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Clinical Reasoning - Research Paper Example

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The reporter describes Mrs. Archer's treatment of a girl who weighs 45 kilograms and has paper thin skin. She is in the early stages of dementia and she does not eat very much food or drink very much. She often gets very red and sore genitalia because she sometimes has urinary tract infections…
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Clinical Reasoning

It was stated that she is currently suffering from early stage of dementia manifesting her inability to perform basic activities of daily living such as eating and maintaining personal hygiene.
Dementia is the occurrence of significant deficiency of global cognitive ability in a formerly unimpaired person, further than what might be accepted from normal degeneration. It is a non-specific syndrome that affects areas of cognition such as attention, memory, language, and one’s ability in problem-solving (Thompson, 2006, p.19). In the UK alone, 820,000 people are suffering from dementia while more than 35 million people are currently estimated to have dementia and 4.6 million new cases are diagnosed each year worldwide (Ferri et al., 2005). The elderly with dementia usually go through three stages. During the early stage, one may be challenged in remembering things that they would usually know such as common daily tasks, where they put their things or even how to get home. The next stage is more serious and can be noticed by their family and friends where they may find themselves unable to accomplish their activities of daily living including nutrition and personal hygiene. The last part is when the body is also affected where the patient becomes weak and their ability to communicate may diminish (Thompson, 2006, p.19.)
Other nursing diagnoses that may be derived related to dementia are: (1) Impaired Verbal Communication related to cerebral impairment as demonstrated by altered memory, judgment, and word finding; (2) Bathing or Hygiene Self-Care Deficit related to cognitive impairment as demonstrated by inability to complete ADLs; and (3) Impaired Social Interaction related to cognitive impairment.
This study cited several identified nursing diagnosis, both actual and risk problems, taking into higher priority the actual problems related to nutrition and safety. Nutritional insufficiency related to cognitive impairment (dementia) is on the top of the list as it is under the basic physiologic needs of human. According to Maslow, the basic physiologic needs related to survival must be met first. ... Read More
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