What should be monitored closely in a child with cerebral palsy who is in a wheelchair?

In a child with cerebral palsy who uses a wheelchair, monitoring skin integrity is crucial due to the risk of developing pressure ulcers. These children may have limited mobility, which can lead to prolonged pressure on certain areas of the body, especially over bony prominences. Maintaining proper skin health involves regular checks for any signs of redness, irritation, or breakdown. This vigilance helps prevent complications that can arise from pressure injuries, which can lead to infections, pain, and additional healthcare needs.

While monitoring vision changes, weight gain, and gastrointestinal issues are also important aspects of overall care for children with cerebral palsy, they do not carry the immediate risk factors due to immobility associated with prolonged sitting. Skin integrity directly relates to the need for prevention strategies that can impact the child's quality of life and physical health in a wheelchair-bound scenario. Therefore, it is a priority in the management of a child with this condition.