Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Intervention Alzheimer's Disease

Alzheimer's disease (AD), also known as Alzheimer disease, or just Alzheimer's, accounts for 60% to 70% of cases of dementia. It is a chronic neurodegenerative disease that usually starts slowly and gets worse over time.

The cause of Alzheimer's disease is poorly understood. About 70% of the risk is believed to be genetic with many genes usually involved. Other risk factors include a history of head injuries, depression, or hypertension.

In the early stages the symptoms of Alzheimer's disease can be very subtle. However, it often begins with lapses in memory and difficulty in finding the right words for everyday objects.

Other symptoms may include:
  • Persistent and frequent memory difficulties, especially of recent events
  • Vagueness in everyday conversation
  • Apparent loss of enthusiasm for previously enjoyed activities
  • Taking longer to do routine tasks
  • Forgetting well-known people or places
  • Inability to process questions and instructions
  • Deterioration of social skills
  • Emotional unpredictability
Symptoms vary and the disease progresses at a different pace according to the individual and the areas of the brain affected. A person's abilities may fluctuate from day to day, or even within the one day, becoming worse in times of stress, fatigue or ill-health.


Nursing Diagnosis and Nursing Intervention Alzheimer's Disease

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.



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.
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