Free Dementia Nursing Care Plan Template
Dementia Nursing Care Plan
Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Date: January 15, 2050
Patient Name: Allene Tillman
DOB: March 2, 1945
Gender: Female
Diagnosis: Alzheimer’s Disease (Moderate Stage)
1. Assessment
|
Assessment Area |
Details |
|---|---|
|
Cognitive Function |
Impaired memory, confusion, difficulty with word recall |
|
Physical Health |
Hypertension, history of falls, some difficulty with mobility |
|
Behavioral Symptoms |
Agitation, occasional aggression, verbal outbursts, sundowning |
|
Emotional Well-Being |
Anxiety, occasional depression, need for reassurance |
|
Activities of Daily Living |
Requires assistance with bathing, dressing, and eating; independent walking |
2. Nursing Diagnosis
|
Nursing Diagnosis |
Related Factors |
Evidence |
|---|---|---|
|
Impaired Memory |
Cognitive decline due to Alzheimer’s Disease |
Difficulty remembering daily tasks |
|
Risk of Injury |
Decreased mobility and frequent falls |
History of falls, difficulty walking |
|
Chronic Anxiety |
Difficulty understanding environment and emotional instability |
Frequent anxiety episodes, restlessness |
3. Goals and Outcomes
|
Goal |
Outcome Criteria |
Timeline |
|---|---|---|
|
Improve memory recall for daily tasks |
Patient able to recall names of family members, daily schedule |
Within 3 months |
|
Increase independence in mobility |
Patient able to walk with minimal assistance (using walker) |
Within 6 months |
|
Reduce episodes of agitation |
Episodes of agitation reduced by 50% with regular interventions |
Within 3 months |
4. Nursing Interventions
|
Intervention |
Rationale |
Frequency |
Responsible Party |
|---|---|---|---|
|
Provide structured daily routine to reduce confusion |
Routine helps decrease anxiety and agitation |
Daily |
[YOUR NAME] (RN) |
|
Assist with ADLs, including feeding and dressing |
Ensure safety and maintain dignity in daily tasks |
As needed |
Family caregivers |
|
Use redirection techniques during agitation episodes |
Helps manage behavioral symptoms without confrontation |
As needed |
[YOUR NAME] (RN) |
|
Monitor blood pressure and administer medications |
To manage hypertension and ensure comfort |
Twice daily |
[YOUR NAME] (RN) |
|
Encourage physical activity, such as short walks |
Prevent further physical decline and promote well-being |
3 times per week |
Family caregivers |
5. Evaluation
|
Goal |
Outcome |
Evaluation Date |
|---|---|---|
|
Improve memory recall for daily tasks |
Patient has shown some improvement in recalling names of family members |
March 15, 2050 |
|
Increase independence in mobility |
Patient requires minimal assistance with walking; uses walker independently |
July 15, 2050 |
|
Reduce episodes of agitation |
Agitation has decreased by approximately 40% with implemented interventions |
April 15, 2050 |
6. Care Plan Review and Modifications
Next Review Date: July 15, 2050
Review Notes: Adjust interventions based on progress with mobility and memory recall. Reassess the need for medication adjustments and update family caregiver training.
