Nursing Care Plan Impaired Memory

brain 300x299 300x212 Nursing Care Plan Impaired  Memory Nursing Care Plan Impaired  Memory Definition:Inability to remember or recall bits of information or behavioral skills, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of Nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of Nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Impaired  Memory

Defining Characteristics

  • Inability to determine whether a behavior was performed
  • Inability to learn new skills or information or to perform previously learned skills
  • Inability to recall factual information and recent or past events
  • Incidences of forgetting, including forgetting to perform a behavior at a scheduled time

Related Factors

  • Anemia
  • Fluid and electrolyte
  • Decreased cardiac output imbalance
  • Excessive environmental
  • Hypoxia Disturbances
  • Neurological disturbances

Assessment Focus

  • Cardiac function
  • Neurocognition
  • Emotional
  • Self-care
  • Fluids and electrolytes

Expected Outcomes The Patient/Family Will

  • Express feelings about memory impairment.
  • Acknowledge need to take measures to cope with memory impairment.
  • Identify coping skills to deal with memory impairment.
  • State specific plans to modify lifestyle.
  • Establish realistic goals to deal with further memory loss.

Suggested Noc Outcomes

Cognition; Cognitive Orientation; Concentration; Memory; Neuro-logical Status: Consciousness

Interventions And Rationales

Determine:  Observe patient’s thought processes during every shift.Document and report any changes. Changes may indicate progressive improvement or a decline in patient’s underlying condition.Perform:  Implement appropriate safety measures to protect patient from injury. He or she may be unable to provide for his or her own safety needs.Call patient by name and tell him or her your name. Provide background information (place, time, and date) frequently through-out the day to provide reality orientation. Use a reality orientation board to visually reinforce reality orientation.Spend sufficient time with patient to allow her to become comfort-able discussing memory loss and establish a trusting relationship.225 Be clear, concise, and direct in establishing goals to promote max-imal use of patient’s remaining cognitive skills. Offer short, simple explanations to patient each time you carry out any medical or nursing procedure to avoid confusion.Label patient’s personal possessions and photos, keeping them in the same place as much as possible, to reduce confusion and create a secure environment.Inform:  Inform patient that you are aware of his or her memory lossand that you will help him or her cope with his or her condition to bring the issue into the open and help patient understand that your goal is to help him or her.Teach patient ways to cope with memory loss (e.g., using a beeper to remind her when to eat or take medications; using a pillbox organized by days of the week; keeping lists in notebooks or a pocket calendar; having family members or friends remind her of important tasks). Reminders help limit the amount of information patient must maintain in her memory.Help patient and family members establish goals for coping with memory loss. Discuss with family members the need to maintain the least restrictive environment possible. Instruct them on how to main-tain a safe home environment for patient. This helps ensure that patient’s needs are met and promotes his or her independence.Demonstrate reorientation techniques to family members and pro-vide time for supervised return demonstrations to prepare them to cope with patient with memory impairment.Attend:  Encourage patient to develop a consistent routine for performing activities of daily living to enhance his self-esteem and increase his self-awareness and awareness of his environment.Encourage patient to interact with others to increase social involvement, which may decline with memory loss.Encourage patient to express the feelings associated with impaired memory to reduce the impact of memory impairment on patient’sself-image and lessen anxiety.Manage:  Help family members identify appropriate community sup-port groups, mental health services, and social service agencies to assist in coping with the effects of patient’s illness or injury.

Suggested Nic Interventions

Anxiety Reduction; Calming Technique; Cerebral Perfusion Promo-tion; Dementia Management; Fluid and Electrolyte Management;Memory Training; Neurologic Monitoring; Reality Orientation

Reference

Parahoo, K., et al. (2006, June). Expert nurses’ use of implicit memory in the care of patients with Alzheimer’s disease. Journal of Advanced Nursing, 54(5), 563–571.

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