Question

I am working in a paper for my clinical class -nursing

i need to do the nursing process for a resident that lives in a nursing home with dementia with disturbance . Assessment:

Diagnoses:

planning:

implementation

evaluation

Answer 1

Nursing process for dementia with disturbance.

Nursing assessment

• determine self care abilities.
• Track cognitive status over time using standard measurement tools.
• Assess the risks to personal safety.
• Assess the aptitude and extent of support available for caregivers.

Nursing Diagnosis

1.Diagnosis : Risk for injury related to cognitive impairment and wandering behaviour

Outcomes: patient will remain from environmental threats.

Implementation: ● Promoted physical activity during day time.

● Informed  the neighbors about the wandering behaviour of the patient .

● assessed the community for safety.

Evaluation - Safety precautions and continuous monitoring maintained throughout.

2.Diagnosis: Impaired communication related to cerebral impairment.

Outcomes: Develop verbal and non verbal communication in agreement with that of the patient.

Implementation: ●spoke in a slow pace with clarity using simple words.

● concentrated on a single topic while communicating with the  patient.

● whenever the patient feels uncomfortable with the topic,shifted the topic  to a safer one.

Evaluation- decreased anxiety and improved the secured feeling in the patient.