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The nursing directives can be addressed to nurses, nursing assistants or beneficiary attendants. Each priority problem or need must be followed by a nursing directive or an intervention. The interventions must be specific to the patient. For example, two patients with the problem 'uncooperative care' can need different directives.
The second two levels form a taxonomy in which each intervention is grouped into 27 classes, and each class is grouped into six domains. An intent of this structure is to make it easier for a nurse to select an intervention for the situation, and to use a computer to describe the intervention in terms of standardized labels for classes and domains.
Nursing research shows that there is a continued need for education to help decrease patient falls. Gerontological nursing includes educating the elderly patient to be honest in discussing falls with medical professionals, using ambulatory aids, having adequate footwear and adequate lighting when ambulating.
Since dementia patients have trouble communicating their needs, this can be frustrating for the nurse. Nurses may have a hard time forming relationships with their dementia patients because of the communication barrier. How the dementia patient feels is based on their social interactions, and they may feel neglected because of this barrier. [35]
Most chapters within a unit are organized as follows, although there are some exceptions. Nursing-sensitive patient outcomes (NOC) are discussed before interventions. This is because in the sequence of clinical reasoning desired outcomes are identified prior to selection of interventions to achieve the outcomes.
Psychological therapies for dementia are starting to gain some momentum. [ when? ] Improved clinical assessment in early stages of Alzheimer's disease and other forms of dementia , increased cognitive stimulation of the elderly, and the prescription of drugs to slow cognitive decline have resulted in increased detection in the early stages.
Reminiscence therapy is used to counsel and support older people, and is an intervention technique with brain-injured patients [2] and those who appear to have "Alzheimer's and other forms of cognitive disease." [1]
The three approaches to cognitive interventions for dementia were developed in 2003 by Clare and colleagues. [7] The three approaches were created for the purpose of using cognitive interventions to address Alzheimer's disease (AD), and it has been widely used to address AD and different forms of dementia. [10]
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