Question

I need nursing care plan for Dementia with two nursing diagnosis

Answer 1

Ans) Dementia nursing diagnosis:

1) Disturbed thought process related to impaired memory

2) Chronic confusion related to disorientation

Expected outcome:

• Patient will have improved thought processing or will be maintained at a baseline level.
• Patient will be aware and oriented if possible, and reality will be maintain at an optimal level.

Nursing intervention:

1) Assess patient’s ability for thought processing every shift. Observe patient for cognitive functioning, memory changes, disorientation, difficulty with communication, or changes in thinking patterns.

Rationale: Assessment helps to obtain baseline data to plan care.

2) Assess level of confusion and disorientation.

Rationale: Confusion may range from slight disorientation to agitation and may develop over a short period of time or slowly over several months. May indicate effectiveness of treatment or decline in condition.

3) Orient patient to environment as needed, if patient’s short term memory is intact. Using of calendars, radio, newspapers, television and so forth, are also appropriate.

Rationale: Reassuring for patients in the very early states who are aware that they are losing their sense of reality, but it does not work when dementia becomes irreversible because the patient can no longer understand reality.

4) Maintain a regular daily schedule routine

Rationale: To prevent problems that may result from thirst, hunger, lack of sleep, or inadequate exercise.

5) Allow patient's to utilize time in work activities

Rationale: Helps in engaging the patient in activities & preventing the disturbance of thought process.

6) Provide positive reinforcement and feedback for positive behaviors.

Rationale: Promotes patient confidence and reinforces progress.

7) Provide opportunity for social interaction, but to do not force interaction.

Rationale: Helps prevent isolation. Forcing interaction usually results in confusion, agitation, and hostility.

8) Help the people closest to identify the risk of hazards that may arise. Keep patient's hazard free.

Rationale: To prevent risk of injury