According to (Galvin et al., 2021), Alzheimer’s disease (AD) is an incurable neurodegenerative disease. The clinical course of AD consists of stages such as mild, moderate, and severe (Galvin et al., 2021). AD has a sociodemographic predilection (Galvin et al., 2021). It is common in African Americans and people aged 60 years and above (Galvin et al., 2021). Approximately 5.9 million Americans have been diagnosed with the disease (CDC, n.d.). This paper proposes an intervention plan for a patient with AD.
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Leadership and change management plays a key role in the formulation of interventions. Change management involves the establishment of strategies to enable an organization to implement modifications or reforms in its processes (Tang, 2019). Leaders facilitate change management by incorporating both leadership and change management techniques. I embraced various leadership and change management strategies to formulate my intervention. They include formulation of goals and objectives, open communication, planning, patient engagement, and evaluation (Tang, 2019).
The formulation of goals and objectives enabled me to establish the mission and vision of the intervention. Additionally, it enabled me to develop the best intervention that addresses the patient’s needs. Open communication enabled me to inform the patient and her family about my intervention. This communication was also significant in building a rapport with the patient and facilitated patient and family engagement. Patient and family engagement helped to recognize and respect the patient’s perspectives. By so doing, I developed a patient-centered intervention. The strategy of evaluation will be enforced after implementing my intervention. Periodic evaluation will enable me to establish the impact of the intervention and the need for modification.
Nursing ethics guided the formulation of my intervention. Examples of nursing ethics include justice, non-maleficence, autonomy, and beneficence. The principle of autonomy recognizes the role of the patient in the decision-making process (McDermott-Levy et al., 2018). In addition, I embraced patient engagement and respected the perspectives and beliefs of the patient and her family. Further, the principle of justice advocates for equality in discharging healthcare services (McDermott-Levy et al., 2018). I did not discriminate against the patient and her family during our interaction. Beneficence and non-maleficence direct nurses to engage in practices that promote the well-being of the patient (McDermott-Levy et al., 2018). I developed an evidence-based intervention to increase patient safety.
The patient is a 68-year-old African-American female with Alzheimer’s Disease. The patient reports that she was diagnosed with AD when she was aged 60 years. She has been on medication for the past seven years. Currently, the patient presents with confusion, restlessness, difficulty remaining attentive, and difficulty with language. Her ability to organize thoughts and think logically is preserved. Her manifestations are indicators of moderate AD.
Patient and family engagement is important in the management of AD. It enables nurses and other healthcare providers to recognize and respect the perspectives and beliefs of the patient. Additionally, patient engagement creates a rapport and enables healthcare practitioners to understand the needs of the patients. By so doing, holistic care is achieved. Holistic care addresses the patient as a whole. The patient has physical, emotional, cultural, religious, and psychological needs (Frisch & Rabinowitsch, 2019). These needs should be fulfilled to promote the patient’s overall well-being.
Effective communication and collaboration promote harmony in the management of AD and are associated with better patient outcomes. According to Gayle (2019), therapeutic communication can be used to achieve open communication and collaboration with the patient. Therapeutic communication entails the appropriate use of verbal and nonverbal communication cues (Gaylle, 2019). It helps to establish a rapport with the patient, creates an environment of trust, and increases the quality of patient feedback (Gaylle, 2019). Furthermore, therapeutic communication helps to relieve the psychological tension of the patient and creates a relaxed environment to promote effective interaction (Gaylle, 2019).
Gayle (2019) reports that therapeutic communication techniques include proper turn-taking, active listening, embracing empathy, paraphrasing, summarizing, and confrontation.
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