Nursing Care Plan for Alzheimers disease

NURSING DIAGNOSIS

OBJECTIVES
Short term goal:

RISK FOR INJURY

Possible Etiologies: (Related
to)
Disorientation to time and
place
Confusion (wandering at
night)
Forgetfulness and increased
memory loss
Presence of motor
disturbance i.e. apraxia
Defining characteristics:
(Evidenced by)
*Not Applicable

Within the whole duration of

nursing care, the client will
be free from injury.
Long term goal:
After 2 weeks of nursing
care, the client will be able to
demonstrate behaviors that
protect self from injury and
will have reality orientation
necessary in learning/
retaining essential aspects in
daily living.

NURSING INTERVENTIONS
1. Evaluate clients level of
competence and ability to
participate in preventive
measures.
2. Adapt communication to
the level of client and speak
with the client using slow pace
and simple words while
maintaining a firm volume and
low pitch.
3. Observe for nonverbal
behaviours and intervene if
client becomes angry or
hostile by decreasing stressful
stimuli and approaching client
in calm, reassuring manner.
4. Frequently reorient of time,
place, date, and person; place
a clock and a calendar in his
room; allow him to reminisce;
and repeat instructions as
necessary.
4. Assess environment for
potential factors indicating
risk for injury like dim lighted
room, absence of hand rails,
slippery floor, and high bed.

RATIONALE

EVALUATION

- This is to assess the degree

of risk for injury of client and
aids in detecting what
appropriate measures you will
include in the plan of care.
-Communicating with the
client in this way promotes
positive atmosphere and a
relaxed pace for learning.

Within the whole duration of

nursing care, client should be
free from any sorts of injury.

-Some personality changes

may occur in clients with
Alzheimers such as irritability,
suspiciousness, and
indifference. This would also
aid in reducing demands on
client.

-These measures are

necessary in enhancing
clients memory.

-This will provide information

on what safety devices are
necessary to be instituted.

-These measures minimize

After 2 weeks of nursing care,

client should have
demonstrated behaviours like
enhanced memory and
orientation to time, place and
significant person, and ability
to participate in doing selfcare and other activities of
daily living with minimal
assistance in a safe
environment.

5. Provide adequate lighting,

reduce clients bed to lower
position, put necessary
devices in aiding clients
mobility around the house
and remove harmful objects
like slippery rug etc.
6. Ensure that client cannot
leave the premises without
being noticed; provide an
identification bracelet or tag
for the client to wear at all
times.
7. Educate family members
and care giver of clients
condition and how to deal and
care the client; the need for
safe environment; how to
communicate with the client;
and measures that enhance
memory.

clients misperception of his

environment and his risk for
injury.

- Clients with Alzheimers

disease are sometimes
confused making them
wanders without valid reason
(especially during night time);
this will avoid the client from
being missing or face
accidents outside the
institution.
- Providing health teachings
regarding clients condition
could assist family members
in understanding the
manifestations elicited by the
client and would reassure
them that peculiar personality
changes and increasing
memory loss is part of this
condition; it would aid them
cope and take care with the
client at home upon
discharge.