2020;35(6), 591-600. doi:10.1002/gps.5289, Yang, H. L.; Chan, P. T.; Chang, P. C.; Chiu, H. L.; Hsiao, S. T. S.; chu, H.; Chou, K. R. Memory-focused interventions for people with cognitive disorders: A systematic review and meta-analysis of randomized controlled studies. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. Provide written instructions and ensure that treatment plans are understandable and feasible for both the patient and caregiver. An example of data being processed may be a unique identifier stored in a cookie. March 15, 2023. 6. Provide a calm environment and promote reality-oriented relationships and environment. Explain (or re-explain) who you are and what you will be doing during the visit. Background and Objectives for the Systematic Review Neurocognitive disorders, typically referred to as dementia and cognitive impairment related to Alzheimer's disease, are a growing concern. Those with severe enough impairments would need significant support from other people or institutions, to function and sustain life. The Physician and Sports Medicine. 5. Medicine. Nursing Care Plan for Alzheimer's 1 Nursing Diagnosis: Disturbed Thought Process related to cognitive impairment secondary to Alzheimer's disease as evidenced by problems with coordination and motor functions, difficulty handling complex tasks, confusion and disorientation, inability to do activities of daily living (ADLs) as normal NIA Alzheimer's and related Dementias Education and Referral Center: 800-438-4380 Eldercare Locator: 800-677-1166 Local nonprofit and community organizations Consider referring the person with impairment to a dementia specialty clinic if diagnostic or management concerns remain. In particular, reassess the need for anticholinergics, antihistamines, narcotics, sedatives, and benzodiazepines. Exercise, guided meditation, and massage are examples of supplementary and alternative therapy. Assess the patients memory and cognition in general. Education: When to Seek Medical Attention, psychosocial status, social determinants of health, difficulty learning or following instructions. Help orient the patient. 1 Devices that can help assist the patient will help the patient in performing usual activities. Certain illnesses that can directly affect the brain (e.g., Patient response to medications (e.g., anesthetics), The presence of pre-existing cognitive issues makes them notably susceptible, Diagnosis of sepsis or acute respiratory distress syndrome (i.e., ARDS), Patients with prolonged and complicated hospital and ICU stays, Chronic conditions (e.g., Parkinsons disease, cardiovascular disease, stroke, diabetes, etc.