Metabolic, Genetic, EEG
choreoathetoid
Recreational therapy positive Babinski reflex ataxia Wide-based gait
dyskinesia

mixed CP

nursing dx: risk for nursing dx: risk

nursing dx: nursing dx: Risk for
delayed infant for impaired nursing dx:
Impaired decreased activity
motor development verbal Risk for injury
Physical Mobility tolerance
communication

-Determine patient ability to -Identify cognitive or physical deficits of

participate in specific
activities
-Assist patient to focus on
abilities, rather than on
deficits
-Coordinate patient
selection of age appropriate
activities
-Provide motor activity to
relieve muscle tension
-Initiate genetic counselling
intervention based upon risk
identification, as appropriate
-Plan for long-term monitoring
of health risksidentify typical
coping strategies
-Identify biological,
environmental, and
behavioural risks and their
interrelationships
-Determine the patient?s learning
needs
-Enhance the patient?s readiness
to learn, as appropriate
-Set mutual, realistic learning
goals with the patient
-Select appropriate teaching
methods and strategies
-Provide an environment
conducive to learning
-Dress patient in nonrestrictive
clothing
-Provide low-height bed, as
appropriate
-Assist patient to sit on side of bed
to facilitate postural adjustments
-Consult physical therapist about
ambulation plan, as needed
-Instruct in availability of assistive
devices, if appropriate
the patient that may increase potential
of falling in a particular environment
-Identify behaviors and factors that
affect risk of falls
-Ask patient for perception of balance,
as appropriate
-Monitor gait, balance, and fatigue level
with ambulation
-Provide assistive devices (e.g., cane
and walker) to steady gait

THERAPEUTIC MANAGEMENT DISEASE PROCESS SIGNS & SYMPTOMS NURSING INTERVENTION NURSING DIAGNOSIS MEDICAL MANAGEMENT SURGICAL MANAGEMENT DIAGNOSTIC TEST ETIOLOGY PREDISPOSING