NDx#2:

Date Identified: 03/03/2020

Subjective Cues:
Objective Cues:
NDx#1: Impaired Physical Mobility
related to Disease Condition
(Cerebral Palsy) as evidenced by
Muscle Spasm in the Upper and
Lower Extremities
Date Identified: 03/03/2020
Subjective Cues:
 “Inuntog kasi siya ng lola niya
kaya nagkaganyan” verbalized
by the community worker.
 “Dati di niya magalaw yung
buong katawan niya, ngayon
nagagalaw niya na yung ulo NDx#3:
niya, paa at kamay”as Date Identified: 03/03/2020
verbalized by the community Subjective Cues:
worker. Objective Cues:
Objective Cues:
 3 years old
 (+) Muscle Spasm
 (+) Limited Range of Motion
 (+) Palmar Grasp Reflex
 Inability to control lower
extremities Medical Diagnosis:
Cerebral Palsy
 (-) Gross Motor Skills
Priority Assessment:
 The client cannot stand, walk
 Age
and throw objects that are
 Developmental Milestone
appropriate to her age.
 Family History
 (-) Fine Motor Skills  Mental Status Examination
 The client cannot perform tripod (behavior/activity, mood and
grasp, writes and dresses and affect)
undresses independently.  Motor Assessment (range of
 (-) Physical Exercise motion and reflexes)
 CONCEPT MAP
Patient’s Initials: N.C. Medical Diagnosis: Cerebral Palsy

Age: 3 years old Gender: Female Basis for Prioritization: Abraham Maslow’s Hierarchy of Needs
Category: Class I – Minimal Care Room No.: Date Admitted: Student Nurse/s: Caisip, Machica, and
Sadural