NURSING CARE PLAN

Name of the Patient: Mr. Macario Age: 72-year-old Sex: Male Name of Student: Marc William Caballero__________
Civil Status: Religion: Rm/Bed No. ________ Area: __________________________ Level/ Block: III-B
Address: Date Submitted: ____________________________________
Date of Admission: Diagnosis: Rating: ________________________________________

CUES NURSING DIAGNOSIS NURSING OBJECTIVES NURSING RATIONALE EVALUATION

Subjective/ Objective INTERVENTIONS
Subjective: Chronic Confusion After 3 hours of dependent Independent Independent After 3 hours of rendering
related to Missing and independent nursing Intervention: Intervention: dependent and independent
 The daughter Important Information interventions, the client will nursing interventions, the
verbalizes that, over secondary to Alzheimer’s be able to:  Establish rapport to the  To obtain trust on the client was able to:
the past year, she has Dementia evidenced by: client and to her client and guardian to
noticed her father has  Remain safe and free guardian allow them be more  Being able to teach the
progressively had  The daughter from harm. comfortable discussing SO and the client about
problems with his verbalizes that, over or raising any issues. the ways they can be
mental capacity. the past year, she has free from harm/injury
noticed her father has  Assess client’s  To determine how the
 The daughter added progressively had  Maintain usual level of learning needs and client will accept and  The client and the SO
that, at times he is problems with his orientation. abilities; note barriers integrate the health verbalize the
alert, and at other mental capacity. in accepting education. understanding about
times he seems information. the techniques to
disoriented,  Understanding the maintain high level of
depressed, and  Determine individuals, family makeup provides orientation.
tearful. family, children information that will
 Mr. Macario reports involved and ages and guide choice of
current circumstances. interventions.
that he has been
 having memory
 Mr. Macario reports problems for the past
that he has been year and, at times, has
having memory difficulty
problems for the past remembering the
year and, at times, names of family
has difficulty members and friends.
remembering the
names of family
members and friends.
Scientific Explanation:
Objective: - Irreversible, long-standing,
and/or progressive
deterioration of intellect and
 Inventory [NPI]) is
personality characterized by
a decreased ability to
interpret environmental
stimuli and decreased
capacity for intellectual
thought processes manifested
by disturbances of memory,
orientation, and behavior
Reference:
Nurse’s pocket guide:
diagnoses, prioritized
interventions, and rationales /
Doenges Marilynn E.,
Moorhouse Mary Frances,
Murr Alice C.—Ed. 13
The family will be able to:
 Verbalize understanding
of disease process,
prognosis, and client’s
needs.
 Identify and participate in
interventions to deal
effectively with situation.
 Determine anxiety
 Provide calm
 Avoid challenging
 Evaluate responses on  A combination of tests
diagnostic (e.g., Confusion The family will be able to:
examinations (e.g., Assessment Method
memory impairments, [CAM], the Mini-  The client and the SO
reality orientation, Mental State show an understanding
attention span) Examination [MMSE], regarding the situation
the Alzheimer’s
Disease Assessment
Scale [ADAS-cog], the  The SO shows and
Brief Dementia demonstrate the
Severity Rating Scale method to deal with the
[BDSRS], or the situation of his father.
Neuropsychiatric
often needed to
complete an evaluation
of the client’s overall
condition relating to a
chronic/irreversible
condition.
level in relation to  That may be indicative
situation and problem of potential for
behaviors
violence.
environment, minimize  that may increase
relocations, eliminate client’s level of
extraneous agitation/confusion.
noise/stimuli
illogical thinking  because defensive
 Discuss nature of reactions may result.
client’s condition
 to promote maintaining
client at highest
possible level of
Dependent Interventions functioning.

 Administer Dependent Interventions

medications, as
ordered [Donepezil  To treatment
(Aricept) 5mg PO/day Alzheimer’s Disease
and Razadyne 8 mg
PO/ once a day]