I have been racking my brain and I can not come up with a psychosocial nursing diagnosis for my care plan. My patient is in the beginning stages of vascular dementia. She has pretty significant short term memory loss. Her chart says that she has bouts of depression, but I have not been around her during those times. She always seems happy and accepts her condition. One of my instructors suggested interrupted family process because her family does not come to see her hardly anymore and it bothers her. I don't know how to tie that all in with the NANDA book because it gives me interventions for the family and not the patient. I have never even met her family. I'm just lost. She has a history of insomnia, depression, and anxiety but since I have been at the nursing home she has not shown any signs of these disorders to my knowledge.