ACTIVE LEARNING TEMPLATE: System Disorder
Kelly Gonzalez
STUDENT NAME _____________________________________
Dementia/Major Neurocognitive Disorder
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
altered cognition, memory deficit, *the irreversible and progressive *daily physical exercise, healthy
impaired language/motor skills degeneration of the neurologic diet, mental exercise, protect
and/or abstract thinking systems of the brain head from trauma, limit alcohol
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings *asses for risk of falls,
*previous head injury/trauma, family *changes in personality, memory, injury, and wandering
hx/genetics, advanced age, cardiovascular *monitor frequently
disease, lifestyle/environmental factors, concentration, confusion, agitation, *safe environment:
sedentary lifestyle, emotional problems, confabulation, perseveration, adequate lighting,
metabolic imbalance, DM sundowning, VS usually stable clutter-free, bed
alarm, 4 Ps, bed alarm
*keep client from
stairs, elevators, doors
Laboratory Tests Diagnostic Procedures *monitor skin for
breakdown
*CBC, CBP, Folate, B12, TSH *PET/SPECT scans, chest/head *adequate water
x-ray, ECG, EEG, LFT, temperature
neuroimaging *have client wear
medical ID bracelet
*approach slowly,
never turn back to pt,
avoid confrontation
PATIENT-CENTERED CARE Complications
*can develop delirium
Nursing Care Medications Client Education *decreased
*acknowledge pt's feelings *cholinesterase *develop care plan w client/family oxygenation may
*assess cognitive status,memory, inhibitors *secure dangerous items/install exacerbate irritability
judgement, and personality donepezil, alarms/remove clutter and confusion; can
changes *reorient PRN *avoid overstilumation also impair
galantamine)
*use short-simple sentences *routine toileting schedule
*memantine neurochemical
*ensure adequate food/fluids *respite care/LTC
*antianxiety agents signaling
for agitation *alcohol may cause
*SSRI for decline in self-care
Therapeutic Procedures depression Interprofessional Care abilities
*antipsychoitics for *antipsychotics
*cognitive simulation, hallucinations/delus *refer to phychiatrist, contraindicated for
ion, but are last case management, social elderly
memory games,
resort due to
validation therapy, ginkgo adverse effects
services
biloba
References:
ATI. (2019a). RN Adult Medical Surgical Nursing (11th ed.). Assessment Technologies Institute
ATI. (2019b). RN Mental Health Nursing (11th ed.). Assessment Technologies Institute.
ACTIVE LEARNING TEMPLATES Pearson. (2019c). Nursing: A Concept-Based Approach to Learning (3rd ed., Vol. 2). Pearson Education.
Kelly Gonzalez
STUDENT NAME _____________________________________
Dementia/Major Neurocognitive Disorder
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________
Alterations in Pathophysiology Related Health Promotion and
Health (Diagnosis) to Client Problem Disease Prevention
altered cognition, memory deficit, *the irreversible and progressive *daily physical exercise, healthy
impaired language/motor skills degeneration of the neurologic diet, mental exercise, protect
and/or abstract thinking systems of the brain head from trauma, limit alcohol
ASSESSMENT SAFETY
CONSIDERATIONS
Risk Factors Expected Findings *asses for risk of falls,
*previous head injury/trauma, family *changes in personality, memory, injury, and wandering
hx/genetics, advanced age, cardiovascular *monitor frequently
disease, lifestyle/environmental factors, concentration, confusion, agitation, *safe environment:
sedentary lifestyle, emotional problems, confabulation, perseveration, adequate lighting,
metabolic imbalance, DM sundowning, VS usually stable clutter-free, bed
alarm, 4 Ps, bed alarm
*keep client from
stairs, elevators, doors
Laboratory Tests Diagnostic Procedures *monitor skin for
breakdown
*CBC, CBP, Folate, B12, TSH *PET/SPECT scans, chest/head *adequate water
x-ray, ECG, EEG, LFT, temperature
neuroimaging *have client wear
medical ID bracelet
*approach slowly,
never turn back to pt,
avoid confrontation
PATIENT-CENTERED CARE Complications
*can develop delirium
Nursing Care Medications Client Education *decreased
*acknowledge pt's feelings *cholinesterase *develop care plan w client/family oxygenation may
*assess cognitive status,memory, inhibitors *secure dangerous items/install exacerbate irritability
judgement, and personality donepezil, alarms/remove clutter and confusion; can
changes *reorient PRN *avoid overstilumation also impair
galantamine)
*use short-simple sentences *routine toileting schedule
*memantine neurochemical
*ensure adequate food/fluids *respite care/LTC
*antianxiety agents signaling
for agitation *alcohol may cause
*SSRI for decline in self-care
Therapeutic Procedures depression Interprofessional Care abilities
*antipsychoitics for *antipsychotics
*cognitive simulation, hallucinations/delus *refer to phychiatrist, contraindicated for
ion, but are last case management, social elderly
memory games,
resort due to
validation therapy, ginkgo adverse effects
services
biloba
References:
ATI. (2019a). RN Adult Medical Surgical Nursing (11th ed.). Assessment Technologies Institute
ATI. (2019b). RN Mental Health Nursing (11th ed.). Assessment Technologies Institute.
ACTIVE LEARNING TEMPLATES Pearson. (2019c). Nursing: A Concept-Based Approach to Learning (3rd ed., Vol. 2). Pearson Education.
