Nursing Care Plan for Alzheimer’s disease NURSING DIAGNOSIS OBJECTIVES NURSING INTERVENTIONS RATIONALE EVALUATION Short term goal: 1. Evaluate client’s level of - This is to assess the degree Within the whole duration of RISK FOR INJURY competence and ability to of risk for injury of client and nursing care, client should be Within the whole duration of participate in preventive aids in detecting what free from any sorts of injury. Possible Etiologies: (Related nursing care, the client will measures. appropriate measures you will to) be free from injury. include in the plan of care. After 2 weeks of nursing care, 2. Adapt communication to -Communicating with the client should have Disorientation to time and Long term goal: the level of client and speak client in this way promotes demonstrated behaviours like place with the client using slow pace positive atmosphere and a enhanced memory and Confusion (wandering at After 2 weeks of nursing and simple words while relaxed pace for learning. orientation to time, place and night) care, the client will be able to maintaining a firm volume and significant person, and ability Forgetfulness and increased demonstrate behaviors that low pitch. -Some personality changes to participate in doing self- memory loss protect self from injury and may occur in client’s with care and other activities of Presence of motor will have reality orientation 3. Observe for nonverbal Alzheimer’s such as irritability, daily living with minimal disturbance i.e. apraxia necessary in learning/ behaviours and intervene if suspiciousness, and assistance in a safe retaining essential aspects in client becomes angry or indifference. This would also environment. Defining characteristics: daily living. aid in reducing demands on hostile by decreasing stressful (Evidenced by) client. stimuli and approaching client *Not Applicable in calm, reassuring manner. -These measures are 4. Frequently reorient of time, necessary in enhancing place, date, and person; place client’s memory. a clock and a calendar in his room; allow him to reminisce; and repeat instructions as necessary. 4. Assess environment for -This will provide information on what safety devices are potential factors indicating necessary to be instituted. risk for injury like dim lighted room, absence of hand rails, slippery floor, and high bed. -These measures minimize 5. Provide adequate lighting, client’s misperception of his reduce client’s bed to lower environment and his risk for position, put necessary injury. devices in aiding client’s mobility around the house and remove harmful objects - Client’s with Alzheimer’s disease are sometimes like slippery rug etc. confused making them 6. Ensure that client cannot wanders without valid reason (especially during night time); leave the premises without this will avoid the client from being noticed; provide an being missing or face identification bracelet or tag accidents outside the for the client to wear at all institution. times. - Providing health teachings 7. Educate family members regarding client’s condition and care giver of client’s could assist family members in understanding the condition and how to deal and manifestations elicited by the care the client; the need for client and would reassure safe environment; how to them that peculiar personality communicate with the client; changes and increasing and measures that enhance memory loss is part of this memory. condition; it would aid them cope and take care with the client at home upon discharge.
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