Nursing Care Plan for CEREBRAL PALSY
ASSESSMENT
*developmental
assessment and note the
development of milestones
(such as stand with help, or
walk when led).
* type of auditory, visual,
motor deficit.
* safety of the
environment.
*nutritional history.
* physical signs for poor
nutritional intake (infant
sucking and swallowing
ability.)
* patient’s ability to obtain
and use essential nutrients.
* height and weight record
*mental status.
*ability to speech
*ability to understand
written words.
NURSING DIAGNOSIS PLAN INTERVENTION
Related to Evidenced by
*Impaired Physical Possibly evidenced by * Child/infant will achieve *Facilitate activities in using fine and gross
Mobility related to  Inability to control lower motor skills (such as giving a ball on hand to
maximum movement
 Disease condition extremities encourage throwing, holding a spoon)
ability and absence of
(Cerebral Palsy)  Limited range of motion *Allow the child to perform activities or care
(ROM)
contractures.
 Decrease muscle routines at his or her own pace.
 Muscle spasm
control *Encourage the child to rest between activities
 Neuromuscular that are tiring
impairment *Execute passive or active assistive ROM
exercised to all extremities.
*Provide a safe environment.
*Educate the family on how to use an orthotic
device as indicated.
*Assist the parents in referring the child to a
rehabilitation therapist as appropriate
*Imbalanced Nutrition: Possibly evidenced by *Child/infant takes *Offer small frequent meals more throughout
Less Than Body  Difficulty chewing, adequate amount of the day.
Requirements swallowing and sucking calories or nutrients *Monitor and recorded body weight.
related to  Inadequate caloric intake needed for normal growth. *Refer to a dietitian for nutritional support.
 Increased metabolic  Uncoordinated hand *Position the child upright during
needs movement feedings.
 Inability to ingest  Underweight *Use soft and blended foods.
food properly *Encourage adequate fluid intake and high fiber
foods such as wholegrain cereals, fruit, and
vegetables
*Offer high protein supplements based on
individual needs and capabilities
*Teach the family regarding proper enteral tube
feeding as appropriate.
* Impaired Verbal Possibly evidenced by * Children will verbally *Learn patient needs and pay attention to non-
 Difficulty vocalizing verbal cues.
Communication make essential needs
words *Provide an alternative means of
related to known to health care
 Neurologic  Difficulty discerning and providers and family communication.
maintaining the usual *Maintain a calm, unhurried manner. Provide
 Nursing Care Plan for CEREBRAL PALSY
impairment communication pattern members ample time for the child to respond.
*Keep distractions such as television and radio
at a minimum when talking to the child.
*Involve family and significant others in the
plan of care as much as possible.
*Coordinate the child with a speech therapist as
indicated
* coping ability if the *Ineffective Therapeutic Possibly evidenced by * Family will adapt to *Encourage the parent to express the impact of
family Regimen Management  Anxious parents growth and development their child’s condition on the family.
Related to:  Verbalized difficulty with needs of a child with *Educate the family on different skills needed
 Excessive demands prescribed regimen cerebral palsy. to manage the child’s care.
made on family with *Involve siblings in the care of the
child’s complex care child with cerebral palsy.
needs
*Provide referral to other parents and support
 Knowledge deficits of
prescribed regimen
groups.

* general status of thee * Risk for Injury Possibly evidenced by * Child will be protected *Provide a safe environment.
patient.  [not applicable] and free from injury. *Explain to the parents on different stimuli that
related to
* surrounding safety. can trigger a seizure activity.
*level of consciousness  Impaired motor
function *Assist the child in performing ADL
 Seizure activity *Institute seizure precautions such as keeping
padded side rails up with the bed in its lowest
position.
*Coordinate with a physical therapist for
strengthening exercises and gait training as
appropriate
*developmental level * Risk for Delayed Possibly evidenced by *Child will receive *Explore family’s feeling regarding child’s health
Growth and  [not applicable] environmental stimulation; condition.
Development express interest in people *Provide positive encouragement to a child
related to and activities around while doing his/her activities.
 Activity restrictions him/her; attends school *Encourage age-related play and other activities
 Environmental and setting that is as free of that strengthen gross and fine motor
stimulation restrictions as possible. development, sensory and cognitive
deficiencies development such as letting the child put green
balls on the left basket and red balls on the
 Nursing Care Plan for CEREBRAL PALSY
right.
*Choose appropriate toys that match an
individual child’s skills to play with it.
*Initiate referral to an occupational therapy as
appropriate.
*Encourage the parent to enroll the child in a
school program
*level of consciousness * Risk for Self-Care Possibly evidenced by *Child will safely perform *Assist child to learn self-care measures for
*developmental level  [not applicable] self-care activities to example ; eating, tooth brushing.
Deficit
*muscle strength and utmost capability *Encourage parents to provide adequate time
indurance related to
 Impaired mobility for child to finish self-care activates.
 Cognitive changes *Advise the parents to supervise the child
 Decrease muscle during bathing
strength and *Provide modification techniques self-care
endurance activities such as putting straps on their feeding
utensil or toothbrush.
*Use energy-conservation techniques
*Encourage parents to increase intake of high-
roughage foods such as whole grain foods,
vegetables, and fruits.