Alzheimer’s Disease: Assessment and Intervention

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Patient Initials: E. W.

Patient Need/Problem: Persistent Forgetfulness, Poor Memory

Nursing Diagnosis: Alzheimer’s Disease

Assessments Goals Evaluation Interventions Rationales
The patient under consideration presents with memory loss, confusion, decreased attention span, and a strong tendency to misplace various items. In addition, the patient seems unable to focus on the thread of the conversation for an extended period and often changes the topics when talking. The husband reports that the patient often wanders at night. To develop a routine for the patient and her caregiver, her husband, to alleviate any problems stemming from her forgetfulness and lack of focus and prevent potential harm. The interview evaluation of the patient indicates that she has early-stage Alzheimer’s disease. Several interventions can be proposed to address the patient’s symptoms. The patient can be prescribed medication, for example, cholinesterase inhibitors, in order to slow the progression of memory loss. Furthermore, physical exercise, a nutrient-rich diet, and social engagement are recommended for the patient. Reminiscence therapy is advised to support memory retention. Alzheimer’s is a highly progressive neurological condition that remains irreversible. Therefore, it is imperative to prescribe medications that can reduce the symptoms and develop a plan of support for the patient and their caregivers.

Considering that the patient remains highly mobile and wanders at night, it is important to ensure her safety. The caregiver is recommended to install safety locks and alarms on all doors and windows to prevent the patient from leaving the apartment without supervision. Furthermore, all medications, alcohol, and sharp objects should be kept under lock when not in use. It is imperative that the apartment is kept clean and not cluttered to prevent tripping and falling. In addition, a daily routine should be developed and displayed in an accessible place to remind the patient. As mobility may decline with the progression of Alzheimer’s, regular physical exercise is recommended. It can be supervised by the caregiver to reduce the risk of injury.

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