Sunday, March 27, 2011

Nursing Diagnosis and Nursing Interventions for Alzheimer's Disease

Nursing Diagnosis for Alzheimer's Disease
  1. The risk of changes in nutritional patterns : less / more needs relate to:
    • Sensory changes
    • Damage assessment and coordination
    • Agitation
    • Easy to forget, setbacks hobby and concealment

  2. Changes in the pattern of elimination of constipation / incontinence related to :
    • Loss of neurological function / muscle tonus
    • The inability to determine the location of the bathroom / identify needs
    • Changes in diet or food intake.


Nursing Interventions for Alzheimer's Disease
  1. The risk of changes in nutritional patterns : less / more needs relate to:
    • Sensory changes
    • Damage assessment and coordination
    • Agitation
    • Easy to forget, setbacks hobby and concealment

    Nursing Intervention :
    • Determine the number of exercises / steps that patients do
    • Try to provide a snack each about an hour as needed
    • Who freely give time to eat
    • Collaboration
      • Refer to consult with a nutritionist: Identify the need to help formulate individual education plan
      • Nutrient inputs may be necessary to meet the needs of a close touch with individual calorie adequacy
      • Large amounts of food may be too much for the patient which resulted in difficulty in swallowing. Snacks can increase the input accordingly. Restricted amount of food they attempted only once when giving patients will decrease confusion about which foods selected.
      • The relaxed approach helps digestion of food and reduce the possibility that sparked angry crowd
        Assistance may be needed to develop a balance diet individually to find the needs of patients / preferred food

  2. Changes in the pattern of elimination of constipation / incontinence related to :
    • Loss of neurological function / muscle tonus
    • The inability to determine the location of the bathroom / identify needs
    • Changes in diet or food intake.


    Nursing Intervention:
    • Review the previous pattern and compare it with the current
    • Put a bed with a bathroom if possible make a certain sign of a special coded door.
    • Give a certain enough light at night
    • Create a training program defecation / bladder. Increase the participation of patients according to their ability level
    • Encourage adequate menu during the early morning, high-fiber diet of fruit juice. Limit drinking at dusk and bedtime
    • Collaboration
      • Give a moisturizer drug stool, metamacil, glycerin suppositories as indicated Provides information about changes that may require further assessment / intervention
      • Improve orientation / discovery bathroom. Incontinence may be accompanied by an inability to find a place to urinate
        Stimulating awareness of patients, improve body function regulation and help avoid accidents
      • Reduce the risk of constipation / dehydration. Restrictions on the evening drinking in the evening to reduce frequent urination / urinary incontinence at night
      • May be required to facilitate / stimulate the detection of regular.

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