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Discussion

Care plan

I need help with a care plan for my nursing class.

My patient had advanced demetia to the point where she couldn't talk and couldn't move herself at all. She didn't respond to anything.

I have to do three care plans, and one of them has to be about the patient's mental status.

I have thought about social isolation because she had MRSA anyways but also people talked over her like she wasn't there... but I don't know what my goals should be.

I know I can't say "the patient will communicate effectively" or something like that because she can't communicate at all and I can't set an unattainable goal.

I would appreciate any help I could get on this!

Also, for the diagnosis I must have three goals and four interventions each goal.

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    One you could go with is chronic confusion. I'd aim the goals towards safety and meeting ADL requirements

    And from the info you gave, other Dx's aside from the cognitive/mental aspect could be impaired physical mobility, risk for impaired skin...if they suffer from dementia and they're weak, they could be risk for aspiration. There could also be a risk for imbalanced nutrition - less than body requirements.

    As far as meeting goals, they have to be realistic. Someone in her condition isn't likely to get better. So you have to choose goals that compliment the situation she's in - that's why I suggested the 'safety' angle above. And in saying that, you probably can't included a lot of teaching. It's probably going to be in the form of interventions. Does the pt live at home with someone? Obviously they don't live alone in a situation as such. Does their caregiver show signs of ineffective role performance? If the pt does live at home, should a move to a long term facility be discussed? Anyway - good luck

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