Nursing Plan of Care with vSimulation

vSImulation Client: G.P. 90yr African American male who is diagnosed with minor neurocognitive disorder, Alzheimer’s type 6 months ago and
was prescribed galantamine. He does have hypertension. He is a widow, his wife passed away 3 yrs ago and recently lost his 13 yr. Golden
retriever. He daughter requested this visit because she is concerned her father is becoming more forgetful and appears to be losing weight. CAM
was initially done but the home health agency that was negative for delirium, but some impairment in executive functioning was evident. Mini-
cog was done during the home visit. Pt was independent before his dog died, since then patient does not partake in activities that he would
normally do such as walks. He does occasionally forget to take his medications and forgets to eat.

a
Student Name:

vi
Fern Spencer

d
V-sim name: Primary Diagnosis (Mental Health

e
George Palo Disorder):

ar
Dementia/Alzheimer’s’ dse

sh
Priority #1: Nursing Diagnosis #1 (3 Part Priority #2: Nursing Diagnosis #2 (3 Part Priority #3: Nursing Diagnosis #3 (3 Part

as
NANDA). NANDA). NANDA).

w
Risk for loneliness Acute confusion r/t dementia/Alzheimer’s Activity intolerance r/t depression AEB
AEB memory impairment patient’s dog died and has not wanted
to walk or have the energy.

m e
Interrelated Concepts (at least 4) Interrelated Concepts (at least 4) Interrelated Concepts (at least 4)
co rc Cognition
o. ou
Safety Mobility Nutrition
Mood Gas exchange Mobility
Hormonal regulation Mood Cognition
er res

Cognition Safety
Desired Outcome (Goal) Desired Outcome (Goal) Desired Outcome (Goal)
se dy

Short Term: patient will identify feelings Short Term: patient will experience no injury Short Term: patient wallo understanding
of loneliness and will express desire to before shift is over of the n….se activity gradually by end of
ur tu

socialize more after mini- cog is shift.

complete. Long Term: patient will report feeling
s
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This study source was downloaded by 100000822865927 from CourseHero.com on 04-07-2021 11:37:53 GMT -05:00
 Nursing Plan of Care with vSimulation
vSImulation Client: G.P. 90yr African American male who is diagnosed with minor neurocognitive disorder, Alzheimer’s type 6 months ago and
was prescribed galantamine. He does have hypertension. He is a widow, his wife passed away 3 yrs ago and recently lost his 13 yr. Golden
retriever. He daughter requested this visit because she is concerned her father is becoming more forgetful and appears to be losing weight. CAM
was initially done but the home health agency that was negative for delirium, but some impairment in executive functioning was evident. Mini-
cog was done during the home visit. Pt was independent before his dog died, since then patient does not partake in activities that he would
normally do such as walks. He does occasionally forget to take his medications and forgets to eat.

a
increasingly calm by discharge. Long Term: patient will state a sense of

vi
Long Term: patient will make specific satisfaction with each new level of
plans to continue involvement with activity attained day before discharge.

d
others, such as through recreational

e
activities or social settings interaction

ar
groups by discharge.

sh
Minimum of 3 Interventions: Asses, Minimum of 3 Interventions: Assess, Teach, Minimum of 3 Interventions: Assess,
Teach & Do. & Do. Teach & Do.

as
Help patient identify social activities

w
that patient can initiate, such as  Assess patient’s LOC in changes in  Identify activities the patient
becoming active in a support group or behavior. considers desirable and

m e
volunteer organization. meaningful.

Work with patient to establish goals for co rc  Monitor neurologic status on a

regular basis. Discuss with patient the need
o. ou

reducing feelings of loneliness after for activity.
patient leaves health care setting  Encourage patient to perform ADLs
er res

dividing tasks into small crucial  Each patient how to conserve

Refer patient and family to social units. Be patient and specific and energy while performing ADL’s
services agencies, mental health center, providing instructions.
se dy

and appropriate support groups.

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This study source was downloaded by 100000822865927 from CourseHero.com on 04-07-2021 11:37:53 GMT -05:00
 Nursing Plan of Care with vSimulation
vSImulation Client: G.P. 90yr African American male who is diagnosed with minor neurocognitive disorder, Alzheimer’s type 6 months ago and
was prescribed galantamine. He does have hypertension. He is a widow, his wife passed away 3 yrs ago and recently lost his 13 yr. Golden
retriever. He daughter requested this visit because she is concerned her father is becoming more forgetful and appears to be losing weight. CAM
was initially done but the home health agency that was negative for delirium, but some impairment in executive functioning was evident. Mini-
cog was done during the home visit. Pt was independent before his dog died, since then patient does not partake in activities that he would
normally do such as walks. He does occasionally forget to take his medications and forgets to eat.

a
vi
Rationale – Citation/EBP: Each Rationale – Citation/EBP: Each intervention Rationale – Citation/EBP: Each

d
intervention above requires a written above requires a written rationale. intervention above requires a written

e
rationale. rationale.

ar
 To provide baseline for comparison
 To foster feelings of control and with ongoing assessment findings.  Engaging patient in activities

sh
increase social contacts. that have personal meeting give
 To detect any improvement or the patient a greater sense of
 To focus energy on specific decline in patient’s neurologic independence and may

as
objectives function. motivate patient to continue
developing tolerance.

w
 To ensure continued care and  These measures enhance office
maintain social involvement. team as well as help prevent  Lack of activity causes physical

m e
complications related to inactivity deconditioning me also have a

co rc negative impact on
psychological well being.
o. ou
 These measures reduce cellular
er res

metabolism and oxygen

demand.
Evaluation (Goal Met, Not Met, Partially Evaluation (Goal Met, Not Met, Partially Evaluation (Goal Met, Not Met, Partially
se dy

Met) – Re-evaluation? Met) – Re-evaluation? Met) – Re-evaluation?

ur tu

Met: patient will participate in group Met: patient exhibits in mental status of Met- get it patient states a desire to
activities and describes plan to continue then his normal range. What happened increase activity level.
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is
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This study source was downloaded by 100000822865927 from CourseHero.com on 04-07-2021 11:37:53 GMT -05:00
 Nursing Plan of Care with vSimulation
vSImulation Client: G.P. 90yr African American male who is diagnosed with minor neurocognitive disorder, Alzheimer’s type 6 months ago and
was prescribed galantamine. He does have hypertension. He is a widow, his wife passed away 3 yrs ago and recently lost his 13 yr. Golden
retriever. He daughter requested this visit because she is concerned her father is becoming more forgetful and appears to be losing weight. CAM
was initially done but the home health agency that was negative for delirium, but some impairment in executive functioning was evident. Mini-
cog was done during the home visit. Pt was independent before his dog died, since then patient does not partake in activities that he would
normally do such as walks. He does occasionally forget to take his medications and forgets to eat.

a
involvement with others.

vi
Met- met

de
ar
sh
as
w
m e
co rc
o. ou
er res
se dy
ur tus
H
is
Th

This study source was downloaded by 100000822865927 from CourseHero.com on 04-07-2021 11:37:53 GMT -05:00
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