Nursing Diagnosis Related To Dementia Essay Discussion
Dementia/Physical Aggression Ron Jackson, 87 years old Copyright Keth KIscher, a/b/a KelthRN.com. All Kights reserved Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Ron Jackson is an 87-year-old Caucasian male with a medical history of hypertension and Alzheimer’s disease who was brought to the emergency department (ED) by paramedics for evaluation of hallucinations, increased agitation, and aggressive behavior toward Shirley, his elderly wife. His daughter was visiting and witnessed Ron becoming angry for no apparent reason, telling Shirley she had to leave the house. He then pushed her, causing her to fall to the ground. Ron has become progressively more agitated the past year and was started on quetiapine. Shirley confirms that Ron has been more verbally abusive the past week, believing that she divorced him and that she needs to get out of the house, but no physical aggression took place until today. Ron currently complains of a headache and insists that he got this because “the Koreans beat me up real good in the ambulance!” Personal/Social History: Ron lives at home with Shirley, his wife of 62 years and has three children. Ron is a Korean War veterar duty and is a retired salesman. Because his wife has been struggling to care for him, his family is in the arrangements for him to reside at a local memory care unit. Nursing Diagnosis Related To Dementia Essay Discussion
This solution was written by a subject matter expert. It’s designed to help students like you learn core concepts.
* physical aggression: a type of behaviour causing or threatning physical harm towards others. It include hitting, kicking, bitingm using weapons.
* Dementia: a group of thinking and social symptom that interfare with daily functioning.
* priority nursing diagnosis related to dementia:
– Disturbed thought process related to an individual with altered perception and cognition that interfare with daily living.
The causes are psychological disturbance like depression and personality disorder.
In this diagnosis the focus of nursing is to reduce disturbed thinking and promote reality orientation.
– Risk of trauma related to disorientation or confusion.
In this diagnosis nurse should prevent the client from any type of injury, trauma.
* priority patient goal with dementia: Nursing Diagnosis Related To Dementia Essay Discussion
(a) promoting the patient safety.
(b) Reduceing anxiety and agitation.
(c) Improve communication, providing socialization and intimacy.
(d) adequate nutrition and educate tbe family member and caregiver.
* priority nursing intervention:
(a) orient the client: orient the client frequently about self and surrounding. Allow client to have familiar objects round himself. Keep the calender and clock bed side to orient about date and time.
(b) encourage caregiver about patient orientation: teach the caregiver how to orient the client about date and time, person place. The caregiver should be responsible for the safety of client after discharge from hospital.
(c) observe client closely; close observation of client behaviour should be monitor, client safety is first priority.
(d) avoid cultivation of false ideas: do not permit to think about false ideas.,when begin talk to the client about any topic.
The dementia is a psychotic disorder which treartment depend upon stage of the disorder.
– therapies: rehabilitation and occupational therapy
– medication: cognition enhancing medication.
There is no permanent cure for most type of dementia. Treat and rehablitate the client with ethics a d medical regimen. Nursing Diagnosis Related To Dementia Essay Discussion