What should a nurse do if a client with dementia begins to exhibit a significant decline in cognitive function?

In the context of a client with dementia who is showing a significant decline in cognitive function, documenting any changes in the client’s condition is crucial. This process involves accurately recording observable changes in behavior, communication abilities, levels of confusion, and other cognitive functions. Such documentation is essential for tracking the progression or fluctuation of the disease, which can inform future care decisions and interventions.

Additionally, documentation provides a comprehensive account that can be used in discussions with other healthcare professionals involved in the client's care. It serves not only as a record for monitoring the patient's status but also as a communication tool among the multidisciplinary team, ensuring that everyone is aware of the client's current condition and any needs that may arise.

While reassessing the client every hour, consulting a psychiatrist, and providing additional staff support could all be part of a broader care plan or response to cognitive changes, the immediate and necessary action when noticing a decline is to document those changes diligently. This forms the foundation for effective patient management and continuity of care.