NURSING CARE PLAN

Patient’s initials: G. D Chief Complaint: Visual Hallucinations Level/Block/Group: GROUP 1 (3BSN- 9)

Age & Gender: 79-year-old Male Admitting Diagnosis: Alzheimer’s disease Clinical instructor: Amelita Dumaguin
Birthdate: Date of Confinement: 10/18/2022 Date: 10/18/2022
Address:

NURSING NURSING
ASSESSMENT NURSING ANALYSIS PLANNING RATIONALE EVALUATION
DIAGNOSIS INTERVENTIONS
SHORT TERM INDEPENDENT INDEPENDENT SHORT TERM GOALS
SUBJECTIVE: Impaired memory Alzheimer's disease is GOALS 1. Assess patient’s ability 1. Changes in status may
related to the most common type After 5 days hours for thought processing. indicate progression of FULLY MET
 States that he Alzheimer’s of dementia. It is a of nursing Observe patient for deterioration or
“sees things that disease as progressive disease that After 5 days of
interventions, cognitive functioning, improvement in condition.
aren’t there” evidenced by begins with mild nursing
patient will: memory changes,
 Has trouble hallucination and memory loss and may interventions, the
disorientation, difficulty
figuring out how trouble figuring progress to loss of 1. Verbalize patient:
with communication, or
to use his electric out how to use his ability to converse and awareness of changes in thinking 1. Stated awareness
razor electric razor. respond to the memory problems. patterns.
2. Provide the basis for the of memory
environment.
2. Improve thought evaluation or comparison problems.
Alzheimer's disease 2. Monitor the level of
affects brain regions processing and cognitive disorders such that will come, and
2. Improved thought
that control thought, maintain at a as change to orientation influencing the choice of
processing and
memory, and language. baseline level. to people, places and intervention.
maintained at a
times, range, attention, baseline level.
3. Establish
thinking skills.
methods to help in 3. Reality-orientation
techniques help improve 3. Built a routine that
remembering 3. Orient patient to
patient’s awareness of self helps in
essential things environment as needed, remembering
when possible. especially if patient’s short and environment. It may be essential things as
term memory is intact. reassuring for patients in the
4. Family members very early states who are much as possible.
will exhibit an aware that they are losing 4. Family members
understanding of their sense of reality. displayed
required care and understanding of
demonstrate 4. Suggest the use of a 4. Written reminders can required care and
appropriate coping calendar or making a list help remind the patient of showed appropriate
skills and utilize of reminders. certain actions. coping skills and
community utilize community
resources. resources.
5. Instruct patient and 5. Practice may improve
performance and integrate LONG TERM GOALS
LONG TERM GOALS family in associate-
learning such as practice new behaviours into the
After 3 weeks of FULLY MET
sessions recalling personal patient’s coping strategies.
nursing
intervention, the information, reminiscing, After 3 weeks of
patient will: and locating geographic nursing intervention,
location (Stimulation the patient:
1. Achieve Therapy).
functional ability at 6. Once diagnosis of AD is 1. Achieved
optimum level with 6. Educate family made, the family should be functional ability at
modifications and members in the disease prepared to make long-term optimum level with
alterations within process, what can be plans in order to discuss modifications and
environment to expected, and assist with problems before they arise. alterations within
compensate for providing a list of environment to
deficits. community resources for compensate for
support. 7. Comments from the deficits.
2. Patient’s family patients may involve reliving
will be able to 7. Advice the family in 2. Patient’s family
experiences from previous
access community methods to use with have access to
years and may be totally
resources and make communication with community
appropriate within that
informed choices patient: listen carefully, resources and make
context.
regarding patient’s listen to stories even if informed choices
care, both currently they’ve heard them many regarding patient’s
and for future care. times previously, and to care, both currently
avoid asking questions and for future care.
that the patient may not COLLABORATIVE
be able to answer. GOAL MET
1. To determine presence or
severity of impairment.
COLLABORATIVE
1. Collaborate with
medical and psychiatric
providers in evaluating
orientation, attention
span, and ability to follow
directions, send/receive
communication, and 2. To help with persistent or
appropriateness of difficult problems.
response.

2. Refer for follow-up with

3. To provide restorative or
counsellors, rehabilitation
compensatory training
programs, and other
support group systems.

3. Seek for psychiatric

advices to implement
appropriate memory-
training techniques
(memory cue games,
mnemonic device, etc.)