NCP - Nursing Care Plan for DementiaDementia is a word for a group of symptoms caused by disorders that affect the brain. It is not a specific disease. People with dementia may not be able to think well enough to do normal activities, such as getting dressed or eating. They may lose their ability to solve problems or control their emotions. Their personalities may change. They may become agitated or see things that are not there.
Memory loss is a common symptom of dementia. However, memory loss by itself does not mean you have dementia. People with dementia have serious problems with two or more brain functions, such as memory and language.
Many different diseases can cause dementia, including Alzheimer's disease and stroke. Drugs are available to treat some of these diseases. While these drugs cannot cure dementia or repair brain damage, they may improve symptoms or slow down the disease.
NIH: National Institute of Neurological Disorders and Stroke
Source : nlm.nih.gov
Signs and Symptoms of Dementia
- Difficulty in performing daily activities
- Often repeat the words
- Not knowing the dimensions of time, for example sleeping in the dining room
- Quick-tempered and difficult to manage.
- Difficulty learning and remembering new information
- Less concentration
- Lack of personal hygiene
- Vulnerable to accidents: falls
- Lack of coordination of movement.
Nursing Care Plan for Dementia
Nursing Assessment for Dementia
How to perform a nursing assessment
- Fostering a relationship of trust with patients
To carry out a review of nursing in patients with dementia, first you must build a trusting relationship with patients.
In order to foster a trusting relationship, things can be done as follows :
- Always saying hello to the patient such as: good morning / afternoon / evening / night or according to the religious context of the patient.
- Introduce your name (nickname), including a report that relatives are nurses who will care for patients.
- Also ask the patient's name and his favorite nickname.
- Explain your goals and patient care activities to be performed.
- Explain when the activities will be implemented and how long the activity.
- Be empathetic manner :
- Sit with the patient, make eye contact, give a touch and show concern
- Speak slowly, simply and give the patient time to think and respond
- Nurses have the expectation that patients would be better
- Be warm, simple to express hope in patients.
- Use short sentences, clear, simple and easy to understand.
- Speak slowly, say the word or phrase that is clear and wait for a response if asked patients
- Ask one question each time and re-asked questions with the same words.
- Volume increased if there is hearing loss, if the volume is increased, the tone should be subdued.
- The attitude of non-verbal communication coupled with good verbal.
- Attitudes have to communicate face to face, maintain eye contact, relax and open up.
- Create a therapeutic environment when communicating with patients :
- Very quiet
- The room comfortable, light and ventilation adequate
- The distance is adjusted, to minimize disruption.