Nursing Diagnoses for Ann with Spastic Cerebral Palsy

QUESTION

Briefly answer the questions following the scenario you chose and what 2 nursing diagnoses would be ideal in that scenario?

Topic : Cerebral Palsy

Ann is a 12-year-old female with Spastic Cerebral Palsy admitted post operatively after a tendon-release surgery. When gathering history from her mother, she states that Ann can feed herself with some assistance needed, uses a walker and has delayed speech as evidenced by using only 3-word sentences. During this admission, what 2 nursing diagnoses would you prioritize based on her Cerebral Palsy? Why?

ANSWER

Nursing Diagnoses for Ann with Spastic Cerebral Palsy

Scenario

Ann, a 12-year-old female with Spastic Cerebral Palsy, has been admitted after undergoing tendon-release surgery. She requires some assistance for feeding, utilizes a walker for mobility, and exhibits delayed speech with three-word sentences.

Nursing Diagnoses

Impaired Mobility related to Spastic Cerebral Palsy and Post-Operative Recovery

Spastic Cerebral Palsy can lead to muscle spasticity and contractures, impacting mobility. Ann’s use of a walker highlights her need for assistance in maintaining mobility. The recent tendon-release surgery also adds complexity to her mobility challenges. Impaired mobility can hinder her independence, social interactions, and overall quality of life. Nurses need to collaborate with physical therapists to develop a plan that maximizes her mobility potential, minimizes complications, and supports her post-operative recovery.

Delayed Communication related to Spastic Cerebral Palsy and Speech Impairment

Ann’s delayed speech, evidenced by using three-word sentences, indicates communication challenges linked to her Spastic Cerebral Palsy. Effective communication is crucial for self-expression, social interaction, and participation in education. Delayed communication can lead to frustration and hinder her ability to convey needs and preferences. Nurses can collaborate with speech therapists to develop strategies that enhance Ann’s communication skills, improve her ability to express herself, and facilitate better understanding within her environment.

Rationale

Impaired Mobility

Prioritizing the nursing diagnosis of impaired mobility acknowledges the significant impact of Spastic Cerebral Palsy on Ann’s ability to move independently. The recent tendon-release surgery further highlights her need for specialized care to optimize her mobility and prevent complications like contractures. Addressing impaired mobility through collaborative interventions will enhance her overall well-being, reduce the risk of secondary complications, and promote her engagement in daily activities.

Delayed Communication

The nursing diagnosis of delayed communication is vital to ensure Ann’s needs, thoughts, and feelings are effectively conveyed despite her speech challenges. Supporting her communication development will enhance her social interactions, academic progress, and self-esteem. By addressing this nursing diagnosis, healthcare professionals can empower Ann to express herself, build meaningful relationships, and actively participate in decision-making processes.

In conclusion, selecting nursing diagnoses that address impaired mobility and delayed communication aligns with the specific challenges Ann faces due to Spastic Cerebral Palsy. These diagnoses reflect the importance of holistic care that encompasses both physical and psychosocial aspects of her well-being. Through collaborative efforts involving nurses, physical therapists, and speech therapists, interventions can be tailored to enhance her mobility and communication abilities, fostering optimal growth and development.

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