Dementia Plan Of Care Home Care Path

This is a senior care plan for an individual who has altered thought processes related to the effects of dementia. The senior has a cognitive deficit that makes completeing ( 6 ADL's) bathing, dressing, meals, walking, transferring, toileting, on their own impossible. Note the senior may be able to perform on some of the ADL's (acitivites of daily living) on their own with cueing of another and this is encouraged to help maintain independence.

Concern: Altered thought processes related to the effects of dementia

Cause: diagnosis of dementia, Alzheimer's Disease, or cognitive deficit

Evidence:
1. Poor hygeine secondary to no bathing (bathing)
2. Wears same, unlaundered clothing secondary to difficulty dressing self. (dressing)
3. Limited food consumption related to little or no cooking in home kitchen.(meals)
4. Does not exit residence due to poor stance, unsteady gait.(walk)
5. Sits only in familir chair due to difficulty getting up.(transfer)
6. Unable to apply adult briefs to prevent soiling, wetting clothing. (toileting)

Intervention: With a diagnosis of dementia, the disease process is progressive, indicating the person will not begin to do better. Repetitive teaching with an individual who has a diagnosis of dementia has not proven to be effective. The senior with a diagnosis of dementia typically needs the assist of another throughout the day.

Senior Care worker would assist the senior to complete:
Recommendation is bath or shower at least every other day(bathing).
Recommendation is to be fully dressed in freshly laundered street clothes daily(dressing).
Recommendation is to have access to 3 meals per day(meals).
Recommendation is to provide cueing with any adaptive aids (cane, walker, wheel chair) to reduce falls (walking).
Recommendation is to assist with lying to seated to standing (transfers).
Recomendation is to schedule toileting, and protective wear changes (toileting)

This is a simplistic plan of care that demonstrates how memory loss can adversely effect a seniors ability to remian living in their own home. www.homecarepath.com provides non-medical in home custodial care for seniors residing in south central Wisconsin.