Cerebral Palsy is a disorder or abnormality that occurs in a period in child development, the motor cells in the central nervous system, is chronic and progressive due to abnormalities or defects in the brain tissue that has not finished growing.
Risk factors that lead to the possibility of greater Cerebral Palsy are:
1. Breech birth
2. Difficult childbirth.
Vascular or respiratory problems the baby during labor is an early sign that indicate a problem or brain damage baby's brain does not develop normally. These complications can cause permanent brain damage.
3. Low Apgar score.
Low Apgar score up to 10-20 minutes after birth.
4. LBW and prematurity.
5. Multiple pregnancy.
6. CNS malformations.
The majority of babies born with CP showed significant CNS malformations, such as abnormal head circumference (microcephaly). This shows that the problem occurred during CNS development in the womb.
7. Maternal bleeding or severe proteinuria during late pregnancy.
Vaginal bleeding during pregnancy to 9 to 10 and increase the amount of protein in the urine associated with an increased risk of CP in infants.
8. Maternal hyperthyroidism, mental retardation and seizures.
9. Seizures in newborns.
Nursing Diagnosis for Cerebral Palsy
Risk for injury related to impaired motor function, secondary to the inability to control the movement of spasticity.
Goal:
Expected reduction in risk of injury. The client is not physically injured.
Outcomes:
Expressed understanding of the factors that led to injury
Show changes in behavior, lifestyle to reduce risk factors and to protect themselves from injury.
Intervention:
1. Teach patient movement in performing ADL
R / Reduce the occurrence of injuries that can aggravate the condition of the patient.
2. Aids to meet their needs
R / Children have many needs that can not be done alone because of the limitations.
3. Note the position of the patient at rest / sleep
R / To prevent contractors
4. Provide a safe physical environment: Give pads on furniture.
R / for protection.
5. Put the bed fence.
R / to prevent falls.
6. Strengthen furniture that is not slippery.
R / to prevent falls.
7. Avoid polished floors and carpets are a mess.
R / to prevent falls.
8. Select toys to suit the age and physical limitations.
R / to prevent injury.
9. Encourage adequate rest.
R / because fatigue can increase the risk of injury.
10. Use restrein when children are in a chair or vehicle.
11. Do the right techniques to drive, move the temptation to manipulate parts of the body paralysis.
12. Implement appropriate security measures to prevent thermal injury.
R / there is a loss of sensation in the affected area.
13. Provide protective helmets to children who tend to slip and slide to use it.
R / preventing head injuries.
14. Give anti-epileptic drugs in accordance with the provisions.
R / prevent seizures
