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M.E. is a 66-year-old woman who has a 2-year history of progressive forgetfulness. After a neurologic evaluation, M.E. was diagnosed as having Alzheimer disease (AD). She is no longer able to care for herself, has become increasingly depressed and paranoid, and recently started a fire in the kitchen. Her husband and children have come to the Alzheimer unit at your extended care facility to seek information about AD and discuss the possibility of placement for M.E. You assure the family that you have experience dealing with the questions and concerns of most people in their situation.

How would you explain AD to the family?

 

M.E.’s husband asks, “How did she get Alzheimer’s? We don’t know anyone else who has it.” How would you respond?

 

After asking the family to describe M.E.’s behavior, you determine that she is in stage 2 of Alzheimer’s three stages. Describe common signs and symptoms for each stage of the disease
M.E.’s daughter expresses some frustration at the number of tests M.E. had to undergo and the length of time it took someone to diagnose M.E.’s problem. What tests are likely to be performed, and how is AD diagnosed?

 

M.E.’s husband states, “How are you going to take care of her? She wanders around all night long. She cannot find her way to the bathroom in a house she has lived in for 43 years. She cannot be trusted to be alone anymore; she almost burnt the house down. We’re all exhausted; there are three of us, and we can’t keep up with her.” You acknowledge how exhausted they must be from trying to keep her safe. You tell the family that Alzheimer units have been created to provide a structured, safe environment.

Describe specific nursing interventions to place in M.E.’s plan of care that are part of National Patient Safety Goals aimed at minimizing her risk of falling.

 

M.E.’s son asks why you can only access the unit through a door that has a keypad control. He wants to know if there are violent patients on the unit. How will you respond?
Describe the Alzheimer-related nursing interventions related to each of the following problems: chronic confusion, inability to perform self-hygiene, disrupted sleep pattern, impaired verbal communication, and agitation.
M.E.’s son asks whether medications can help her AD. How would you respond?
What other medications might be prescribed for M.E. and why?

You try to comfort the family by telling them that the problems that they are experiencing are common. You explain that family support is a major focus of your program.

List four ways in which M.E.’s family might receive the support they need

With 3 references

SCIENCE
HEALTH SCIENCE
NURSING

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