A client is diagnosed as having Stage 1 Alzheimer disease. Which are appropriate goals for the client and family at this time?
Select all that apply.
A) Resolving grief over the diagnosis
B) Deciding on the desired treatment and selecting a healthcare proxy; sharing the treatment decision with the healthcare proxy
C) Beginning cognitive-enhancing medication, such as Aricept
D) Setting up a protective physical environment-such as removing throw rugs
Answer: A, B, C, D
Grieving over the diagnosis and loss of functioning and mental abilities will be an ongoing process for the client and the family members and is therefore a goal. While the client is still cognizant, it is important that the client and family discuss the desired treatment and designate a healthcare proxy to carry out the client's wishes regarding the treatment. Clients with early Alzheimer disease should start the cholinesterase inhibitor medication as soon as possible to extend the early stage of the disease. During this time period, the home environment should be modified to balance safety with client autonomy.
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