Chamberlain College of Nursing: NR 446 REVIEW NOTES PART 3Nursing Intervention for Client with Dementia,GRADED A
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NR 446
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NR 446
Chamberlain College: NR 446 REVIEW NOTES PART 3Nursing Intervention for Client with Dementia
Perform self-assessment regarding possible feeling of frustration, anger, or fear when performing daily care for clients with progressive dementia.
Nursing interventions are focused on protecting the cl...
chamberlain college of nursing nr 446 review notes part 3nursing intervention for client with dementia
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Chamberlain College of Nursing: NR 446 REVIEW
NOTES PART 3Nursing Intervention for Client with
Dementia
Perform self-assessment regarding possible feeling of frustration, anger, or fear
when performing daily care for clients with progressive dementia.
Nursing interventions are focused on protecting the client from injury as well as
promoting client dignity and quality of life.
Provide for a safe and therapeutic environment
Assign the client to a room close to the nurse’s station for close observation
Provide a room with the low level of visual and auditory stimuli.
Provide for well lit environment, minimizing contrast and shadows.
Have the client sit in the room with windows to help with time orientation.
Have the client to wear an identification bracelet; use monitors and bed
alarm deices as needed.
Use restrains only as an intervention of last resort.
Administer medications PRN for agitation or anxiety.
Ensure safety in the physical environment, such as lowered bed and
removal of scattered rugs to prevent falls.
Provide compensatory memory aids, such as clocks, calendars,
photographs, memorabilia, seasonal decorations, and familiar
objects. Reorient as necessary.
Provide eyeglasses, and assistive hearing device as needed.
Keep consistent caregivers.
Ensure adequate food and fluid intake.
Allow for safe pacing and wandering
Cover or remove mirrors to decrease fear an agitation.
Communication
Communicate in calm reassuring tone.
Reinforce reality
Introduce self to client with each new contact.
Establish eye contact and use short, simple sentences when speaking to the client.
Encourage reminiscence about happy time; talk about familiar things.
Break instructions and activities into short timeframe.
Limit the number of choices when dressing or eating.
, Minimize the need for decision making and abstract thinking to avoid frustration.
Avoid confrontation.
Encourage family visitation as appropriate.
,Dietary
Rituals
Hinduism
Some are vegetarians.
Buddhism
Some are vegetarians.
Those practicing Buddhism avoid alcohol and tobacco.
Client may fast during holy day.
Islam
Those practicing Islam avoid alcohol and pork.
Client may fast during Ramadan.
Judaism
Some may practice Kosher diet.
Christianity
Some avoid alcohol tobacco, and caffeine.
Client may fast during Lent.
Mormonism
Those practicing Mormonism avoid alcohol, tobacco, and caffeine.
Jehovah’s Witnesses
Clients avoid foods having prepared with blood.
, Communication Do’s and Don’ts:
● Nonverbal Communication
◯Nurses should be aware of how they communicate nonverbally. The nurse should
assess the client’s nonverbal communications for the meaning being conveyed,
remembering that culture impacts interpretation. Attention to the following
behaviors is important, as it is compared to the verbal message being conveyed:
▪ Appearance
▪ Posture
▪ Gait
▪ Facial expressions
▪ Eye contact
▪ Gestures
▪ Sounds
▪ Territoriality
▪ Personal space
▪ Silence
● Essential Components of Therapeutic Communication
◯ Time – Plan for and allow adequate time to communicate.
◯ Attending behaviors or active listening – These are nonverbal means of
conveying interest in
another.
>Eye contact typically conveys interest and respect but varies by situation
and culture.
>Body language and posture may demonstrate level of comfort and ease.
>Vocal quality enhances rapport and emphasizes particular topics or issues.
>Verbal tracking provides feedback by restating or summarizing a client’s
statements.
◯ Caring attitude – Show concern and facilitate an emotional connection
with the client and the client’s family.
◯ Honesty – Be open, direct, truthful, and sincere.
◯ Trust – Demonstrate reliability without doubt or question.
◯ Empathy – Convey an objective awareness and understanding of the
feelings, emotions, and behaviors of others, including trying to
envision what it must be like to be in the position of the client and the
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