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Diagnosis in Alzheimer’s disease

1. Urinary and Bowel Elimination


related to:
neurological function loss / muscle tone,
inability to determine where the bathroom / identify needs.

2. Disturbed Sleep Pattern


related to:
sensory changes.

3. Impaired physical mobility


related to:
neuromuscular damage,
decreased muscle tone or strength.

4. Self-care deficit
related to:
cognitive decline,
physical limitations.

5. Disturbed Sensory Perception


related to:
changes in the reception, transmission, and / or integration.

6. Altered thought processes


related to:
irreversible neuronal degeneration.

7. Ineffective individual coping


related to:
inability to resolve the issues, intellectual changes.

8. Impaired verbal communication


related to:
intellectual changes (dementia, disorientation, decreased ability to cope with the
problem).

9. Impaired social interaction


related to:
emotional changes (irritability, lack of confidence).

10. Imbalanced Nutrition, Less Than Body Requirements


related to:
sensory changes, it is easy to forget

11. Risk for Injury


related to:
weaknesses, the inability to recognize / identify hazards in the environment.

Intervention for Alzheimer’s disease


1. Establish an effective communication system with the patient and his family to
help them adjust to the patient’s altered cognitive abilities.
2. Provide emotional support to the patient and his family.
3. Administer ordered medications and note their effects. If the patient has trouble
swallowing, crush tablets and opencapsules and mix them with a semi soft
food.
4. Protect the patient from injury by providing a safe, structured environment.
5. Provide rest periods between activities because the patient tires easily.
6. Encourage the patient to exercise as ordered to help maintain mobility.
7. Encourage patient independence and allow ample time for him to perform
tasks.
8. Encourage sufficient fluid intake and adequate nutrition.
9. Take the patient to the bathroom at least every 2 hours and make sure he knows
the location of the bathroom.
10. Assist the patient with hygiene and dressing as necessary.
11. Frequently check the the patient’s vital signs.
12. Monitor the patient’s fluid and food intake to detect imbalances.
13. Inspect the patient’s skin for evidence of trauma, such as bruises or skin
breakdown.
14. Encourage the family to allow the patient as much independence as possible
while ensuring safety to the patient and others.

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