Reference no: EM134030890

Question

The nurse is caring for Loretta, a 64-year-old female, admitted to the geropsychiatric unit with a diagnosis of Alzheimer's disease of 2 years with decreasing cognitive functioning. A family member of the client has power of attorney, including health care proxy, and is available to answer questions. The family member reports that Loretta is getting worse (unable to care for herself, not responding to questions, occasional incoherent speech and requires constant assistance and supervision. The family has a rotating schedule, but it is getting more difficult to care for her. Loretta presents with unawareness of environment and orientation. She is unable to follow simple commands except when requested by the family member. In responding to questions, her speech is mostly incoherent except for a couple of words. The family member states that she is not recognizing many of her family, even those close to her. If given simple instructions, she is unable to follow them. Loretta loves music therapy and comes very animated and sings along. Vital Signs and labs are within normal limits. The patient has been prescribed Donepezil 10mg PO once a day.

In addition to the care plan points, please ensure to include the following components:

1. Identify potential client problems.

2. What safety considerations should be included when planning care for this client?

3. What education should the nurse provide for this client (e.g. health promotion, disease management-meds, diet, activity

4. What findings require immediate follow-up?

5. Provide discussion on ways to modify/revise plan of care when client outcomes are NOT met.

6. What additional factors, if any, should the nurse include in the plan of care for this client (e.g. cultural preferences, demographics, etc).