NURSING CARE PLAN

Name of the Patient: Mr. Macario Age: 72 years old Sex: Male Name of Student: Casilao, Mike Arone H.
Civil Status: Religion: Rm/Bed No. _________________ Area: Level/ Block: BSNIII-B
Address: Date Submitted: March 28, 2022
Date of Admission: _____________________ Diagnosis: Alzheimer’s Disease Rating: ___________________________________________________
CUES Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Expected Outcomes
Subjective/ Objective
Impaired Memory r/t cognitive After 2 weeks of Independent Independent After 2 weeks of
Subjective impairment and dementia Independent, Dependent, Independent, Dependent,
secondary to Alzheimer’s and Collaborative Nursing  Establish rapport  To obtain trust on the client and Collaborative Nursing
 The client’s Disease process as evidenced Intervention the client will and guardian to allow them Intervention the goal was
reported that over by: be able to: be more comfortable partially met as evidenced
the past years, her  Memory loss discussing or raising any by:
father has  Wandering issues.
progressively had  Disorientation to time,  Establish methods to  The client was able to
problems with his place, person, and help in remembering  Ascertain how client/family  This helps to determine establish methods in
mental capacity. situations essential things when view the problem. significance and impact of remembering
 Client is forgetting possible problem and suggest essential things
things and doing Definition:  Adhere on the given interventions, especially as  The client was able to
things out of the Impaired memory loss medications they relate to basic safety verbalize awareness
ordinary, such as Persistent inability to  Verbalize awareness issues of memory
placing the milk in  Evaluate skill proficiency  Evaluation may include impairment
remember or recall bits of of memory impairment
the cupboard and levels. many self-care activities to  The client was not
information or skills  Have an appropriate
sugar in the maintenance and determine level of able to have an
refrigerator. psychological function independence or needed appropriate
 One morning the Nurse’s pocket guide:  Have his family  Orient/reorient client as assistance. maintenance and
client thought it was diagnoses, prioritized members exhibit an needed. Introduce self with  This helps to meet client’s psychological function
nighttime and interventions, and rationales / understanding on each client contact. safety and comfort needs.  The client was not
wondered what his Doenges Marilynn E., required care for his able to adhere on the
 Implement appropriate
daughter was doing Moorhouse Mary Frances, disease process.  To provide restorative or given medications
memory-retraining
at his house. He Murr Alice C.—Ed. 13 compensatory training.  The client’s s/o was
techniques such as
could not pour his not able to
 own coffee, and he keeping calendars and
seems to be getting todo lists, memory cue
more agitated. games, mnemonics
 Client reports that devices and other more.
he has been having  Assist with and instruct
memory problems client and family in
for the past year associate-learning tasks,
and, at times, has such as practice sessions
difficulty recalling personal
remembering the information, reminiscing,
names of family and locating a geographic
members and location
friends  Allow adequate time for
 His neighbor found client to respond to
him down the street questions or comments
2 days ago, and Mr. and to make decisions.
Macario did not  Provide for and emphasize
know where he importance of pacing
was. learning activities and
getting sufficient rest.
Objective  Monitor client’s behavior
and assist in use of stress
 The client was management technique
diagnosed with  Involve in regular exercise,
Alzheimer’s activity, and diversional
Disease programs.
Dependent
 Administer Donepezil
(Aricept) 5mg PO at
night and Razadyne
8mg PO once a day.
understand client’s
disease process
therefore, she
verbalized that his
 Practice may improve medications are just a
performance and integrate waste of money.
new behaviors into the
client’s coping strategies.
 Reaction time may be
slowed with aging due to
neuromuscular condition.
 To avoid fatigue and
frustration that may further
impair cognitive abilities.
 To reduce boredom and
enhance enjoyment of life
 Promotes release of
endorphins, enhancing
sense of well- being, and
can improve thinking
abilities.
 This is used to treat mild to
moderate dementia of
Alzheimer’s disease.
Collaborative

 To determine presence
 Collaborate with and/or severity of
medical and impairment.
psychiatric providers
in evaluating
orientation, attention
span, ability to follow
directions,
send/receive
communication, and
appropriateness of
response