cerebral palsy

Question 1

CP

Answer 1

A nonprogressive impairment of motor function, muscle control, coordination, and posture.

Question 2

what does it abnormally cause

Answer 2

• abnormal perception and sensation; visual, hearing, and speech impairments; seizures; and cognitive disabilities.
• CP manifests differently in each child.
• Developmental outcomes vary and are dependent on the severity of the injury.

Question 3

nursing care

Answer 3

• Maintain an open airway by elevating the head of the child’s bed.
• Ensure suction equipment is available if required.
• Monitor for pain (especially with muscle spasms)
• Administer medication for pain and/or spasms.
• Ensure adequate nutrition.
• Assess for the possibility of aspiration for children who are severely disabled.
• Administer feedings by gastric tube as prescribed.
• Maintain weight/height chart.
• Assess skin under splints and braces if applicable.

Question 4

meds

Answer 4

• Baclofen
• Diazepam
• Botulinum toxin A
• Antiepileptics

Question 5

interprofessional care

Answer 5

• Coordinate care with speech, physical and recreational therapists
• Initiate referral for technical aids that can assist with coordination, speaking, mobility, and an increased level of independence.
• Some children can benefit from the use of a voice-activated wheelchair.
• Surgical intervention is indicated for tendon release to correct contractures or other spastic deformities.

Question 6

reinforce

Answer 6

• Reinforce the therapeutic plan of care.
  ● Reinforce the need for rest periods.
  ● Reinforce feeding schedule and feeding techniques if changes were made during hospitalization.
  ● Reinforce adherence to medication regimen.
  ● Encourage regular dental care.
  ● Encourage parents to provide developmental stimulation.

Question 7

teach

Answer 7

● Teach wound care if needed.
● Teach the family and client about ankle-foot orthoses if prescribed.
● Teach self-urinary catheterization if needed.
● Teach pulmonary hygiene techniques.
● Coordinate interprofessional team with cares.
● Help the family identify resources needed (respite care).
● Suggest participation in a support group for CP.