Cerebral Palsy is a status lasting harm to encephalon tissue together with non progressive, occurring inward a immature (since birth) together with hinder normal encephalon evolution amongst clinical manifestations may modify throughout life together with showed abnormalities inward the mental attitude together with movement, accompanied past times neurological abnormalities inward the assort of spastic paralysis, ganglia disorders, basal, cereblum together with mental disorders.
Nursing Diagnosis for Cerebral Palsy
a. Risk for injury r/t spasms, uncontrolled movements together with seizures
b. Impaired Physical mobility r/t spasms together with musculus weakness.
c. Changes inward growth together with evolution r/t neuromuscular disorders.
d. Impaired verbal communicationr/t difficulty inward articulation.
e. Risk for aspiration r/t neuromuscular disorders
f. Changes inward idea processes r/th cerebral injury, learning disabilities.
g. Self-care Deficit r/t musculus spasms, increased activity, cognitive changes.
h. Deficient Knowledge r/t abode aid together with therapeutic needs.
Goal :
a. Children volition ever live rubber together with gratis from injury.
b. Children volition accept a maximum drive mightiness together with non accept contractures.
c. Children volition explore how to larn together with participate amongst other children inward doing roughly activities.
d. Children volition limited their needs together with develop a trunk weight inside normal limits.
e. Children produce non accept aspirations.
f. The kid volition demonstrate an appropriate grade of learning ability.
g. Daily needs of the kid tetpenuhi.
h. Parents / household unit of measurement demonstrate agreement of the needs of kid aid that is characterized past times taking an active purpose inward kid care.
i. Children produce non exhibit a marked impairment of peel integrity amongst intact skin.
Nursing Interventions for Cerebral Palsy
a. The increasing involve for security together with foreclose injury
1) avoid children from harmful objects, for illustration tin live dropped.
2) spotter the children during activity.
3) plough over the kids a interruption when tired.
4) utilization security equipment when necessary.
5) when a seizure; install a security device inward the oral fissure then that the natural language is non bitten.
6) produce suction.
7) the provision of anti-seizure inward the number of a seizure.
b. Improve the physical mobility
1) examine the drive of the joints together with musculus tone.
2) produce physical therapy.
3) produce repositioning every ii hours.
4) evaluation of the needs of especial equipment for eating, writing together with reading together with activities.
5) learn the utilization of a walker.
6) learn how to sit, crawl inward immature children, walking, together with others.
7) teaches how to accomplish for objects.
8) taught to displace the limbs.
9) learn appropriate ROM.
10) supply a balance period.
c. Increases the involve rumbuh flowers inward the optimum level
1) examine the growth together with development.
2) education for early on intervention amongst therapeutic recreation together with schoolhouse activities.
3) Provide appropriate activities, withdrawal together with tin live done past times a child
d. Improve communication
1) examine the answer to communication.
2) utilization the cards / pictures / whiteboards to facilitate communication.
3) Involve the household unit of measurement inward grooming a kid to communicate.
4) advert to a spoken language therapist.
5) learn together with assess non-verbal meaning.
6) trained inward the utilization of the lips, oral fissure together with tongue.
e. Improve the nutritional status needs
1) examine the diet of children.
2) Weigh weight every day.
3) supply adequate nutrition together with nutrient preferences, lots of protein, minerals together with vitamins.
4) Give extra foods that comprise lots of calories.
5) Help your kid encounter their daily needs amongst the ability
f. Prevent the occurrence of aspiration
1) produce right away when at that topographic point is suction secretions.
2) supply an upright put or semi-sitting land eating together with drinking.
3) examine the blueprint of breathing
g. Increase the involve for intellectual
1) review the child's grade of understanding.
2) learn inward agreement conversations amongst verbal or non verbal.
3) learn writing using whiteboards or other devices that tin live used according to the mightiness of parents together with children.
4) education reading together with writing according to his needs
h. Meet the daily needs
1) examine the grade of children's mightiness to encounter daily needs.
2) assistance inward coming together the needs; eating together with drinking, elimination, personal hygiene, dress, play activities.
3) Involve families together with for children who are cooperative inward coming together their daily needs.
i. Enhance the noesis together with the purpose of parents inward coming together kid aid needs
1) examine the grade of parental knowledge.
2) learn parents to limited their feelings well-nigh the child's condition.
3) learn parents inward coming together kid aid needs.
4) learn well-nigh the weather condition experienced past times children together with are related to physical therapy together with practise needs.
5) emphasize that parents together with families accept an of import purpose inward helping encounter the needs.
6) explicate the importance of play together with socialization needs of others.
j. Prevent to impaired peel integrity
1) examine the expanse that is attached ancillary equipment.
2) utilization a peel lotion to foreclose dry out skin.
3) produce the massage inward a depressed area.
4) supply a comfortable put together with supply back upwards amongst pillows.
5) ensure that ancillary equipment or dressing appropriately together with fixed. Sumber http://nanda-nursinginterventions.blogspot.com/
Nursing Diagnosis for Cerebral Palsy
a. Risk for injury r/t spasms, uncontrolled movements together with seizures
b. Impaired Physical mobility r/t spasms together with musculus weakness.
c. Changes inward growth together with evolution r/t neuromuscular disorders.
d. Impaired verbal communicationr/t difficulty inward articulation.
e. Risk for aspiration r/t neuromuscular disorders
f. Changes inward idea processes r/th cerebral injury, learning disabilities.
g. Self-care Deficit r/t musculus spasms, increased activity, cognitive changes.
h. Deficient Knowledge r/t abode aid together with therapeutic needs.
Goal :
a. Children volition ever live rubber together with gratis from injury.
b. Children volition accept a maximum drive mightiness together with non accept contractures.
c. Children volition explore how to larn together with participate amongst other children inward doing roughly activities.
d. Children volition limited their needs together with develop a trunk weight inside normal limits.
e. Children produce non accept aspirations.
f. The kid volition demonstrate an appropriate grade of learning ability.
g. Daily needs of the kid tetpenuhi.
h. Parents / household unit of measurement demonstrate agreement of the needs of kid aid that is characterized past times taking an active purpose inward kid care.
i. Children produce non exhibit a marked impairment of peel integrity amongst intact skin.
Nursing Interventions for Cerebral Palsy
a. The increasing involve for security together with foreclose injury
1) avoid children from harmful objects, for illustration tin live dropped.
2) spotter the children during activity.
3) plough over the kids a interruption when tired.
4) utilization security equipment when necessary.
5) when a seizure; install a security device inward the oral fissure then that the natural language is non bitten.
6) produce suction.
7) the provision of anti-seizure inward the number of a seizure.
b. Improve the physical mobility
1) examine the drive of the joints together with musculus tone.
2) produce physical therapy.
3) produce repositioning every ii hours.
4) evaluation of the needs of especial equipment for eating, writing together with reading together with activities.
5) learn the utilization of a walker.
6) learn how to sit, crawl inward immature children, walking, together with others.
7) teaches how to accomplish for objects.
8) taught to displace the limbs.
9) learn appropriate ROM.
10) supply a balance period.
c. Increases the involve rumbuh flowers inward the optimum level
1) examine the growth together with development.
2) education for early on intervention amongst therapeutic recreation together with schoolhouse activities.
3) Provide appropriate activities, withdrawal together with tin live done past times a child
d. Improve communication
1) examine the answer to communication.
2) utilization the cards / pictures / whiteboards to facilitate communication.
3) Involve the household unit of measurement inward grooming a kid to communicate.
4) advert to a spoken language therapist.
5) learn together with assess non-verbal meaning.
6) trained inward the utilization of the lips, oral fissure together with tongue.
e. Improve the nutritional status needs
1) examine the diet of children.
2) Weigh weight every day.
3) supply adequate nutrition together with nutrient preferences, lots of protein, minerals together with vitamins.
4) Give extra foods that comprise lots of calories.
5) Help your kid encounter their daily needs amongst the ability
f. Prevent the occurrence of aspiration
1) produce right away when at that topographic point is suction secretions.
2) supply an upright put or semi-sitting land eating together with drinking.
3) examine the blueprint of breathing
g. Increase the involve for intellectual
1) review the child's grade of understanding.
2) learn inward agreement conversations amongst verbal or non verbal.
3) learn writing using whiteboards or other devices that tin live used according to the mightiness of parents together with children.
4) education reading together with writing according to his needs
h. Meet the daily needs
1) examine the grade of children's mightiness to encounter daily needs.
2) assistance inward coming together the needs; eating together with drinking, elimination, personal hygiene, dress, play activities.
3) Involve families together with for children who are cooperative inward coming together their daily needs.
i. Enhance the noesis together with the purpose of parents inward coming together kid aid needs
1) examine the grade of parental knowledge.
2) learn parents to limited their feelings well-nigh the child's condition.
3) learn parents inward coming together kid aid needs.
4) learn well-nigh the weather condition experienced past times children together with are related to physical therapy together with practise needs.
5) emphasize that parents together with families accept an of import purpose inward helping encounter the needs.
6) explicate the importance of play together with socialization needs of others.
j. Prevent to impaired peel integrity
1) examine the expanse that is attached ancillary equipment.
2) utilization a peel lotion to foreclose dry out skin.
3) produce the massage inward a depressed area.
4) supply a comfortable put together with supply back upwards amongst pillows.
5) ensure that ancillary equipment or dressing appropriately together with fixed. Sumber http://nanda-nursinginterventions.blogspot.com/