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    Kristil Chavez
    The nursing care plan is for Kristil Marie E. Chavez, a client at SVH Home for the Elderly, assessed by Maria Teresa Silveo, RN, MN on March 18, 2023. The client is at risk for chronic confusion related to dementia as evidenced by memory impairment. The desired outcomes within 3 hours of nursing intervention are for the client to be more aware of chronic confusion, understand the importance of maintaining a stable routine, and understand the importance of maintaining mental and psychological functions. Nursing interventions include examining communication abilities, reviewing responses to diagnostic exams, conducting health teaching, and using reality orientation techniques.

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    Kristil Chavez
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    The nursing care plan is for Kristil Marie E. Chavez, a client at SVH Home for the Elderly, assessed by Maria Teresa Silveo, RN, MN on March 18, 2023. The client is at risk for chronic confusion related to dementia as evidenced by memory impairment. The desired outcomes within 3 hours of nursing intervention are for the client to be more aware of chronic confusion, understand the importance of maintaining a stable routine, and understand the importance of maintaining mental and psychological functions. Nursing interventions include examining communication abilities, reviewing responses to diagnostic exams, conducting health teaching, and using reality orientation techniques.

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    The nursing care plan is for Kristil Marie E. Chavez, a client at SVH Home for the Elderly, assessed by Maria Teresa Silveo, RN, MN on March 18, 2023. The client is at risk for chronic confusion related to dementia as evidenced by memory impairment. The desired outcomes within 3 hours of nursing intervention are for the client to be more aware of chronic confusion, understand the importance of maintaining a stable routine, and understand the importance of maintaining mental and psychological functions. Nursing interventions include examining communication abilities, reviewing responses to diagnostic exams, conducting health teaching, and using reality orientation techniques.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views2 pages

    Untitled

    Uploaded by

    Kristil Chavez
    The nursing care plan is for Kristil Marie E. Chavez, a client at SVH Home for the Elderly, assessed by Maria Teresa Silveo, RN, MN on March 18, 2023. The client is at risk for chronic confusion related to dementia as evidenced by memory impairment. The desired outcomes within 3 hours of nursing intervention are for the client to be more aware of chronic confusion, understand the importance of maintaining a stable routine, and understand the importance of maintaining mental and psychological functions. Nursing interventions include examining communication abilities, reviewing responses to diagnostic exams, conducting health teaching, and using reality orientation techniques.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Nursing Care Plan

    Name: Kristil Marie E. Chavez Area of the Exposure: SVH Home for the Elderly
    CI: Ms. Maria Teresa Silveo, RN, MN Date: March 18, 2023

    ASSESSMENT NURSING PATHOPHYSIOLOGY DESIRED NURSING RATIONALE EVALUATION


    DIAGNOSIS OUTCOME INTERVENTION

    Subjective After 3 -Examine the -Ability/read After 3 hours of


    Cues: Risk for hours of ability to iness to nursing
    The client chronic nursing receive and reply to intervention,
    Predispos Percipitati
    verbalized, confusion interventio send effective verbal the client was
    ing ng
    “Daw gaka related to n, the client communication directions/li able to:
    Factors Factors
    budlayan na dementia as is expected s. mits may
    >73 years >Poor
    gid ko kis-a evidenced to: (Independent) vary with 1.Be aware of
    old mental
    magdumdum by memory the degree what is chronic
    > Female activities
    sang mga impairment 1. Be more of confusion and
    in daily
    bagay Nurse.” aware on orientation. understands the
    living
    Definition: what is effects of it. She
    Objective Chronic | confusion, verbalized,
    Cues: confusion is Health Problems memory -Review “Amo ni sa gale
    LOC: Client is defined as | loss, and responses to -Using a Nurse, mayo
    conscious and acute or Changes occur in the cognitive diagnostic standard lang kay
    aware of the chronic protein of the nerves disturbance examinations evaluation natudluan mo
    surroundings confusion cells of the nerves cells of s (e.g., memory tool such as ko Nurse mas
    but have a resulting the cerebral cortex impairments, the nakabalo nako
    hard time in from an | reality Mini-Mental subong.”
    identifying altered Accumulation of orientation, State GOAL MET.
    the date and mental neurofibrillary tangles attention span, Examination
    time. status in and plaques calculations). (MMSE) can
    which the | (Independent) help 2. Understand
    ability to Granulo vascular 2. determine the importance
    Vital Signs: think, degeneration Importance the patient’s of having a
    T - 36 °C reason, and | of having a abilities and stable routine as
    CR - 96 bpm remember Loss of cholinergic nerve stable assist with she verbalized,
    RR - 17 cpm are cells routine planning “Gani man
    BP - 110/70 disturbed. | scheduling appropriate Nurse ni man
    mmHg Loss of memory and of activities nursing gid kung may
    Source/Ref function to decrease intervention ara ka sang mga
    Strength erence: | confusion. s. gina sunod nga
    The client has Doenges, Risk for chronic mga humuon
    strong M. E., confusion related to 3. kada adlaw.”
    religious Moorhouse, dementia as evidenced Understand GOAL MET.
    beliefs. M., by memory impairment the
    & Murr, A. importance 3. Acknowledge
    The client is C. Reference: of -Awareness the importance
    pessimistic. (2010). Brunner & Suddarth’s maintaining -Conduct is very of maintaining
    Nurse’s Textbook of mental and health teaching important mental and
    Weakness Pocket Medical-Surgical Nursing psychologic with the client since this is psychological
    The client has Guide 13th Edition al functions on what is to help in functions. She
    a hard time (12th ed.). to prevent chronic improving verbalized, “Mas
    remembering Philadelphia further confusion and the client’s mayo na subong
    . , PA: complicatio the brain self pa lang
    F. A. Davis ns. exercise that awareness punggan na ni
    Company the client can and in the kesa maglala
    do. treatment pa”.
    (Independent) process. GOAL MET.

    -Reality
    orientation
    techniques
    help
    improve
    - Orient the client’s self
    client to the awareness
    environment as of self and
    needed if the environment
    client for patients
    short-term with
    memory is confusion.
    intact. The use
    of calendars,
    radio,
    newspapers,
    and television
    that are
    appropriate.
    (Independent)

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