An effective way to adequately provide nourishment to a patient with moderate dementia is:
Dementia is defined by a loss of previous levels of cognitive, executive, and memory function in a state of full alertness (Bourgeois, Seaman, & Servis, 2008). Show
Statistics and IncidencesCases of dementia are increasing due to longer life expectancy of the world population.
CausesFollowing are major etiologic categories for the syndrome of dementia:
Clinical ManifestationsThe following symptoms have been identified with the syndrome of dementia:
Assessment and Diagnostic FindingsLaboratory tests can be performed to rule out other conditions that may cause cognitive impairment.
Medical ManagementTo date, only symptomatic therapies are available and thus do not act on the evolution of the disease.
Pharmacological ManagementThe mainstay of therapy for patients with dementia is the use of centrally acting cholinesterase inhibitors to attempt to compensate for the depletion of acetylcholine in the cerebral cortex and hippocampus.
Nursing ManagementThe nursing management of a client with dementia include the following: Nursing AssessmentAssessment of a client with dementia include the following:
Nursing DiagnosisNursing diagnoses that you can use for developing nursing care plans for patients with dementia include:
Nursing Care Planning and GoalsThe major nursing care planning goals for dementia are:
Nursing InterventionsThe nursing interventions for a dementia client are:
EvaluationThe outcome criteria for a patient with dementia include:
Documentation GuidelinesDocumentation needed for a client with dementia include the following:
Practice Quiz: DementiaQuiz time about the topic! Please visit our nursing test bank page for more NCLEX practice questions. 1. Edward, a 66-year-old client with slight memory impairment and poor concentration, is diagnosed with primary degenerative dementia of the Alzheimer’s type. Early signs of this dementia include subtle personality changes and withdrawal from social interactions. To assess for progression to the middle stage of Alzheimer’s disease, the nurse should observe the client for: A. Occasional irritable outbursts. 1. Answer: B. Impaired communication.
2. Nurse Pauline is aware that Dementia, unlike delirium, is characterized by: A.
Slurred speech. 2. Answer: B. insidious onset.
3. The nurse is aware that the following ways in vascular dementia different from Alzheimer’s disease is: A. Vascular dementia has more abrupt onset. 3. Answer: A. Vascular dementia has more abrupt onset.
4. A 65 years old client is in the first stage of Alzheimer’s disease. Nurse Patricia should plan to focus this client’s care on: A.
Offering nourishing finger foods to help maintain the client’s nutritional status. 4. Answer: B. Providing emotional support and individual counseling.
5. Nurse Kate would expect that a client with vascular dementia would experience: A. Loss of remote memory related to
anoxia. 5. Answer: D. Disturbance in recalling recent events related to cerebral hypoxia.
ReferencesSources and references for this study guide for delirium:
When teaching an independent older adult patient how do you self administer insulin The most productive approach is?10. When teaching an independent older adult patient how to self-administer insulin, the most productive approach is to: facilitate involvement in a small group where the skill is being taught.
Which profession first developed standards of gerontological care and provided a certification mechanism to ensure expertise?Nursing was the first of the professions to develop standards of gerontological care and the first to provide a certification mechanism to ensure specific professional expertise through credentialing (Ebersole & Touhy, 2006).
When teaching an old adult client the gerontological nurse's most appropriate initial strategy is to?In teaching an older adult client, the gerontological nurse's most appropriate initial strategy is to: assess the client and individualize the teaching methods.
Which disease or ailment is often under diagnosed and undertreated in the aging population?A common mental disorder among seniors is depression, occurring in seven percent of the elderly population. Unfortunately, this mental disorder is often underdiagnosed and undertreated.
|