Risk for Injury and Disturbed Thought Processes - NCP for Alzheimer's Disease

Nursing Care Plan for Alzheimer's Disease

Alzheimer's disease is the most common type of dementia.

The exact cause of Alzheimer's disease is unknown, although a number of things are thought to increase your risk of developing the condition. These include:

• increasing age
• a family history of the condition
• previous severe head injuries
• lifestyle factors and conditions associated with cardiovascular disease

The first sign of Alzheimer's disease is usually minor memory problems. For example, this could be forgetting about recent conversations or events, and forgetting the names of places and objects.

As the condition develops, memory problems become more severe and further symptoms can develop, such as:

• confusion and disorientation
• personality changes, such as becoming aggressive, demanding and suspicious of others
• hallucinations (seeing things that are not there) and delusions (believing things that are untrue)
• problems with language and speech
• problems moving around without assistance

Nursing Diagnosis and Interventions for Alzheimer's Disease

Nursing Diagnosis for Alzheimer's Disease : Risk for Injury

related to:

• Unable to recognize / identify hazards in the environment.
• Disorientation, confusion, impaired decision making.
• Weakness, the muscles are not coordinated, the presence of seizure activity.

Nursing Intervention for Alzheimer's Disease

• Assess the degree of impaired ability of competence emergence of impulsive behavior and a decrease in visual perception.
• Help the people closest to identify the risk of hazards that may arise.
• Eliminate / minimize sources of hazards in the environment
• Divert attention to a client when agitated or dangerous behaviors like getting out of bed by climbing the fence bed.

Rational:

• Impairment of visual perception increase the risk of falling. Identify potential risks in the environment and heighten awareness so that caregivers more aware of the danger.
• An impaired cognitive and perceptual disorders are beginning to experience the trauma as a result of the inability to take responsibility for basic security capabilities, or evaluating a particular situation.
• Maintain security by avoiding a confrontation that could improve the behavior / increase the risk for injury.

Nursing Diagnosis for Alzheimer's Disease : Disturbed Thought Processes
related to :

• Irreversible neuro degeneration
• Memory Loss
• Psychological Conflict
• Deprivation lie

Nursing Intervention for Alzheimer's Disease

• Assess the level of cognitive disorders such as changes orientasiterhadap people, places and times, range, attention, thinking skills.
• Talk with the people closest to the usual behavior change / length of the existing problems.
• Maintain a nice quiet neighborhood.
• Face-to-face when talking with patients.
• Call patient by name.
• Use a rather low voice and spoke slowly in patients.

Rational:

• Provide the basis for the evaluation / comparison that will come, and influencing the choice of intervention.
• Noise, crowds, the crowds are usually the excessive sensory neurons and can increase interference.
• Cause concern, especially in people with perceptual disorders.
• The name is a form of self-identity and lead to recognition of reality and the individual.
• Increasing the possibility of understanding.

Source :
http://nursingdiagnosis-nursinginterventions.blogspot.com/2011/06/nursing-diagnosis-and-nursing_16.html