Question

A male in his 80s was referred for an evaluation. He had previously been diagnosed with...

A male in his 80s was referred for an evaluation. He had previously been diagnosed with Alzheimer’s dementia. At the time of evaluation, he was living at home with assistance from his family and caregiver. He is now unable to learn most any new information, and long-term memories are also weak (sometimes forgetting who his wife and children are). He is sometimes hard to understand due to slurring of words, and he appears to see people who are not in the room. He is needing help in bathing, dressing, cutting his own food and using of toilet. Due to falls, he is usually transported via wheelchair.

During the evaluation, he was unable to state his age, the current month, the current year, and the city where he’s located. He can read a list of 3 words but could not remember any of them after just 1 minute.

Cholinesterase inhibitors and Memantine are administered. His family noted that they are struggling to provide care to him, and they asked whether it would be appropriate to consider moving him to a residence with a memory care unit.

1. Create 3 Nursing Diagnosis, with Nursing Intervention and Expected outcomes based on the case scenario.

Homework Answers

Answer #1

Answer =

* Nursing Diagnosis =

1. Risk for injury due to loss of cognitive abilities .

2. Insomnia and mentally disturbance to disease process.

3. Caregiver role strain related to physical needs and behaviour menifestations of the disease process.

* Nursing Intervention =

a - Improving cognitive response = Simplify the environment - reduce the noice and social interaction with patient.

- Maintain a structured routinne and use the picture for understanding the patient activities.

- Encourage active participation in care as tolerated and provide positive feedback for task that are finsihed.

b. Preventing injury =

- Avoid restraints but maintain observation of the patient as necessary .

- Provide for adequate lighting to avoid misinterpretation of the environment.

- Remove unneeded furniture and equipment from the room.

c. Ensuring Adequate Rest =

- Attempt to limit the use of medication that act on CNS such as anxiolytic and antipsychotic tablets.

- Provide periods of physical exercise to expend energy.

- Support normal sleep habits and bedtimes rituals .

- Maintain quiet, relaxing environment to avoid confusion and agitation.

d. Supporting Caregiver =

- Encourage caregiver to discuss feeling .

- Enncourage caregiver to maintain own health and emotional well being.

- Stress the need for relaxation time or respite care .

- Support the patient and place the patient in long term care facility.

* Evaluation and Expected outcome =

-Remains the patient free from injury .

- Participates in activity of daily living without any resistance .

- Sleep the patient for 6-8 hour in night and 1-2 hour in a day time.

- Record the patient activity and also report for community resources .

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Case Scenario # 5 An 82-year-old male patient, recently diagnosed with Alzheimer’s disease, has been admitted...
Case Scenario # 5 An 82-year-old male patient, recently diagnosed with Alzheimer’s disease, has been admitted to the hospital for pneumonia. The patient’s oldest daughter visits and expresses her concern to you that her father will have to move in with her family so she can take care of him. Her mother passed away 5 years ago, and her father has been living on his own since that time; however, his Alzheimer’s disease is progressing and he needs assistance. It...
Jeff is a 7 year old orphan boy from China. He has been in the orphanage...
Jeff is a 7 year old orphan boy from China. He has been in the orphanage since the age of 2. He was sent to the orphanage at this time as he began to experience severe seizures ranging from a few seconds to several minutes. He received several surgeries in China to correct the seizures, but was unable to be helped. He was placed on anti-seizure medication, but due to poor medical resources, the medication treatment was outdated and he...
Bob has been active all of his life. He played soccer from elementary school all the...
Bob has been active all of his life. He played soccer from elementary school all the way through college. He even played on a community team but now at age 45, he’s been diagnosed with high blood pressure (hypertension). At times he ate too much junk food and occasionally drank too much alcohol but he couldn’t get around the fact that the men in his family all had high blood pressure. Dr. Miller, Bob’s primary care physician, had to prescribe...
CH 23 Case Study on Neurocognitive Disorders Jack and Margaret have had the same family physician...
CH 23 Case Study on Neurocognitive Disorders Jack and Margaret have had the same family physician through the last 22 years of their marriage, ever since they moved to Santa Fe, where Jack is an artist. “We came here so Jack could pursue his painting,” Margaret says. “He’s a wonderful artist, and for years he was a wonderful dad. When our youngest child finally left the nest, we decided it was time for an adventure. We moved to Santa Fe,...
medical terminology) case study for patient case find all medical terms and defined them. Introduction: The...
medical terminology) case study for patient case find all medical terms and defined them. Introduction: The patient Mr. J, a 58 years old African-American, admitted in the Emergency Department with complaints of loss of balance followed by the altered level of consciousness (ALOC), left-sided hemiparesis, dysarthria, and facial droop. He denied chest pain, visual disturbances, cephalalgia, trauma, bowel incontinence, urinary incontinence, etc. He had stable vital signs except blood pressure of 150/90 mm of Hg, indicating hypertension. After necessary diagnostic...