Dementia: Signs, Symptoms, and Nursing Interventions

Running head: DEMENTIA
Name of the Student
Name of the University
Author Note

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DEMENTIA
Introduction:
Dementia is highlighted as the devastating disease which places a significant emotional,
physical and psychological effect on the patient, their care giver and society (Foster et al. 2019).
The essay will focus on an 81 years old man, Alf who was experiencing a late stage of dementia.
The paper will also emphasize the signs and symptoms of Alzheimer's dementia and assists to
examine the skills of a nurse to provide patient care to this patient. Lastly, the paper will discuss
the nursing interventions required for promoting the wellbeing of the patient by incorporating the
concepts of wellbeing promotion as well as recovery.
Discussion:
As discussed by MacFarlane and Stafford (2016), most common cause of dementia is
Alzheimer’s disease which induces damage to the nerve cells of the brain which can be observed
by head injury stroke, brain tumor. The patient with dementia shows a diverse range of
symptoms such as memory loss, lack of problem-solving ability, declined cognitive power and
slurry speech (Dewing and Dijk 2016). To manage the patient with dementia, the evidence-
based person-centered care would be effective to implement by a nurse who would integrate the
physical environment of a patient such as a lifestyle, culture, preference (Ulin et al. 2016). To
promote the patient-centric care, a nurse needs to work with the collaboration of the patient since
every patient has a unique lifestyle, perspective and needs and intervention is required to design
according to it. The incorporation of the family members is also required to make the informed
decision for those patients who have no capacity of making rational decisions for their wellbeing
followed by the Mental Capacity Act 2005 (Dewing, McCormack and Titchen 2015). In this
case, the nurse should ensure that the family and caregiver involve themselves in designing an

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DEMENTIA
appropriate care plan for the patient to the recovery of the patient. As discussed by Ballard et al.
(2018), recovery of a mentally ill patient is to provide psychological, social, physical and
emotional support by promoting best collaboration between caregiver and family which will
further facilitate best possible life.
As observed in this case study, Alf showed a range of different symptoms such as
wandering, confusion, incontinent of urine and feces, mobility issues and all these symptoms is
indicates the emotional, physical and behavioral deterioration of a patient which commonly
referred to the late stage of dementia. In order to provide patient-centric care, it is crucial to
diagnose the patient with ICD 10 which is the 10th revision of the International Statistical
Classification of Diseases and Related Health Problems by the world health organization.
According to Rokstad et al. (2015), ICD10 CM codes F01-F99 are used for mental, behavioral
and Neurodevelopmental disorders and F03 is used for unspecified dementia to evaluate the
physical behavior and cognitive capacity of the patient and confirm it as dementia. As
highlighted by Surr et al. (2016), dementia patients have difficulty in the maintaining meaningful
relationship, have trouble sleeping pattern which exposed them to the high psychological distress
and can be reflected through their frustration, confusion. Rokstad et al. (2015) suggested that
verbal communication and nonverbal therapeutic touch facilitate the wellbeing of the patients
with dementia. Therefore, to support the wellbeing and recovery of the patient, nonverbal
therapeutic touch as nursing intervention would help Alf to reduce pain and emotional distress
(Barbosa et al. 2017). Alf stated about sudden death of his mother and wife which might be the
reason behind his agitation. The validation therapy approach would be the best suitable
intervention which provides an opportunity to show empathy, respect, and sensitivity so that he
can feel valued.