Disturbed Thought Processes - NCP Dementia


Nursing Diagnosis : Disturbed Thought Processes - Dementia Care Plan

Definition: Disruption in cognitive operations and activities.

Dementia is a term that describes a collection of symptoms that include decreased intellectual functioning that interferes with normal life functions and is usually used to describe people who have two or more major life functions impaired or lost such as memory, language, perception, judgment or reasoning; they may lose emotional and behavioral control, develop personality changes and have problem solving abilities reduced or lost.

There are many different causes of dementia, the most common being degenerative neurological diseases, such as Alzheimer's disease, Parkinson's disease, Huntington's disease, and some types of multiple sclerosis. Alzheimer’s disease is the most common, causing fifty percent of all dementia. Other common causes are vascular disorders - such as multiple-infarct dementia, which is caused by multiple strokes; infections - such as HIV dementia complex and Creutzfeldt-Jakob disease, chronic drug use, depression, and types of hydrocephalus - an accumulation of fluid in the brain caused by developmental abnormalities, infections, injury, or brain tumors.

Nursing Interventions :

1. Clients can build a trusting relationship

Expected outcomes:
  • Clients show a sense of fun, friendly facial expression, like shaking hands, making eye contact, sitting side by side.

Interventions :
  • Greet clients well, verbal and non-verbal.
  • Introduce yourself politely.
  • Explain the purpose of the meeting.
  • Honest and keeping promises.
  • Show empathy and accept clients with what it is.
  • Pay attention to the client, and note the basic needs.

2. Clients are able to know / oriented towards people's time and place

Expected outcomes:
  • Clients are able to mention which people around him,
  • Clients are able to mention the day and place the visit.

Interventions :
  • Give the patient the opportunity to get to know the personal belongings, such as a bed, dresser, clothes etc..
  • Give the patient the opportunity to get to know the time using the clock, a calendar that has a sheet with a big day.
  • Give the patient the opportunity to mention his name and family members.
  • Give the opportunity for clients to know where he is.
  • Give praise, if the patient can answer correctly.

3. Patient are able to do daily activities optimally.

Expected outcomes:
  • Patient are able to meet their daily needs independently.

Interventions :
  • Observation of the patient's ability to perform daily activities.
  • Give the patient the opportunity to choose activities that can be done.
  • Help the patient to perform activities that have been chosen.
  • Give praise, if patients can do their activities.
  • Ask the patient's feelings, if able to do activities.
  • Together with the patient, create a schedule of daily activities.

4. Families of patients were able to orient the patient to time, person and place.

Expected outcomes:
  • Families are able to give precise guidance about the time and place and the people around him and the family is able to provide a good attitude to clients.

Interventions :
  • Patient's family, was able to orient the patient to time, person and place.
  • Discuss with the patient's family, ways of orienting time, people and places to the patient.
  • Encourage the family to provide a clock, a calendar with writing great.
  • Discuss with the patient's family, who once owned the ability of the patient.
  • Encourage the family to give praise to the abilities that are still owned by the patient.
  • Encourage the family to monitor the daily activities of patients according to the schedule have been made.
  • Encourage the family to praise, if the patient carried out in accordance with the schedule of activities that have been made.

5. The patient's family can provide the tools needed by the patient to do reality orientation.

Expected outcomes:
  • Clients can / afford things or something that have or are experiencing.

Interventions :
  • Providing the tools needed to conduct patient-oriented.
  • Encourage families to help patients perform activities according to capabilities.

6. Families of patients able to assist patients in performing day-to-day of activity,
  • Families of patients able to assist clients in the activities and guiding clients well.

Interventions :
  • Assist patients in performing day-to-day of activity.
  • Encourage the family to help the elderly carry out activities in accordance capabilities.
  • Help the patient's family, choose the capabilities that made ​​the patient at this time.

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