Question

Create a Care Plan for: 84 yr old female with past medical history of vascular dementia HTN, aortic stenosis, CAD s/p AVR and CABG (3/11/16) with recent admission (8/28/2020) and (09/02/2020) for agitation presenting to ED for agitation. Patient states that she is confused as to why she is in a the ED because she doesn't feel sick, but according to the EMS report, her daughter called the EMS as she was concerned about aggressive behavior toward her father. Patient is frustrated that she is back in the ED against her will and states that her daughter is "not with me" and denies daughter's claims. Per last admission the patient was deemed to have full capacity and discharged home on new seroquel rx per psych. She went home with an HHA that she states "stole her pills "and she does not get along with the HHA, although she is able to preform from ADLs and take her medications without assistance from HHA. Here as a social admit, pending dispo.

Medications

aspirin, 81mg, oral, daily.

atorvastatin, 40mg, oral, nightly.

enoxaparin, 40mg, subcutaneous, daily

furosemide, 40,g,oral, daily.

metoprolol succinate er, 25mg, oral, daily.

quetiapine, 100mg ,oral, nightly.

sertaline, 150mg, oral, daily

Answer 1

nursing diagnosis	goal	interventions	evaluation
disturbed thought process related to aging and chemical changes in the brain	Patient will have appropriate thought process within 48 hours and	>assess the cognitive function, memory changes and orientation of the patient every hour to know the progress or deterioration of her thought process >Assess the elvel of confusion and agitation hourly to evaluate the progress > Orient the client to placr , person, time, and environment to help improving awareness about reality. > Provide positive feedback or reinforcements for good behaviours to promote the confidence and cooperation > Provide calm environment and social interactions to ptrevent agitation and isolation	Goal met. Patient is no more agitated or confused