Friday, November 2, 2012

Disturbed Sleep Pattern NCP Alzheimer's Disease



Signs and Symptoms of Alzheimer's Disease

Mild Alzheimer's disease

As the disease progresses, memory loss worsens, and changes in other cognitive abilities are evident. Problems can include:
getting lost
trouble handling money and paying bills
repeating questions
taking longer to complete normal daily tasks
poor judgment
losing things or misplacing them in odd places
mood and personality changes

Moderate Alzheimer's disease

Symptoms may include:
increased memory loss and confusion, problems recognizing family and friends, inability to learn new things, difficulty carrying out tasks that involve multiple steps (such as getting dressed), problems coping with new situations, hallucinations, delusions, and paranoia, impulsive behavior

Severe Alzheimer's disease

Their symptoms often include:
inability to communicate, weight loss, seizures, skin infections, difficulty swallowing, groaning, moaning, or grunting, increased sleeping, lack of control of bowel and bladd


Nursing Diagnosis for Alzheimer's Disease: Disturbed Sleep Pattern related to changes in the sensory.
Nursing Care Plan for Alzheimer's Disease

Purpose:

Having given nursing care, the client is expected to change in sleep patterns can be resolved
the expected outcomes:
No changes in the behavior and appearance (agitated), Being able to create adequate sleep patterns with a decrease of the mind hovering (daydreaming), Being able to determine the cause of inadequate sleep.

Nursing Interventions:

1. Provide a comfortable environment for improving sleep (turn off the light, adequate ventilation, appropriate temperature. Avoiding noise)

2. Encourage exercise during the day and lower mental activity / physical in the afternoon.

3. Give the afternoon snack, warm milk, bath, and massage back.

4. Decrease the number of drinks the afternoon. Perform voiding before bed.

5. Encourage clients to listen to music.


Rational:

1. Cortical inhibition in the reticular information will be reduced during sleep, improving automatic response, thereby increasing cardiovascular response to noise during sleep.

2. Physical activity and mental fatigue that can lead to long increase confusion, programmed activities without excessive stimulation increased sleep time.

3. Increase relaxation with drowsiness.

4. Reduce the need for up to urinate during the night.

5. Lowering the sensory stimulation by blocking other sounds from the environment around that will inhibit sleep.

1 comment:

  1. A mis-diagnosis of Alzheimer's is becoming more common these days. This is partly because people are getting older and therefore more dementia occurs.

    Alzheimer Clinic

    ReplyDelete

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