As we grow older, we
accumulate memories, and most of them are happy moments in our life that we did
not want to forget. We have memories of our love ones, friends, pets and even
things we love like the house, the car, the plants we plotted, even the food we
ate. At the same time, we grew from these memories. But what if one day, you
lose some of those? What if you keep on forgetting something, how is your life
having a problem of remembering? Ms. Chou, 29 years old, stopped from being an
actress on a TV Channel after a car accident occurred 3 months ago. She
had a severe head trauma, although she survived the accident, she have been
manifesting loss of memory and difficulty of remembering some actions taken and
situations. Her impaired memory leads to devastation in her life especially at
her career. Although this case can be lead to more than one nursing care
diagnoses, we will focus on impaired memory nursing care plan. Related nursing
care plan is Risk forInjury. Below is a sample
of impaired memory nursing care plan of Ms. Chou.
Assessment:
Subjective: "Because of my head injury 3 months ago, I frequently experiencing memory loss, it’s like sometimes I forgot what I was performed or I can't remember someone said to me", as verbalized by the patient.
Objectives:
- Visible marks of
operation in the head caused by head injury.
- Mild Anxiety
- Vital signs are normal
- Visible eye bags
Diagnosis:
Impaired memory related
to inability to perform if a behavior was performed secondary to head injury.
Planning:
After 4 hours of nursing
intervention, the patient will report increased satisfaction with memory in
which the patient can identify at least three techniques to improve memory and
can relate factors that deter memory.
Interventions:
- Discuss with Ms. Chou
about her beliefs about memory deficits. You can politely correct her
misinformation and explain to her that negative expectations can result in
memory deficits.
- Assess Ms. Chou, the
patient, for factors that may negatively affect her memory such as
pathophysiologic, literacy and stressors. If the patient has difficulty
concentrating, explain to her the favorable effects of relaxation and imagery.
Teach her with two or three of the following methods to improve memory skills:
One is to write things down, she can use lists, notes, or calendars to write
things she needs to remember or to do. Second, she will use auditory cues, like
timers, alarm clocks in conjunction with the first method, write things
down. The third one is to use the environmental cues. If she might remove
something from its usual place, then she must return it to its normal location
after it has served its purpose as a reminder.
- Instruct Ms. Chou to
always have a specific place for specific items; keep items in their proper
places like keys on the key drawers. She must put reminders in appropriate
places such as place umbrella to be used tomorrow near door. Use visual images
by creating picture or pictures in her mind when she wants to remember
something. Example is that when she likes to go to a barber shop then picture
out herself on her mind that she are in a barber shop talking to the barber;
the more bizarre the picture, the more likely she will remember. Use active
observation and pay attention to details around her; she must be alert to the
environment. Rehearse items she wants to remember by repeating them aloud or
writing them on paper. Use self-instruction and say things aloud like "I'm
putting my shoes near my bag so I can remember bringing them to my work".
Divide information into small chunks that can be remembered easily, like
remembering cellphone number, zero-nine, one-nine, three-two-three, two-four-two-four.
Organize information into logical categories like shampoo and bath soap,
toothpaste and mouthwash. Use first-letter cues and make associations like to
remember to bring the shoes, insulin, lunch box, vest and radio, remember the
word silver.
- Tell Ms. Chou, the
patient, that when trying to learn or remember something, minimize her
distractions, do not rush and maintain some form of organization of routine
tasks. Carry a note pad or calendar.
Evaluation:
After 4 hours of nursing
intervention, the patient reported increased satisfaction with memory in which
the patient could identify at least three techniques to improve memory and
could relate factors that deter memory.
For more samples of
nursing care plan you are free to check it out in our NCP LIST page.
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