Nutrition their age. Other symptoms may include seizures

Nutrition status is affected by the types
and quantity of foods eaten and by the digestion, metabolism and storage of
food in the body. Malnutrition is a condition that results from lack of
nutrients or energy and inadequate intake of food in comparison to metabolic and
bodily needs. These imbalances can contribute to changed metabolism, disturbed
functioning, and damaged body tissue.

nutritional status
is a refers to a bodily situation in which nutrients levels may be less, but disturbed
activities & functioning of health, or survival may or may not be clearly
seen. Poor nutrition status refers to very low nutrient stores, loss of water
from the body, under-nutrition, nutritional deficiencies.

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Physical disability refers
to all types of physical conditions of an individual that highly influences his/her
one or more routine daily life actions and activities. Physical impairment has relatively
a wide interpretation, this includes the various types of impairements; causes
of these impairements, and how these disabilities affect an individual’s life
are wide and almost vast.

Physical impairment is
a limitation on an individual’s bodily working, mobility, abilities, skill or endurance.
Further kinds of physical disabilities include disorders which restrict
a person’s other aspects of daily life, like epilepsy, sightlessness, respiratory
disorder, and sleep disorders.


Children impairment is an
arising worldwide health concern. To fulfil the requirement for globally corresponding
data about the number and condition of children with impairments, UNICEF developed
the 10 Questions scan for impairment. Children and young individuals with
disabilities makeup about 4-6.5% of the inhabitants in various countries as
well as Pakistan. In the United Kingdom, 7.3% of children aged below 18 years
are declared to be physically challenged as characterized by the Disability Discrimination Act
(DDA). DDA-characterized impairment includes children with a restricting long-term
sickness of about 12 months’ time or longer, impairment or infirmity, exposure
to one or more marked complications. Furthermore, it contains people who may suffer
from these complications in case they do not take medicines.  (Pallapies D, 2006)


Cerebral palsy (CP)
is a group of permanent movement disorders that appear in early
childhood. Signs and symptoms vary among people. Often, symptoms
include poor coordination, stiff muscles,
weak muscles, and tremors. There
may be problems with sensation, vision, hearing, swallowing,
and speaking. Often
babies with cerebral palsy do not roll over, sit, crawl, or walk as early as
other children of their age. Other symptoms may include seizures and
problems with thinking or reasoning,
either of which occurs in about one third of people with CP. While the
symptoms may get more noticeable over the first few years of life, the
underlying problems do not worsen over time. (Oskoui, M., Coutinho, F., Dykeman, J., Jetté, N. and
Pringsheim, T., 2013)

Cerebral palsy includes a
combination of neurological impairments that occur after birth or in the
beginning years of life. Cerebral paralysis (CP) is caused by harm to or
impairments inside the brain that upsets the mind’s capacity to control
development and restore position and support. The term cerebral means the brain; palsy means dysfunction of motor muscles. Cerebral paralysis
influences the motor zone of the cerebrum’s external layer (called the cerebral
cortex), the part that coordinates muscle development. (The National Institute
of Neurological Disorders and Stroke, 2013)

in Pakistan

handicapped individuals are present in large numbers in Pakistan. It was
assessed that 2.49% of the population of Pakistan is having one or other type
of physical disability. (National Policy for Persons with Disabilities, 2002).

per the latest census, there are more than three million individuals with
inabilities which makes up 2.54 for each percent of the population of that
time. Of the aggregate population with impairments, 0.82 million (24.8 percent)
are of the school-going age, between 5-14 years of age. This information is
taken from 1998 population statistics. as the census has not been held for
about 10 years and a half, so numbers may change. Pakistan Society for the
Rehabilitation of the Disabled (PSRD) in Lahore has a certain tradition of
admitting children without impairments and make up to 25% of the students of
the school. (Rizvi, 2013)

Cerebral palsy (CP) refers a cluster of abnormalities that
describes “motor” advancement because of non-developing impairments in
the growing brain, usually coexist with disorder related to sense,
understanding, ability to think and/or fits. it is found in generally 2.5 for
each 1000 however it may differ from 1 to 6 for every 1000. Around 2 to 3 out
of each 1,000 youngsters may have this disease, making it the most widely
recognized neuro-progressive motor impairment in kids. Every year in the United
States, roughly 1 out of 278 new-born children is determined to have CP. A
comparable report directed in Faisalabad, Pakistan, in regard to rate of CP
demonstrated that out of an example of 160 cases with variations of tone,
positioning and development, 75% (n=120) were analysed to have Cerebral Palsy.   (Bangash.A,
Hanafi.Z, Idrees.R, Zehra.N, 2011)

1.3 Effects on the

are important effects of a person’s impairment on the whole family. The
guardians need to accept a considerable measure of new information and coping
with the emotions and challenges of adjusting to the disability of their child.
They suddenly must encounter   important
choices and decisions in the time period of various phases of their family
members disability. As one phase passes by, the family members should be
emotionally ready for new emotional and physical changes and they must get
adapted to them to comfort their disabled family member or children.

1.      Social

disability and impairment bring about
physical and mental changes in the handicapped individual, and by society’s
reaction to them. The way society sees individuals with inabilities can
aggravate their condition.

The care that the people with
disability needs can be long-term and tiring; giving guardians less chance to
participate in typical family life. The child’s condition additionally adds to
their capacity to take an interest throughout everyday life. Families with
impaired kids may likewise encounter negative behaviours from others, including
pity stares and words filled with agony filled sympathy prompting social
prohibition of the entire family, including siblings. The social group to which
the child belong to may have diverse reactions to impairment; the parents may
need to adapt to extra negative beliefs about reasons for impairment and in
addition dealing with the circumstance inside the family.