Dementia outcomes care plan tool

Assess the patient for sensory deprivation, concurrent use of CNS drugs, poor nutrition, dehydration , infection , or other concurrent disease processes. May cause confusion and a change in mental status. Perform regular, comprehensive person-centered assessments and timely interim assessments.

Assessments should be conducted at least every six months to identify issues that will help the person with dementia to live fully Molony et al.

The use of calendars, radio, newspapers, television, and so forth are also appropriate. Depending on the stage of AD, it may be reassuring for patients in the very early states who are aware that they are losing their sense of reality. Still, it does not work when dementia becomes irreversible because the patient can no longer understand reality.

Television and radio programs may be overstimulating, may increase agitation, and disorientating patients who cannot distinguish between reality and fantasy or what they may view on television. Suggest the use of a calendar or making a list of reminders. Written reminders can help remind the patient of certain actions.

Encourage the use of complementary and alternative therapies such as exercises, guided meditation, massage. These activities can help reduce stress; stress can aggravate memory loss. Assist the client in setting up a medication box. Don't be concerned about filling every minute with an activity. The person with Alzheimer's needs a balance of activity and rest, and may need more frequent breaks and varied tasks. Daily plan example for early- to middle-stages of the disease Morning Wash, brush teeth, get dressed Prepare and eat breakfast Have a conversation over coffee Discuss the newspaper, try a craft project, reminisce about old photos Take a break, have some quiet time Do some chores together Take a walk, play an active game Afternoon.

Find Your Chapter. Check that the call bell is within reach, the bed rails are up when the patient is on the bed, the bed is in the lowest level, the room is well-lit, the floor is not slippery, and that important things like phone and eyeglasses are easy to reach.

To maintain patient safety and reduce the risk of falls. Encourage the patient to perform range of motion ROM exercises in all extremities. To improve venous return, muscle strength, and stamina while preventing stiffness and contracture deformation. Refer to the physiotherapy and occupational therapy team. To provide a specialized care for the patient to gain physical and mental support in performing ADLs and mobilizing. Explore activities of daily living, as well as actual and perceived limitations to physical activity.

To create a baseline of activity levels, degree of fatigability, and mental status related to fatigue and activity intolerance. Encourage activity through self-care and exercise as tolerated Alternate periods of physical activity with rest and sleep. Encourage enough rest and sleep, and provide comfort measures. To reserve energy levels and provide optimal comfort and relaxation. Teach deep breathing exercises and relaxation techniques.

Provide adequate ventilation in the room. To allow the patient to relax while at rest. To allow enough oxygenation in the room. Objective: This DNP scholarly project evaluated the effectiveness of the recently expanded, EHR-embedded, Patient-specific Dementia Information PSDI care plan and aimed to understand its interaction on nurse perception of dementia care, nurse knowledge of PSDI, and patient-level outcomes guided by the Donabedian Model to measure its impact on enhancing dementia care delivery at a quaternary medical center.

Method: Nonexperimental, systematic program evaluation design. Pre- and post-implementation survey measured the general attitudes of acute hospital nurses in providing care to persons with dementia, the extent to which they perceived their clinical practice as being person-centered, and their general knowledge of the EHR tool.