Wednesday, February 25, 2015

Nursing Diagnoses

Identifying nursing diagnoses for patients with cerebral palsy will help us determine what specific issues should be the focus of our nursing care.

Some examples of priority nursing diagnoses for CP:
  • Readiness for enhanced mobility / related to willingness to work with physical and occupational therapists, and potential for development of muscle control
  • Risk for injury / related to muscle spasms and lack of coordination
  • Impaired verbal communication / related to facial muscle spasms, possible co-morbid cognitive impairments
  • Readiness for enhanced family coping / related to family investment in care for the child
  • Self-care deficit / related to impairments in feeding, mobility, and communication
And to create a more detailed care plan, we would create nursing interventions and expected outcomes-- or goals-- for each diagnosis.

Nursing Diagnosis
Intervention
Expected Outcome

Readiness for enhanced mobility r/t willingness to work with healthcare team, and potential for development of muscle control


Assess patient for current physical mobility and assess patient and/or family for current goals

Engage the patient in daily exercises, focusing on range of motion, flexibility, and muscle coordination

Provide positive reinforcement for small changes


Patient and/or family will identify goals for increased mobility


Patient will demonstrate greater range of motion, flexibility, and muscle coordination

Patient and/or family will recognize progress and identify successes


For more cerebral palsy care plans-- check out Prentice Hall and Nursing-Help.com.

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