Nursing Care Plan for Dementia
Dementia is a decline in intellectual functioning which leads to loss of social independence. (William F. Ganong, 2010)
Nursing Diagnosis for Dementia : Altered Thought Processes related to physiological changes (irreversible neuronal degeneration),
characterized by: loss of memory, loss of concentration, not able to interpret the stimulation and assess reality accurately.
Goal: The client is able to recognize a change in thinking.
with outcomes:
- Able to demonstrate the cognitive ability to undergo the consequences of stressful events on the emotions and thoughts of suicide.
- Able to develop strategies to overcome negative self assumption.
- Being able to recognize behavior and the causes.
Interventions :
- Develop a supportive environment and client-nurse relationships are therapeutic.
- Maintain a pleasant and quiet environment.
- Face-to-face when talking to clients.
- Call the client with the name.
- Use a rather low voice and speak slowly on the client.
- Reduce anxiety and emotional.
- Noise is a sensory overload, which increases neuronal disorders.
- Cause concern, especially in clients with perceptual disorders.
- The name is a form of identity and lead to the introduction of reality and clients.
- Improve understanding. Speech high and hard to cause stress which sparked angry confrontations and response.
Nursing Diagnosis for Dementia : Disturbed Sensory Perception related to changes in perception, transmission or sensory integration (neurological disease, is not able to communicate, sleep disorders, pain),
characterized by: anxiety, apathy, anxiety, hallucinations.
Goal: Change the client sensory perception can be reduced or controlled
with outcomes:
- Decreased hallucinations.
- Developing strategies for reducing psychosocial stress.
- Demonstrating appropriate response stimulation.
- Develop a supportive environment and nurse-client relationship are therapeutic.
- Help clients to understand hallucinations.
- Assess the degree of sensory or perceptual disorders and how it affects the client, including a decrease in vision or hearing.
- Teach strategies to reduce stress.
- Take a simple picnic, walk around the hospital. Monitor activity.
Rational :
- Improve comfort and reduce anxiety on the client.
- Improving coping and decrease hallucinations.
- Involvement of the brain showed asymmetric problems cause the client to lose the ability on one side of the body.
- To reduce the need hallucinations.
- Picnic shows the reality and provide sensory stimulation lowers suspicious feelings and hallucinations caused feeling confined.