Nursing Care for Dementia Patient | Assignment
18 Pages5108 Words108 Views
Added on 2020-03-16
Nursing Care for Dementia Patient | Assignment
Added on 2020-03-16
ShareRelated Documents
Running head: NURSING CARE FOR DEMENTIA PATIENTNURSING CARE FOR DEMENTIA PATIENTName of the StudentName of the universityAuthor’s note
NURSING CARE FOR DEMENTIA PATIENT1Table of ContentsIntroduction......................................................................................................................................2Medical history and admission summary........................................................................................3Patients care needs...........................................................................................................................4Managing goals of treatment.......................................................................................................4Treating cognitive symptoms......................................................................................................4Behavioral and psychological symptom management................................................................5Communication and alternative treatments.................................................................................5Holistic assessment methods...........................................................................................................5The Mini Mental State Examination (MMSE)............................................................................6Cornell Scale for Depression in Dementia (CSDD)....................................................................7Alzheimer’s disease Assessment Scale (ADAS).........................................................................7Nursing interventions and implementation in treating dementia patient.........................................8Evaluation of the interventions taken............................................................................................11Conclusion.....................................................................................................................................11References......................................................................................................................................13
NURSING CARE FOR DEMENTIA PATIENT2IntroductionDementia, depression and cognitive problems are few of the prevailing mental disordersaffecting elderly people worldwide. In developed countries, depression in quite prevalent inelderly people and the presence of this disorder depends on the presence of several comorbidphysical problems (Prince et al. 2013). Dementia, as well, is quite prevalent in old aged peopleand co-exists with cognitive disturbance. Presence of depression or other physical disorderscauses such prevalence as cognition impairment affects those patients both physically andmentally. These cognitive impairments are reversible as well as permanent and depending onthis, the depression rates vary (Dupuis et al. 2012). Dementia generally is a brain disorder that affects the mental function of the affectedperson and limits his social capabilities. Dementia is generally of two types reversible andirreversible. Alzheimer’s and vascular dementia are irreversible and has no treatment to cure thedisease (Brooker and Latham 2015). On the other hand, reversible dementia can be treated withproper interventions and nutritional practice. Dementia and depression together affects thepatient adversely and this is the fourth most common cause of death after cardio-vasculardisease, cancer and stroke worldwide (Jung 2015). This critical analysis talks about a patient X, who is 76 year old and is suffering fromdementia, depression, hyperlipidemia, coronary artery disease, agitation and hallucinations. He isnot been able to move around the care home and having issues of sleeping as well. In the light ofthis case study, patient’s medical history and admission summary, patients care needs, holisticassessment of problems, nursing interventions and its implementations are going to be discussedin the further discussion with the support from a range of literatures.
NURSING CARE FOR DEMENTIA PATIENT3Medical history and admission summary Mr. X (76) has been admitted to the care home one week back. He is suffering fromvascular dementia with depression and was admitted to hospital from where; he has been takento the care home. Hospital physicians and nurses tried to help and support him to remain him inhis own home. However, due to his chronic level of dementia, hypertension, disorientation,failing memory and lack of understanding of risk factors present in his home his family took himto this care home. According to his family members, he is kleptomaniac and therefore hesitatesto socialize with people. He is having short-term memory loss and speaking imparities thereforehis family member wanted him to shift to this care home. At the time of his admission, he hadhigh Blood Glucose Level (BGL), mild fever (38.5-38.9 degree C) and high blood pressure(180/120). His respiration rate was normal and was 18-20 respirations per minute. According to his past medical history, the patient is suffering from Coronary ArteryDisease (CAD) and has two major surgeries done for his heart. The first one is Coronary ArteryBypass Graft (CABG) to remove the plaque from his arteries back in 2012 and the secondsurgery to replace his failing aortic valve (Aortic Valve replacement) in 2014. He is havinghyperlipidemia and hence having loss of appetite. He is unable to move from one place toanother and need assistance to reach bathroom or other places. He is unwilling to take showerand hence hygiene is a major issue for the nursing caretakers. He is not been able to complete theinstrumental activities of daily living (IADL) and feels depressed about it. Physicians hasprescribed him anti-depressants to control his agitation, frustration and anger. However, due tohis cognitive loss, he is unable to take medicine on time.
End of preview
Want to access all the pages? Upload your documents or become a member.
Related Documents
Use of Music Therapy in Dementialg...
|6
|1866
|57
Mental Health Case Studylg...
|5
|1561
|386
Nursing Intervention in Geriatric Dementia Managementlg...
|8
|2979
|42
Pharmacology: Connection to Nursinglg...
|13
|3871
|90
Dementia- Case of Amandalg...
|3
|953
|67
Nursing Assignment: Care Process for an Aged Patient with Physical and Mental Disabilitieslg...
|10
|2831
|472