Question

Mrs. Sullivan, an 82-year-old female with a frequent history of Alzheimer Disease, UTI, fall and combativeness brought by her son and presents to the medical-surgical unit came from E.D. She previously worked as a full-time local administrator at a real estate office for over 50 yrs. Her worsening of her condition in the last 10 months. Various progressive cognitive symptoms such as memory deficits and confusion have rendered her unfit to continue to work. Mrs. Sullivan sought for physical therapy in order to delay the physical progression of the disease. Her chief complaints include mild difficulties with following directions, gait, balance, and being fatigued easily and fell yesterday. She noted that she has stumbled and tripped several times in the past 6 months but was fortunately not hurt and break her hips. She has also noticed the increasing difficulty she is having with fine motor skills such as writing and doing up her buttons when dressing. With the diagnosis of Alzheimer’s Disease, the patient is at an increased risk of various secondary conditions such as HTN, osteoporosis and falls. Create a nursing care plan for Mrs. Sullivan by using this template.

Nursing Diagnosis	Patient Goals	Intervention	Rational	Evaluation
1.	1 2 3 4 5	1 2 3 4 5 6 7 8 9 10

Answer 1

Alzheimer's disease or senile dementia of the Alzheimer's type is a chronic, progressive , and degenerative brain disorder that is accompanied by profound effects on memory, cognition , and ability for self care . *Risk for injury related to impaired judgment, gait instability , muscle weakness * Self care deficit related to memory and neuromuscular impairment.

Nursing interventions with Rational :    * Perform complete nursing assessment to get baseline for the interventions and monitor progression of disease. *Assess neurological status and level of confusion routinely per facility protocol , it help to determine necessary interventions and progression of disease. *Communicate effectively ,speak in slow and low comforting voice ,call client by name , speak face to face. This will help to increase the possibility of the client understanding what is being communicated. * Limit choice for independent decision appropriate to stage of disease progression It help to reducing the clients need for decision making helps reduce frustration and stress. *Orient client to environment as often as needed calendar, pictures. it helps to client feel safer and reassured of their surroundings, promotes awareness of environment. *Provide structured and guided activities that client can accomplish with minimal challenge this helps to keep the mind active and incorporate a sense of accomplishment . *Maintain schedule and routine ,helps to maintain awareness of time and day. *Assist with Activities of daily living ,to prevent accidents. *Provide nutritional diet to reduce fatigue

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