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Dementia Patient Process Recording

Mr. Prithvi, a 40-year-old male diagnosed with dementia, presented with memory loss, poor appetite, and impaired judgment. During the assessment, he demonstrated intact immediate memory but poor recent and remote memory, along with issues in personal hygiene and judgment. The patient was cooperative and engaged in communication throughout the process recording.

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0% found this document useful (0 votes)
48 views2 pages

Dementia Patient Process Recording

Mr. Prithvi, a 40-year-old male diagnosed with dementia, presented with memory loss, poor appetite, and impaired judgment. During the assessment, he demonstrated intact immediate memory but poor recent and remote memory, along with issues in personal hygiene and judgment. The patient was cooperative and engaged in communication throughout the process recording.

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PROCESS RECORDING

PATIENT PROFLIE

Name of the patient : Mr. Prithvi

Age : 40 years

Sex : male

Address :

Diagnosis : Dementia

Date of process recording :

Time :

Duration : 20 mts

DESCRIPTION OF PATIENT

Client was admitted with complaints of loss of memory, loss of appétit, reduced sleep
etc. He had slurred speech and impaired judgement.

OBJECTIVE

 To establish good rapport.


 To collect history and to assess mental status
 To identify signs and symptoms of illness.

Nurse’s response Patient’s response comments

Good morning! Good morning, sir! Gait normal


Immediate memory intact.
What is your name? Prithvi
How do you feel? I am alone Persecution ideas
Did you have your breakfast? Yes sir.
Where are you now? In my house Not oriented to place

Have you taken bath today? No sir. Poor personal hygiene

Can you repeat this number Poor concentration


456789? No

Do you hear any voices or Auditory hallucination absent


sounds when you are alone? No
When did you slept yesterday?
Poor recent memory
Don’t know
When did you get married? Poor remote memory
Not remembering
Do you love your wife and Patient is attached with his
children and wife.
children? Yes, I love them.
If you see a fired house what Poor judgement
will you do? Nothing

Can you tell the difference


Judgement impaired
between ball and apple? We can eat both.
Can you say the meaning of
Abstract thinking is impaired
‘Honesty is the best policy’? I don’t know.

Ok, Bye, Thank you. Good response


Bye

SUMMARY

Client was very co-operative and he was interested in the communication.

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