Nursing Diagnosis
The patient is suffering from Alzheimer’s dementia. The patient is experiencing some of the symptoms from the condition which include impaired social interaction, chronic confusion, and impaired cognition.
Short-term Goal with Rational
The short-term goal of the treatment is to have minimal confusion, minimal cognitive impairment, improved social interaction, and minimal dementia manifestations one month after treatment. The patient has been experiencing these symptoms and this interferes with their daily functioning. The rationale for the immediate goal is that the patient should experience a reduction in these symptoms in order to resume their normal functioning.
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Long-term Goal with Rational
The long-term goal of the treatment is to maintain their psychological and mental function for a prolonged time and to experience normal functioning one year after the interventions. The patient has been experiencing several symptoms as a result of the disorder. The rationale for the long-term goal is that the patient should experience a complete recovery by having their psychological and mental functioning resumed to normal.
Interventions with Rational
The interventions for the patient were identified as follows:
Identify and limit stimuli that could result in symptoms of chronic confusion and cognitive impairment and identify alternative stimuli that would reduce the symptoms. The patient has been experiencing various symptoms which could be caused by stimuli that reinforce the symptoms. The rationale for the intervention is that the use of positive stimuli for the patient will be used to alleviate their symptoms.
Identify family members and social support system for the patient and ask the family members to provide social support and facilitate community services and long-term care facilities. The patient has been experiencing several challenges with social interaction. Strong family support can help improve their social interaction. Family support can create a positive environment that fosters long-term improvement and care.
Make use of cognitive-behavioral therapy as an effective treatment option for patients experiencing cognitive challenges and symptoms with dementia. Cognitive Behavioral Therapy (CBT) has been found to be an effective treatment for dementia (). Its application should help the patient with cognitive impairment and confusion.
Implementation
The steps to carry out the implementation based on the interventions will be carried out as follows:
Monitor the stimuli that result in stimuli and note the effects of the application of positive stimuli on the patient’s symptoms.
Educate family members on the importance of social support and caring for the patient and motivate them to provide adequate health management practices such as follow-up and adequate care.
Contact a professional therapist, monitor the progress of the patient with the therapy program and contact the patient for follow-up regarding cognitive-behavioral therapy.
Evaluation
Evaluation of short-term Goal
Collect data regarding dementia symptoms and compare the data with the expected outcomes. Modify the treatment based on based on the outcome of the patient after one month of observation.
Evaluation of long-term Goal
Conclusions about the health status of the patient will be drawn and the effectiveness of the treatment approach identified. A continual approach will be applied through modification of the treatment or terminating the nursing care plan to realize a long-term effectiveness.
Evaluation of interventions
Monitor and record data regarding positive and negative stimuli that will either increase or reduce symptoms.
Interview the family concerning their interaction with the patient in order to analyze various dementia-related symptoms.
Use questionnaires directed to the behavioral therapist and the patient to assess the effectiveness of the CBT techniques applied and progress of the patient.
Reference
Losada, A., Márquez-González, M., Romero-Moreno, R., Mausbach, B. T., López, J., Fernández-Fernández, V., & Nogales-González, C. (2015). Cognitive-behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for dementia family caregivers with significant depressive symptoms: Results of a randomized clinical trial. Journal of Consulting and Clinical Psychology , 83 (4), 760.
