The nurse caring for a client with Alzheimer's disease (AD) is discussing discharge planning with the family. The client has been showing signs of increasing agitation in the evenings
The nurse suggests the following intervention to initially manage the client's behavior: 1. Taking the client to his room, where soft music is being played on the radio
2. Administering an oral tranquilizer with dinner
3. Engaging the client in a distractive activity when agitation occurs
4. Recommending the client be in bed for the night by 9 p.m.
Taking the client to his room, where soft music is being played on the radio
Rationale: Music therapy, massage, art therapy, sound, and dance are all alternative therapies that have been helpful in the treatment of Alzheimer's disease. Increased agitation in the evenings is part of the "sundowner's" phenomenon and, although common, can be frustrating to the client as well as the caregivers. A quiet environment with less stimulation is often helpful. A quiet environment will most likely be more beneficial than engaging in a distractive activity. Though the use of tranquilizers might become necessary, it would not be the best initial intervention. Having the client in bed by 9 p.m. will not necessarily have a positive effect on the agitation.
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