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Agitation in predementia and dementia is distressed affect that leads to poor moods and often aggression toward other people, such as family members and other caregivers. Agitation is often part of dementia and often precedes the diagnosis of common age-related disorders of cognition such as Alzheimer's disease (AD).
Since dementia patients have trouble communicating their needs, this can be frustrating for the nurse. Nurses may have a hard time forming relationships with their dementia patients because of the communication barrier. How the dementia patient feels is based on their social interactions, and they may feel neglected because of this barrier. [35]
Gordon’s functional health patterns is a method devised by Marjory Gordon to be used by nurses in the nursing process to provide a more comprehensive nursing assessment of the patient.
A therapeutic nurse-patient relationship increases the patient's trust in the nurse. Additionally, the patient is more willing to provide information to the nurse that may be pertinent to the safe care and medical needs of the patient. A therapeutic relationship can help patients cope better and lead to calmness at a time that the patient may ...
Is patient alert and calm (score 0)? Does patient have behavior that is consistent with restlessness or agitation (score +1 to +4 using the criteria listed at the Richmond Agitation–Sedation Scale table, under Description)? If patient is not alert, in a loud speaking voice state patient's name and direct patient to open eyes and look at speaker.
This is typically stated as the nursing problem related to the focal stimuli, forming a direct relationship. In the fourth step, goal setting is the focus. Goals need to be realistic and attainable and are set in collaboration with the person. [1] There are usually both short term and long-term goals that the nurse sets for the patient.
Clinical detachment is a means of providing objective, detached medical care while maintaining enough concern for the patient to offer emotional understanding. [16] A close patient-provider relationship threatens objectivity, therefore a social distance is expected to ensure professionalism. [17]
Although the relationship of stress and AD is unclear, strategies to reduce stress and relax the mind may be helpful strategies in preventing the progression or Alzheimer's disease. [182] Meditation, for instance, is a helpful lifestyle change to support cognition and well-being, though further research is needed to assess long-term effects. [171]