Nursing Care Plan
Nursing Diagnosis
1. Impaired communication
related to Alzheimer’s
disease
Subjective:
o Pattern of communication
as described by the
patient, care provider, or
family
o Does the client have
trouble hearing?
o Is there any related factors
such as lack of privacy, not
enough time to gather
thoughts or ask questions,
need for significant other
or familiar face, pain,
stress, or fatigue?
Objective:
o Ability to form words
o Speech pattern
o Ability to comprehend
o Ability to form sentences
o Maintain eye contact
o Hearing loss
o Physical barriers
o Affect or manner
Goal Interventions (3)
(Reference)
o Patient is able to o Create atmosphere or acceptance
express basic and privacy
physiological needs o Provide nonrushed environment
(activity of daily living/ o Use technique to increase
ADL) understanding
o Patient can freely  Face the client and establish eye
express feelings contact if possible; call the patient o communication is the core
by name
 Use uncomplicated one-step
commands and directives
 Have only one person talk
 Encourage the use of gestures and
pantomime
 Match words with action
o Speak in calm and low voice
o Observe for anxiety – wringing
hands, pacing, darting eye
movements – alter your approach to
decrease anxiety
o Repeat explanations in simple terms o look at the client when
o Assists patient on activities of daily
living on schedule such as meals,
bathroom times, out of the bed
activities
Rationale Evaluation
(Reference)
o the nurse should make any o Patient maintains eye
attempt to understand the contact during
client. Each success, communication
regardless of how minor, o Patient frequently smiles
decreases frustration and o Patient occasionally form
increases motivation understandable words or
sentences
all human relations. o Patient can follow simple
Impaired ability to instructions when called
communicate by name
spontaneously is o Patient is calm manner
frustrating and o Patient doesn’t have any
embarrassing. Nursing physical barrier that
actions should focus on preventing
decreasing tension and communication
conveying understanding
of how difficult the
situation must be for the
client
speaking, enunciate words
and speak slowly
1

Nursing Diagnosis
2. Chronic confusion related
to Alzheimer’s disease
Subjective:
o Information from
caregivers and family
members
o Patient’s statements
regarding surrounding
Objective:
o Patient’s orientation
o Ability to identify
environment
o Respond to verbal stimuli
o Patient’s ability to do
activities of daily living
o Patient ability to move
without instruction or
assistance
Nursing Care Plan
Goal Interventions (3) Rationale Evaluation
(Reference) (Reference)
o Safety for the patient o Observe the client to determine o Baseline behavior can be o Patient is on routine
from getting lost, baseline behaviors used to develop a plan for schedule of meals,
falling, or injured  Best time of the day activities and daily care restroom breaks,
o Emotional support  Response time to a simple routines recreation activities
o Environmental question o Alzheimer’s disease-related o Patient can maintain good
management to  Amount of distraction tolerated dementia affects eye contact
prevent confusion,  Signs/ symptoms of depression communication abilities o Patient’s bed is on the
unfamiliar change  Routine o Confused persons are at lowest height to reduce
o Fall prevention o Promote the client’s sense of high risk for injury injury from falling
o Calming technique is integrity o Consistency can reduce o Patient uses wheelchair
provided when the  Adapt communication to the confusion and increase for mobility
patient needs it comfort o Patient is wearing
client’s level (avoid “baby talk”,
o Adequate assistance o Attempting to perform identification band
use simple sentence. If the client
on activities of daily functions that exceed o Patient is scheduled with
doesn’t understand, repeat the
living cognitive capacity will result the same caregivers
sentence using the same words)
in fear, anger, and o Patient is communicating
 Use positive statements; avoid
frustration during care treatments or
“don’ts”
o Fatigue can increase when are talked to
 Unless a safety issue is involved,
confusion
do not argue
 Avoid general questions; avoid the
questions you know the client
cannot answer
 Be sensitive to the feelings the
client is trying to express
 Use touch to gain attention
 Maintain good eye contact
o Promote client’s safety
 Ensure that patient carries
identification
 Adapt the environment so the
client can pace or walk if desired
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 Nursing Care Plan

 Keep the environment

uncluttered
o Music therapy, recreation therapy,
remotivation therapy, reminiscing
therapy
o Plan and maintain a consistent
routine
 Attempt to assign the same
caregivers
 Elicit from family members
specific methods that help or
hinder care
 Arrange personal care items in
order of use
 Determine a daily routine with
the client and family
 Write down the sequence for all
caregivers
o Focus on the client’s ability level
 Do not request performance of
function beyond ability
 Modify environment to
compensate for ability
 Offer simple choices
o Minimize fatigue
 Provide rest periods
 Incorporate regular exercise in
the daily plan
 Be alert to expressions of
fatigue and increased anxiety;
immediately reduce stimuli

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 Nursing Care Plan

Additional Nursing Diagnosis Related to Alzheimer’s Disease

3. Impaired memory
4. Ineffective coping
5. Impaired environmental interpretation syndrome
6. Risk for injury
7. Impaired memory
8. Chronic sorrow
9. Impaired urinary elimination
10. Wandering
11. Impaired Home Maintenance