The 80-year-old woman who has Alzheimer's is restless, wanders during mealtime, and will not sit down to eat
The nurse assisting with writing the care plan prioritizes the following interventions for the goal—patient will eat at least 25% of each meal (prioritize options in sequence, from most therapeutic to least therapeutic): 1. Place her in a chair with a vest restraint.
2. Assign an NA to feed her.
3. Give her a high-protein drink in a small cup to carry with her.
4. Offer peanut butter crackers as she passes by.
5. Leave her alone. She will eat when she is hungry.
3, 4, 2, 1, 5
Offering a high-energy drink in a small cup partially meets the goal without further agitating the patient; offering the cracker does the same thing, but accurate evaluation of whether the crackers are eaten or just dropped might be difficult; assigning an NA to feed her may agi-tate her further and reduce her intake even more, and may not be the best used of personnel; placing her in a chair with a vest restraint is not a very desirable intervention and may not encourage her to eat either; leaving her alone does not meet the goal nor does it reduce the nutrition deficit.
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