Saturday, September 20, 2014

Disturbed Thought Process - NCP for Dementia

Nursing Care Plan for Dementia

One of the degenerative disease is dementia, ie which have insidious onset and progressive in general, be getting worse. Overview of various aspects of specialty include loss of intellectual abilities such as memory, judgment, abstract thought, and other higher cortical functions , as well as changes in keperibadian and behavior (Townsend , 2000) .

Dementia is a clinical syndrome that includes loss of intellectual function and memory were so serious that it causes dysfunction of everyday life. Dementia is a condition when a person experiences memory loss and other thinking power which significantly interfere with daily activities (Arif muttaqin, 2008) .

Nursing Diagnosis : Disturbed Thought Process related to physiological changes (irreversible neuronal degeneration).

Characterized by :
  • memory loss,
  • loss of concentration,
  • not able to interpret the stimulation,
  • not able to assess reality accurately.
Goal : expected to be able to recognize a change in thinking.

Outcomes :
  • Able to demonstrate the ability to undergo cognitive consequences of stressful events on the emotions and thoughts of self.
  • Able to develop strategies for overcoming negative self- perception.
  • Be able to identify the behavior and the causes.


Interventions :
  • Develop a supportive environment and nurse - client relationship is therapeutic.
  • Maintain a pleasant and quiet environment.
  • Face-to- face when talking to clients.
  • Call client by name.
  • Use a rather low voice and speak slowly to the client.

Rationale :
  • Reduce anxiety and emotional.
  • Noise is excessive sensory neurons that increase interference.
  • Raises concern , especially in clients with perceptual disorders.
  • The name is a form of self-identity and lead to the introduction of reality and the client.
  • Increase understanding. High Speech and hard cause stress and confrontation that sparked an angry response.

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