Altered Thought Processes and Disturbed Sensory Perception - NCP for Dementia


Nursing Care Plan for Dementia

Dementia is a decline in intellectual functioning which leads to loss of social independence. (William F. Ganong, 2010)


Nursing Diagnosis for Dementia : Altered Thought Processes related to physiological changes (irreversible neuronal degeneration),

characterized by: loss of memory, loss of concentration, not able to interpret the stimulation and assess reality accurately.

Goal: The client is able to recognize a change in thinking.

with outcomes:
  • Able to demonstrate the cognitive ability to undergo the consequences of stressful events on the emotions and thoughts of suicide.
  • Able to develop strategies to overcome negative self assumption.
  • Being able to recognize behavior and the causes.

Interventions :
  • Develop a supportive environment and client-nurse relationships are therapeutic.
  • Maintain a pleasant and quiet environment.
  • Face-to-face when talking to clients.
  • Call the client with the name.
  • Use a rather low voice and speak slowly on the client.
Rational :
  • Reduce anxiety and emotional.
  • Noise is a sensory overload, which increases neuronal disorders.
  • Cause concern, especially in clients with perceptual disorders.
  • The name is a form of identity and lead to the introduction of reality and clients.
  • Improve understanding. Speech high and hard to cause stress which sparked angry confrontations and response.


Nursing Diagnosis for Dementia : Disturbed Sensory Perception related to changes in perception, transmission or sensory integration (neurological disease, is not able to communicate, sleep disorders, pain),

characterized by: anxiety, apathy, anxiety, hallucinations.

Goal: Change the client sensory perception can be reduced or controlled

with outcomes:
  • Decreased hallucinations.
  • Developing strategies for reducing psychosocial stress.
  • Demonstrating appropriate response stimulation.
Interventions :
  • Develop a supportive environment and nurse-client relationship are therapeutic.
  • Help clients to understand hallucinations.
  • Assess the degree of sensory or perceptual disorders and how it affects the client, including a decrease in vision or hearing.
  • Teach strategies to reduce stress.
  • Take a simple picnic, walk around the hospital. Monitor activity.

Rational :
  • Improve comfort and reduce anxiety on the client.
  • Improving coping and decrease hallucinations.
  • Involvement of the brain showed asymmetric problems cause the client to lose the ability on one side of the body.
  • To reduce the need hallucinations.
  • Picnic shows the reality and provide sensory stimulation lowers suspicious feelings and hallucinations caused feeling confined.

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