Question

Cerebral palsy has been described as a group of permanent disorders of the development of movement...

Cerebral palsy has been described as a group of permanent disorders of the development of movement and posture. In addition to motor disorders, the condition often involves disturbances of sensation, perception, communication, cognition, and behavior. After completing the reading, develop a nursing plan of care for the client and family in the following scenario.

Scenario:

Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s office and was diagnosed with spastic cerebral palsy. The pediatrician’s office referred him because he is not rolling over or attempting to sit. He has hypertonia of the lower extremities. Romel is the fourth child of a 26-year-old single mother, who developed preeclampsia. He was born at 24 weeks’ gestation with a birth weight of 1 pound 4 ounces, and spent 3 months in the neonatal ICU, where his treatment included mechanical ventilation and tube feedings. When he was discharged home 8 months ago, he was on an apnea monitor, receiving bronchodilator medication via nebulizer, and was taking bottle feedings. His weight gain has been slow but steady, and currently he weighs 15 pounds and is 26 ½ inches long. Romel is seen monthly by a public health nurse, who has been assessing his health status and development, and teaching his mother about using a nebulizer. Romel’s mother is very upset at hearing his diagnosis. She states she knew they were going to follow him for possible developmental problems, but that she had not heard anything about cerebral palsy before.

Intial Discussion Post:

Using the Nursing Process and information from your textbooks, develop a nursing plan of care for the above client. Your plan of care must include:

One (1) priority NAND-I nursing diagnosis (must be an actual nursing diagnosis) based on the information presented. Include the related factor and the rationale for the selected nursing diagnosis.

One (1) measurable patient outcome.

Two (2) nursing interventions. Remember: the intervention moves the client toward the outcome.

Provide a rationale for each of the nursing interventions.

Identify one (1) interprofessional health care team member to include in the plan of care. Include your rationale for this choice.

Homework Answers

Answer #1
assessment nursing diagnosis goal interventions rationale

subjective data

mother says that even though baby is 11 months old, not attempting to roll over or trying to sit.

objective data

On physical examination, development of milestone according to the age of infant is absent.hypertonic lower extremities.

Impaired physical mobility related to disease condition as evidenced by hypertonicity of lower extremities infant will achieve maximum movement ability
  • Assess for auditory, visual, motor, or intellectual deficit.
  • Perform range-of-motion exercises every 4 hours for lower extremities with the help of a physiotherapist
  • will help in planning interventions appropriate for the infant.

  • infant has a decreased range of motion (ROM) due to limited mobility and the presence of spasticity. ROM exercises promote movement and minimize the risk of contractions
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Cerebral palsy has been described as a group of permanent disorders of the development of movement...
Cerebral palsy has been described as a group of permanent disorders of the development of movement and posture. In addition to motor disorders, the condition often involves disturbances of sensation, perception, communication, cognition, and behavior. After completing the reading, develop a nursing plan of care for the client and family in the following scenario. Scenario: Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s office and was diagnosed with spastic cerebral palsy. The pediatrician’s...
Scenario: Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s...
Scenario: Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s office and was diagnosed with spastic cerebral palsy. The pediatrician’s office referred him because he is not rolling over or attempting to sit. He has hypertonia of the lower extremities. Romel is the fourth child of a 26-year-old single mother, who developed preeclampsia. He was born at 24 weeks’ gestation with a birth weight of 1 pound 4 ounces, and spent 3 months in...
Module 08 Assignment – Nursing Interventions Purpose of the Assignment Plan evidence-based interventions to assist the...
Module 08 Assignment – Nursing Interventions Purpose of the Assignment Plan evidence-based interventions to assist the client in meeting optimum outcomes. The actions planned are designed to meet the health care needs of the client Course Competencies Apply knowledge of integumentary disorders for safe, effective nursing care Explain components of multidimensional nursing care for clients with musculoskeletal disorders Select appropriate nursing interventions for clients experiencing alterations in mobility Instructions Develop a SMART client-centered outcome and individualized nursing interventions with rationale...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary caregiver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 Identify primary, secondary, and tertiary interventions for each nursing diagnosis ( 3 nursing diagnoses). Complete template 3 nursing intervention ( 3 primary interventions, 3 secondary interventions, 3 tertiary interventions) Priority Nursing Diagnoses Primary Prevention needs Secondary Prevention...
A 15-year-old female is admitted to the hospital with a concussion after a biking accident. During...
A 15-year-old female is admitted to the hospital with a concussion after a biking accident. During the admission assessment, the patient confides in the RN that she doesn’t wear a helmet when she rides her bike. A nursing care plan has been developed using the NANDA-I nursing diagnosis Deficient Knowledge related to insufficient information about hazards of biking as evidenced by patient statement, “I don’t wear a helmet when I bike.” The outcome: The patient will verbalize the importance of...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary caregiver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 Identify primary, secondary, and tertiary interventions for each nursing diagnosis ( 3 nursing diagnosis). Complete templeate Priority Nursing Diagnoses Primary Prevention needs Secondary Prevention needs Tertiary Prevention needs S.M.A.R.T Objectives for each Diagnosis Based on the diagnoses,...
An elderly patient has just been admitted to the Emergency Department with symptoms of confusion and...
An elderly patient has just been admitted to the Emergency Department with symptoms of confusion and muscle tremors. When taking his history, it is revealed he had been discharged from the hospital 2 days ago. He has been on IV therapy for a stomach virus, but could not keep down fluids after he was discharged. a. Develop one care plan for this case study.. It should contain a NANDA nursing diagnosis, one goal, and at least four nursing interventions. Nursing...
Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private...
Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary care giver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 All scenarios are as follows: A client scheduled for discharge back to their community (zip-code area) from the acute care setting. As the Community Health Nurse assigned to be the Case Manager for this client, the student...
Case Scenario # 5 An 82-year-old male patient, recently diagnosed with Alzheimer’s disease, has been admitted...
Case Scenario # 5 An 82-year-old male patient, recently diagnosed with Alzheimer’s disease, has been admitted to the hospital for pneumonia. The patient’s oldest daughter visits and expresses her concern to you that her father will have to move in with her family so she can take care of him. Her mother passed away 5 years ago, and her father has been living on his own since that time; however, his Alzheimer’s disease is progressing and he needs assistance. It...
Your home health care patient is a 10-year-old girl who has been unresponsive since she was...
Your home health care patient is a 10-year-old girl who has been unresponsive since she was toddler, after a cardiac arrest. Over the years, you have seen her undergo numerous hospitalizations from infection. She has a tracheostomy, gastric feeding tube, and suprapubic catheter. The child is a full code. Her single mother provides care day and night with little family support. Upon entering the home, you find the mother holding her daughter’s hand. Sobbing, she says to you, “I can’t...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT