This nursing care plan includes a diagnosis and care plan for nurses for the following conditions: Dementia
What are nursing care plans?
How do you develop a nursing care plan?
What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Dementia
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
|
A 73 year old female presents to the ER after her neighbor found her lying in her driveway. According to the patient’s neighbor she found the patient lying in her driveway and seemed to be incoherent. On assessment you note a 4×4 skin abrasion on the patient’s right knee from the fall but other than that the patient is okay physically. However, the patient can not recall what she was doing outside or how she fell. When getting a health history from the patient, the patient is not able to recall what medications she takes and rambles between topics. Ten minutes later the patient’s daughter arrives and informs you that her mother has been forgetting things lately and it seems to be getting worst. Last week she stated her mother called her and asked her to take her to the grocery store because she was out of milk. The daughter states she told her mother that they went to the grocery store yesterday and she bought milk. When the daughter arrived to mother’s house to show her she bought milk she found the milk underneath the sink from where her mother misplaced it. The daughter shares she does not want to put her mother in a nursing home but keep her at home for now. Pt VS: HR 80, BP 120/80, O2 Sat. 98% on RA, RR 16, and Temperature 98.6.
|
Nursing Diagnosis: |
|
Impaired memory related to central nervous changes secondary to degenerative brain disease as evidence by reported experiences of forgetting and inability to recall recent events.
|
Subjective Data: |
|
According to the patient’s neighbor she found the patient lying in her drive and seemed to be incoherent. Ten minutes later the patient’s daughter arrives and informs you that her mother has been forgetting things lately and it seems to be getting worst. Last week she stated her mother called her and asked her to take her to the grocery store because she was out of milk. The daughter states she told her mother that they went to the grocery store yesterday and she bought milk. When the daughter arrived to mother’s house to show her she bought milk she found the milk underneath the sink from where her mother misplaced it. The daughter shares she does not want to put her mother in a nursing home but keep her at home for now.
|
Objective Data: |
|
A 73 year old female presents to the ER after her neighbor found her lying in her driveway. On assessment you note a 4×4 skin abrasion on the patient’s right knee from the fall but other than that the patient is okay physically. However, the patient can not recall what she was doing outside or how she fell. When getting a health history from the patient, the patient is not able to recall what medications she takes and rambles between topics. Pt VS: HR 80, BP 120/80, O2 Sat. 98% on RA, RR 16, and Temperature 98.6.
|
Nursing Outcomes: |
| -Pt will identify 3 techniques to improve her memory.-The patient will be free from any injuries while in the hospital.
-The patient will be set up with an agency that provides a 24 hour sitter or caregiver so the patient can continue living at home by discharge. -Pt will be reoriented when confusion presents itself. -The patient will be encouraged to be as autonomous as she can be activities of daily living. |
Nursing Interventions: |
| -The nurse will demonstrated 3 techniques to the patient and daughter on how to improve memory.-The nurse will educate the patient about using the call light for help and utilize the bed/chair alarm.
-The nurse will consult with discharge planning on setting up with an agency that provided 24 hour care givers at discharge. -The nurse will reorient the patient when the patient presents with confusion. -The nurse will encourage the patient to be independent in activities of daily living. |