Cerebral palsy diagnosis/interventions

[francoj]

hello everyone, i need help from all of you guys.. any feedback, or opinions will be greatly appreciated!

i have to write 6 diffrent nursing diagnosis, but only on the priorty one i have to do a careplan. so here is what i have. i have choosen to do my careplan on the impaired verbal communication one. but im stuck on the interventions. and these are my goals that i have so far, one short and one long term goal.

stg:

the child will speak with others calmly and slowly while conveying his needs in an organized way.

interventions:

1. face the child when communicating with him, listen and watch closely to body cues.
   
2. allow the child time to complete what he is saying, and encourage the child to speak slowly.
   
3. provide encouragement and reassurance to the child at all times when they are attempting to communicate.
   

ltg:

the child will use alternative forms of communication such as : gestures or actions, pictures or drawings, white board, flash cards that translate word/phrases to facilitate communication by the end of-----

1. no intervention yet!

info:

10 y/o boy who has cerebral palsy and optic dysplasia.

[table=class: msonormaltable]

[tr]

[td]impaired verbal communication related to neuromuscular impairment as evidenced by slurred speech and difficulty speaking.

[/td]

[/tr]

[tr]

[td]impaired physical mobility related to spasticity and muscle weakness aeb child attending motor room 3x's a day as well as attending pt 3x's a week.

[/td]

[/tr]

[tr]

[td]dressing self- care deficit related to neuromuscular impairment aeb needing assistance when changing into and out of p.e clothes.

[/td]

[/tr]

[tr]

[td=width: 95%, bgcolor: transparent]risk for injury related to physical disability, and lack of preventative knowledge.

[/td]

[/tr]

[tr]

[td=width: 95%, bgcolor: transparent]anxiety r/t health status aeb-----

[/td]

[/tr]

[tr]

[td=width: 95%, bgcolor: transparent]teach the family the importance of the multidisciplinary team to evaluate and monitor child on a regular basis and involvement of early intervention programs/school for optimum outcomes.

[/td]

[/tr]

[tr]

[td=width: 95%, bgcolor: transparent]teach the family methods to facilitate communication with the child for example using flash cards, white board, pictures, and/or hand signs.

[/td]

[/tr]

[tr]

[td=width: 95%, bgcolor: transparent]teach the family safety measures appropriate for developmental level, including childproofing home, and safety signs.

[/td]

[/tr]

[/table]

[nurseprnRN, BSN, RN]

i haven't seen this child myself so i don't know if it is a reasonable short term goal to have him speak clearly. perhaps it's a lot to ask. maybe he will never speak clearly. maybe you could have as a short term goal that he achieves proficiency with one method of communication, and you could outline a few interventions to help c that, both for the child and for anyone who interacts c him.

your ltg for using several alternative methods is reasonable.

suggestion for both: speak to the speech/language therapist who treats this child. you wouldn't believe what those folks have to offer, both for patients and for resources for nurses. if you don't know who is treating this child, call a nearby one and ask general questions. it is my experience that they are a very helpful bunch.

ps, "child" is singular, "they are" is plural. i know a lot of people use "they" when talking about one person ("i asked somebody, but they told me.."), but that is wrong.

[francoj]

thanks for your advice