Chapter 60: Nursing Management: Alzheimer's Disease, Dementia, and Delirium Test Bank MULTIPLE CHOICE 1. A 68-year-old patient who is hospitalized with pneumonia is disoriented and confused 3 days after admission. Which information indicates that the patient is experiencing delirium rather than dementia? a. The patient was oriented and alert when admitted. b. The patient’s speech is fragmented and incoherent. c. The patient is oriented to person but disoriented to place and time. d. The patient
person-centred approach to be taken in all care situations. It outlines six key areas which are fundamental to excellent care delivery. These are: communication, assessment, managing risk, documentation, professional decision making and managing uncertainty. In this assignment I will be exploring the issues around communication and assessment in relation to the care given to the patient. I will look at how care was delivered and how successful it was. The NMC (2008) states that healthcare professionals
role in caring for clients, especially those with dementia. They are the ones who often connected with the clients on a day-to-day basis and the one who can recognize any changes in behaviors that may display early signs of dementia. Nurses also partake in promoting the ceaseless safety of the clients and work to improve their quality of life. With an expanding predominance of dementia, adequate training is imperative for early detection. Since dementia often progresses slowly, to diagnose the disease
Dementia was the leading cause of burden in older Australians in 2011 and the second leading cause of death in Australia in 2013, making it a national health priority (1, 2). Timely diagnosis of dementia is essential, as pertinent issues such as options for pharmacological management, prognosis and Advanced Care Planning (ACP) can be addressed (3, 4). Despite this, multiple barriers hinder timely dementia diagnosis, ranging from lack of knowledge in recognising dementia symptoms and time constraints
patients with dementia frequently present to healthcare services. As such there is interest in services available for diagnosing dementia in the community. Surprisingly, the amount of published literature in this area is rather scarce. In Australia, access to government subsidised aged care services necessitates assessment by the Aged Care Assessment Team (ACAT) which is commonly community based.[11, 98] Dementia was a common condition prompting ACAT assessment. [11] Part of the assessment for aged care
diagnosing dementia Primary care physicians (PCP) play a crucial role in dementia diagnosis. Older patients receive healthcare primarily from their general practitioners (GPs). [51, 52] Most patients and carers prefer their GPs to be the first source of professional help when dealing with dementia. [53-55] The Australian guidelines advocate early diagnosis by timely exploration of symptoms raised by patients and carers. [14] It would be reasonable for GPs to initiate the diagnostic process for suspected
eyes to the experiences the families with relative with dementia; one main example is caregiver burden. Caregiver burden refers to both the objective and subjective problems of difficulties faced by the family caregivers in caring for a relative in a day-to-day basis. Depression is one of the most determinants of the caregiver burden as untreated depression for a caregiver results in: decreased quality of life for the person with dementia and the carer; compromised health for the carer; decreased
This assignment will discuss and define the role of assessment as a vital tool in the provision of nursing care within the Nursing process. The author will describe sources of information which may inform the assessment process, identify a specific assessment tool used in my area of practice and identify ways of developing a positive professional relationship with the client, during the assessment process. The assessment process may be defined as the organized and systematic collection and assimilation
nursing, but it can be challenging when the patients can no longer express their needs. I became aware of this challenge throughout my experience in both clinical and work. During my first clinical rotation, I was assigned to a patient who had severe dementia and could no longer communicate. While providing care to this patient, it was evident that the patient was irritated because she would grimace and sometimes cry out, but it was difficult to determine if the patient was in pain or where the pain
a.m. when I looked up. I am so caught up in the initial or pre-clinical assessment stage of this disease. I found the steps in the dementia diagnostic process helpful. The steps are as follows. 1). A person comes in, and with the doctor, a detailed history is reviewed. Next, 2). A complete physical is given to person 3). Next, there is a neurological workup done and this is followed by, 4). A thorough psychiatric assessment. The last step is to have lab tests done. When the diagnostic tests are