Question

7) List 2 (two) specific nursing interventions for each of the following health issues commonly seen in Cerebral Palsy. Nursing interventions/ care plan (minimum 2 each) 7.1) Aspiration/Recurrent chest infections 7.2) Oral/ Dental problems 7.3) Incontinence 7.4) Skin breakdown risk/ pressure injuries

Answer 1

Answer :

1. Aspiration or reccurent chest infections :

Nursing interventions :

* keep semifowlers or Fowler position that is in 90 degree angle while feeding time.

* provide rest before feeding.

* implement the postural changes to improve swallowing.

* adjust the rate of feeding, and aspirate the secretions before feeding if patient is having Nasogastric tube.

2. Oral or dental problems :

Nursing interventions :

* Provide mouth wash 4thly to reduce halitosis,

* advice clients to gargle the mouth with normal water after eating any thing.

* administer analgesics if patient is having any pain.

3. Incontinence :

Nursing interventions :

* fluid administration up to 2 to 4 liter per day, for urinary incontinence.

* Advice pelvic floor Exercises or kegel exercises to improve bladder control.

* give bladder training.

* for fecal incontinence advice to take fiber diet.

* administer laxatives.

4. Skin breakdown or pressure injuries :

Nursing interventions :

* change position second hourly with the support of pillows.

* provide alpha beds or air beds, or water beds.

* keep area dry by avoiding moisture.