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In particular, reassess the need for anticholinergics, antihistamines, narcotics, sedatives, and benzodiazepines. Call the patient and caregiver to follow-up on the care plan after the visit. Alternative ways of communication such as flashcards, whiteboards, hand signs, or a picture board will help the patient express himself/herself if speaking is difficult to obtain. Suggest aids for daily functioning, such as to-do lists, a calendar, and other reminders. The patient will be compliant in speech therapy or other therapy that will help him or her to have effective communication. Client will not harm self or others. Sets a functional level at the time of admission and serves as a benchmark for future comparison. 2020;9, 24-31. doi:10.1016/j.ibror.2020.06.005, OCaoimh, R.; Mannion, H.; Sezgin, D.; ODonovan, M. R.; Liew, A.; Molloy, D. W. Non-pharmacological treatments for sleep disturbance in mild cognitive impairment and dementia: A systematic review and meta-analysis. Encephalopathy Nursing Diagnosis and Nursing Care Plan NIA Alzheimer's and related Dementias Education and Referral Center: 800-438-4380 Eldercare Locator: 800-677-1166 Local nonprofit and community organizations Consider referring the person with impairment to a dementia specialty clinic if diagnostic or management concerns remain. The nurse should ensure to always reorient the patient to reality. An official website of the United States government. Keep track of the patients prescription schedule and consumption. People living with Parkinson's disease dementia or dementia with Lewy bodies are particularly sensitive to the negative side effects of classic antipsychotics such as haloperidol. 5. D. Inability to perform self-care activities. 2019;(3), 1-121. doi:10.1002/14651858.CD012279.pub2 [Meta-analysis,Systematic Review], He, W.: Wang, M.; Jiang, L.; Li, M.; Han, X. Cognitive interventions for mild cognitive impairment and dementia: An overview of systematic reviews. Nursing Diagnosis: Disturbed Thought Process related to cognitive impairment secondary to Parkinsons disease as evidenced by inaccurate interpretation of the environment, changes in lifestyle, distractibility, memory impairment, and inability to perform usual activities. doi:10.1093/geront/gnx147, Bahar-Fuchs, A.; Martyr, A.; Goh, A. M.; Sabates, J.; Clare, L.. Cognitive training for people with mild to moderate dementia. One exception is Parkinson's disease dementia, for which rivastigmine, a cholinesterase inhibitor, is FDA-approved. In some circumstances, such as after a stroke, treatment can help patients recall how to perform things like walk or tie their shoes. St. Louis, MO: Elsevier. Address the patient directly and use simple wording, presenting one idea at a time. These will help in determining areas of physical care in which the patient needs support from the family and significant others.
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nursing interventions for impaired memory