Developing Nursing Knowledge: Episode of Care and Nursing Interventions

This report analyzes a short essay on nursing care interventions for Alzheimer's disease and depression. It includes an episode of care, identification of two problems, a care plan, and nursing interventions.

Developing Nursing Knowledge

Table of Contents
INTRODUCTION.................................................................................................................................2
MAIN BODY........................................................................................................................................2
Episode of care..................................................................................................................................2
Nursing care interventions:................................................................................................................2
CONCLUSION.....................................................................................................................................3
REFERENCES......................................................................................................................................4
APPENDIX...........................................................................................................................................5
INTRODUCTION
Nursing is a professional practice which involves collaborative and autonomous care
of individuals of all communities, families and ages, whether sick or well. Nursing is a

profession in healthcare which focus on the care of individuals as well as their families for
helping them to maintain their proper health and also to recover from disease or illness
(Cassiani and Lira, 2018). They have wider scope of approaches and practices to medical care
in healthcare providers.
The report will aim to analyse a short essay which comprises of episode of care,
identification of two problems, a care plan and the nursing care which focuses on nursing
interventions.
MAIN BODY
Episode of care
Episode of care refers to the continuous period of nursing care which is provided to a
patient on site for 24 hours. It is considered a part of Hospital provider Care home stay which
is provided under the direct care of a nurse (Sambare and Bozic, 2021). The patient can be a
day care patient, day case patient, outpatient or an inpatient. Every episode is care is initiated
by admission from referral and it ends by the discharge process. It is also referred as the
managed care service which is provided for a particular illness in a particular set time. For
example: An outpatient with an episode is admitted and discharged within a particular
speciality such as physiotherapy episode.
Nursing care interventions:
For Alzheimer disease:
As Mrs Jones have been confused and find it difficult to recognise people sometimes.
She needs helps for doing basic things such as dressing and grooming. These symptoms are
the identified symptoms of impaired memory related to Alzheimer’s disease. It is mostly
common in old people. The disease is evident through the symptoms such as memory loss,
inability to reason, inability to follow simple commands, inappropriate behave when in
people, paranoia, wandering and alternation sin sleeping pattern (Lane, Hardy and Schott,
2018). Most of the symptoms are visible in Mrs Jones as well as in her daughter Anna. Anna
have been seen muttering things to herself. She behave in a strange way and her sleeping
patterns have been disturbed.
For this disease the nursing intervention can involve the use of orientation techniques
such as use of calendars, memo and radio etc. to make the patient self-aware as well as aware
of the surrounding environment. The other intervention can be to make the patient and assist

them in creating a medication box. It will help the patients in reminding them to take their
medicines at the scheduled time (Mathys and et.al., 2019). The patients can be encouraged for
using complementary theories such as massage as they can be very beneficial for stress
release. Stress can enhance memory loss so it needs to be eliminated.
For depression:
Mrs Jones always had the history of depression. After she had lost her husband, it is
possible that she has developed depression again. She cry’s sometimes all by sitting herself
and finds it difficult to speak. Her sleeping pattern has also been disturbed. It has also been
seen that Mrs Jones behaviours sometimes is very disturbing and annoying (Becqué and
et.al., 2019). These symptoms showcase the signs of depression. The nursing interventions
will involve the encouragement in patients to express their feelings through which they are
able to come to different solutions for treatment. Another interventions is activate the self-
help links which will eliminate the feelings of isolation or worthlessness. Another
intervention is to implement the no-suicide protocol. It will reinforce the actions which
patient can take when they feel suicidal.
CONCLUSION
It can be concluded that Episodes of care are the continuous nursing care plan which
starts from admission of a patient and ends by discharge. There are various nursing
interventions which can be taken for Alzheimer’s disease and for depression as per scenario
provided.
REFERENCES
Books and journals:

Avendaño-Vásquez, C.J. and et.al., 2021. Nursing interventions in children living under
armed conflict situations and quality of life: a scoping review. Journal of Pediatric
Nursing. 58. pp.44-52.
Becqué, Y.N. and et.al., 2019. Nursing interventions to support family caregivers in end-of-
life care at home: A systematic narrative review. International journal of nursing
studies. 97. pp.28-39.
Cassiani, S.H.D.B. and Lira, J.C.G., 2018. Nursing perspectives and the “Nursing Now”
campaign. Revista brasileira de enfermagem. 71. pp.2351-2352.
Lane, C.A., Hardy, J. and Schott, J.M., 2018. Alzheimer's disease. European journal of
neurology.
Mathys, H. and et.al., 2019. Single-cell transcriptomic analysis of Alzheimer’s
disease. Nature. 570(7761). pp.332-337.
Mintun, M.A. and et.al., 2021. Donanemab in early Alzheimer’s disease. New England
Journal of Medicine. 384(18). pp.1691-1704.
Sambare, T.D. and Bozic, K.J., 2021. Preparing for an era of episode-based care in total joint
arthroplasty. The Journal of arthroplasty. 36(3). pp.810-815.
Weller, J. and Budson, A., 2018. Current understanding of Alzheimer’s disease diagnosis and
treatment. F1000Research. 7.
APPENDIX
Care plan goals and interventions dementia
Diagnosis Goals and outcomes Interventions Evaluation
Alzheimer disease- Appropriate maintenance of
psychological and mental
Using orientation techniques Orientation techniques can
help in making the patient

Impaired memory
and confusion
functions and reversal of
behaviours
Getting the family to
understand the required care
Attaining functional ability
in the patient at optimum
level with modifications and
alternations in their
environment.
to environment if the short
term memory of service user
is intact through the use of
calendars, notes, television,
newspapers and radio etc.
(Weller and Budson, 2018).
Suggesting the use of
calendar or making
reminder lists
Motivating for the use of
alternative and
complimentary therapies
such as massage and guided
meditation etc.
more self-aware (Mintun
and et.al., 2021).
Use of reminder can help in
reminding of certain actions.
The activities can help in
reducing stress.
Depression
Risk for self-
directed violence
Creating behavioural
manifestation in patient
Reducing self-inflected
harm (Avendaño-Vásquez
and et.al., 2021).
Identification of people
when needed help
Identifying risks of suicide
precautions needed
Checking availability of
required medication
Through providing a
constant supervision a safe
environment can be created.
Ensues the supply of
patients medication for next
3-5 days