Quality, Safety nursing 1 7 Assessing the problem: Dementia and Alzheimer’s Disease Assessing the problem: Dementi




Assessing the problem: Dementia and Alzheimer’s Disease

Assessing the problem: Dementia and Alzheimer’s disease

As we age, it is common to be diagnosed with various medical diagnosis whether they be short or long-term illnesses. Some of the common diagnosis include dementia, diabetes, heart disease, neck or back pain. As a nurse, it is important to note risk factors diseases associated with age groups. In the elderly population, Alzheimer’s diagnosis increases by double after the age of 65 years old. (NIH, 2019). Distinct nursing interventions may assist and aid in treating a patient who has Alzheimer’s disease. There is no cure for Alzheimer’s disease but there are nursing therapies and treatments identified to help control and slow the progression of the cognitive changes associated with the disease. Nurses have various roles within healthcare thus having a crucial impact on health (Conroy, 2021). This paper focuses on identifying a patient’s and caregivers struggles, studying the present literature on nurses’ interventions regarding the affected patient’s problem.

Patient, Family, and Population Health Problem

Health Problem

Dementia is not a normal part of aging. Dementia is an impairment of a person’s memory, language, problem solving and or thinking capabilities. As stated by the Alzheimer’s organization, “Alzheimer’s disease is the most common cause of dementia” (alz.org). This disease is the cause for 60-80% of dementia cases. The condition additionally impairs different intellectual functions. Alzheimer’s disease is caused by brain cell damage. Alzheimer’s disease is progressive, but treatments are aimed to slow down progression of the disease. Symptoms of Alzheimer’s disease include disorientation, confusion, and incomprehension. As the disease progresses, extra signs and symptoms can also appear. (Alzheimer’s association Alz.org) Alzheimer’s illness is a disease that destroys an individual’s reminiscence (Tebbs, 2021).

Patient and Family

The patient for this evaluation is an elderly man in his mid-80s diagnosed with dementia due to Alzheimer’s disease. Some of the symptoms the patient presented included difficulty-making decisions, misplacing items easily, and difficulty expressing self. Aside from this, is starting to lose the ability to control bladder and bowel movements. He is at the current home nursing facility with his daughter who is his caregiver. His daughter states it has become difficult to care for him at home and she is considering placing her father in this nursing home. She states she wants him to receive the care he needs but is unsure if that is the best option since it’s an unfamiliar place for him but is the one that is closest to her home.

Relevance of Problem with Family and Patient

Alzheimer’s disease is not just a disease, which affects the patient but also causes increased caregiver burnout. This is because the disease causes struggles for those loved ones of the of the affected patient. Family members are often affected due to the emotional and physical demands along with the financial expenses. As the disease worsens, those affected lose their capacity to carry out activities of daily living and their ability to care for themselves. This creates the need for additional care that strains households financially, emotionally, and physically. As the nurse discussing with the patient and family and working with the healthcare team to find alternatives to provide care is part of the nursing role of advocacy.

Relevance of Health Problem with Baccalaureate-prepared Nurse

The baccalaureate-prepared nurse plays a vital role in Alzheimer’s disease patients. With diagnosis, a good history and physical examination and assessment is key. The physical examination pays provide deficits in the neurological exam and mental status exam. As nurses, we are often the healthcare provider that spends most time with patients and families. Therefore, it’s important as a BSN prepared nurse to assess changes to mood, behavior, nutrition, ADL’s, administration of medications and intervene when appropriate to keep patient safe and free from harm. In addition to being patients, advocate which is the epitome of the nursing role in order to provide high quality care (Kumar et al, 2021).

Literature Review

In the study by Theofanidis, dementia is one of the rising cases causing deaths in developed countries and increasing economic, social, and medical burdens. This study aims to synthesize and assess present clinical evidence for nursing practices. After reviewing 158 studies, the five domains were gained for nursing practices: chronic concession, despair, Memory impairment, Homecare needs, and Anxiety. Nurses provide care for sufferers with Alzheimer’s disease including providing care and support to their caregivers.

Coffey (2021) determined that obstacles consist of numerous elements that restrict the implementation of measures to address dementia in rural settings. As in advance elaborated, being concerned for patients with dementia may be tough for caregivers and families. This describes the want for large resources. The lack of those resources, particularly in rural areas, can avoid the powerful implementation of measures to assist sufferers, caregivers, and families.

Nursing Practices Standards by State board

Effectiveness of Standards and Role of Nurses in Policy Making

Nurses are required to remain aware of policy changes. In order to improve quality of care, nurses should develop skills in proposing and developing new healthcare implementations and policies. Nurses’ roles are changing continuously. Initially, nurses are trained to focus solely on the well-being of patients. Nurses now play a role in finding evidenced base research to implementing new protocols to enhance affected person results, stop illnesses, and lower readmissions. In a stepwise approach, nurses are able to advocate for their patients using a professional ladder approach to proposition changes to care.

Effects of Federal, State and Local Policies on Nursing practice

American’s have been experiencing complexities surrounding dementia, especially in healthcare. The federal, nation, and neighborhood governments have embraced specific measures to address healthcare issue. The federal authorities applied the National Alzheimer’s Project Act alongside different rules for identical purposes. This act turned into an excellent basis in addressing the problem of restricted assets. Additionally, public coverage statements recognize enhancing communication, awareness, useful resource coordination, and setting up linkages in any respect authority’s levels.

Leadership Strategies

Effectiveness of Leadership Strategies

Effective leadership is vital and is what facilitates and emphasizes the effective continuation of safe, high quality, and compassionate care. This is important for patients with Alzheimer’s disease as they progress their dependability on their caregivers increase. Safe, High quality evidenced based and empathetic care are accordingly vital for them. Effective management will consequently steer and provide guidance on tackling healthcare hurdles.

Communication and Collaboration Strategies

Effective communication and collaboration are essential for transparency, problem solving and providing colleagues with respect. The collaboration includes assuming cooperative and complementary roles while sharing accountability for making decisions and problem-solving methods to evaluate and continue patient care plans. Teamwork and communication skills are important for delivering quality healthcare, and staff can improve patient outcomes and improve efficacy and patient satisfaction.

Changes Management Strategies

Various change management policies anticipate the need to address the health problem. The strategies include recognizing and organizing stakeholders, organization, developing change impact evaluation, and changing communication plan. Using the change management, culture change movement to help provide support the patients need to make their time in hospitals or nursing homes feel more like home to diminish confusion while maintaining safety in place.


Nurses play an effective role in promoting the best care and interventions for the patients by improving healthcare procedures and methods with evidence-based practice. There are various positions within the healthcare system for nurses to be change agents. Alzheimer’s disease and dementia affect about one third of all people over the age of 85 years of age. In this specific problem, the patient’s disease is progressing, and the caregiver is burnout. The caregiver needs additional support and resources to provide care.


Coffey, A. H. (2021). Implementation of Evidence-based Guidance for Dementia Palliative Care using Participatory Action. Dementia Palliative Care using Participatory Action Research: Examining Implementation Through the Consolidated Framework for Implementation Research (CFIR). Retrieved from https://www.researchsquare.com/article/rs-559312/latest.pdf

Conroy, T. F. (2021). Building nursing practice: The fundamentals of care framework. In Potter & Perry’s Fundamentals of Nursing: Australia and New Zealand 6th Edition. Elsevier Australia, 19-33. Retrieved from https://researchnow.flinders.edu.au/en/publications/building-nursing-practice-the-fundamentals-of-care-framework-2

Dudley, N. M. (2021). The impact of nurse delegation regulations on home care services: A four-state case study. Medical Care Research and Review, 47S-56S. Retrieved from https://journals.sagepub.com/doi/abs/10.1177/1077558720960902

Gaugler, J. E., Yu, F., Davila, H. W., & Shippee, T. (2014). Alzheimer’s disease and nursing homes. Health affairs (Project Hope)33(4), 650–657. https://doi.org/10.1377/hlthaff.2013.1268

Kumar A, Sidhu J, Goyal A, et al. Alzheimer Disease (Nursing) [Updated 2021 Aug 11].

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK568805/

National Institue on Aging (2019). Alzheimer’s disease


Tebbs, O. H. (2021). Evaluation of a blended learning approach to developing specialty-nursing practice. An exploratory, descriptive qualitative study. Nurse education today, 104663. Retrieved from https://www.sciencedirect.com/science/article/pii/S0260691720315136

Theofanidis, D. F. (2021). Nursing Interventions in Alzheimer’s Disease: A Concise Practical Guide for Everyday Use. International Journal of Caring Sciences, 106. Retrieved from http://www.internationaljournalofcaringsciences.org/docs/12_theofanidis_original_%2014_1.pdf

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