Nursing Care plan for alzheimer association

overview of Alzheimer's patients
the disease process
nursing diagnoses
goals short and long-term
rationals
intervention
outcome

Full Answer Section

      Patients with Alzheimer's experience a gradual decline in cognitive function, affecting memory, language, thinking, and behavior. As the disease progresses, individuals may lose the ability to perform everyday tasks, and eventually, the ability to communicate and respond to their environment. The Disease Process Alzheimer's disease is characterized by the formation of abnormal protein deposits in the brain: amyloid plaques and neurofibrillary tangles. These deposits disrupt communication between nerve cells, leading to cell death and progressive brain atrophy. The disease typically progresses through several stages:
  • Early-stage: Mild memory loss, difficulty with problem-solving, and changes in mood or behavior.
  • Middle-stage: Increasing memory loss, challenges with language, and difficulty with daily activities.
  • Late-stage: Severe cognitive impairment, loss of ability to communicate, and dependence on others for basic care.
Nursing Diagnoses Nursing diagnoses for Alzheimer's patients vary depending on the stage of the disease. Common diagnoses include:
  • Impaired memory
  • Risk for injury
  • Impaired verbal communication
  • Impaired physical mobility
  • Disturbed sleep pattern
  • Risk for caregiver role strain
  • Impaired swallowing
Goals: Short and Long-Term Short-term goals:
  • Maintain patient safety
  • Prevent complications (e.g., falls, skin breakdown)
  • Support effective communication
  • Promote independence in activities of daily living (ADLs)
  • Provide emotional support to patient and family
Long-term goals:
  • Optimize quality of life
  • Maintain dignity and respect
  • Prevent complications
  • Support caregiver well-being
  • Facilitate end-of-life care
Rationals Nursing interventions are based on the patient's specific needs, but general rationales include:
  • Safety: Protecting the patient from harm due to impaired judgment and physical abilities.
  • Communication: Facilitating understanding and reducing frustration.
  • Independence: Preserving the patient's ability to perform self-care tasks as long as possible.
  • Quality of life: Enhancing the patient's overall well-being and comfort.
  • Caregiver support: Providing resources and education to caregivers.
Interventions Nursing interventions vary depending on the patient's stage of disease and specific needs. Examples include:
  • Environment modifications: Creating a safe and familiar environment.
  • Memory aids: Using visual cues, calendars, and reminders.
  • Communication techniques: Using simple language, gestures, and touch.
  • Physical assistance: Helping with ADLs as needed.
  • Medication administration: Managing prescribed medications.
  • Caregiver education: Providing information and support.
Outcomes Expected outcomes include:
  • Reduced risk of falls and injuries
  • Improved communication and understanding
  • Maintenance of independence in ADLs
  • Enhanced quality of life for the patient and caregiver
  • Delayed progression of the disease
It's important to note that Alzheimer's is a progressive disease, and outcomes may vary for each patient. Continuous assessment and adjustment of the care plan are essential.  

Sample Answer

     

Overview of Alzheimer's Patients

Alzheimer's disease is a progressive neurodegenerative disorder that gradually destroys memory and thinking skills. It is the most common cause of dementia. While the exact cause is unknown, research suggests a complex interplay of genetic, environmental, and lifestyle factors.