●DefiCognitive impairmentPossible Etiologies (“related to”)Outcome Criteria 1. With assistance from caregiver, client is able to distinguish daily living (ADLs)] for self. 2. Prospective caregivers are able to verbalize ways in which to Defi^64 SELF-CARE DEFICITorient client to reality, as needed.between reality-based and non–reality-based thinking. ning Characteristics (“evidenced by”) nition:●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Impaired ability to perform or complete [activities of
2 2506_Ch03_054-070.indd 64 506 Ch 03 054 - 070 .indLong-term GoalInability to bring food from receptacle to mouth[Inability to toilet self without assistance] Goals/ObjectivesShort-term GoalInability to put on clothingInterventions with 1. Provide a simple, structured environment Client will accomplish ADLs to the best of his or her ability. UnfulfiInability to wash body Client will participate in ADLs with assistance from caregiver.d disease process but may slow down the progression of the decline in functionality. in clients with Alzheimer’s disease. Common side effects of memantine include dizziness, headache, and gastrointestinal upset. CLINICAL PEARL receptor antagonist, is used for treatment of moderate to severe cognitive impairment rivastigmine (Exelon), dizziness, headache, and constipation. These medications do not stop or reverse the Alzheimer’s disease. Examples include inhibitors are used for mild to moderate cognitive impairment in clients with 6 c. Provide guidance and support for independent actions by a. Identify self-care deficonfusion: b. Allow plenty of time for client to perform tasks. 4 required.talking client through the task one step at a time. lled needs will be met by caregiver.and galantamine (Razadyne). Selected RationalesMedications for Alzheimer’s disease.tacrine (Cognex), donepezil (Aricept), cits and provide assistance as Memantine (Namenda), Common side effects include Cholinesterase to minimize an NMDA 1 10/1/10 9:33:41 AM 0 / 1 / 10 9 : 33 : 41 AM
