University:
American Career College
Course:
NURS-113 | Beginning Medical/Surgical Nursing
Academic year:

2019
Views:

217

Pages:

1
Author:

ilikemyicons0y5

ACTIVE LEARNING TEMPLATE: System Disorder Delirium DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Delirium can often be traced to one or more contributing factors, such as a severe or chronic illness,!changes in metabolic balance!(such as low sodium), medication, infection, surgery, or alcohol or drug intoxication or withdrawal. Delirium: Group of conditions characterized by the disruption of thinking, memory, processing, and problem solving. Minimize risk factors and promote early detection ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Any condition that results in a hospital stay, especially intensive care or post operative.Residents in a nursing home.Brain disorders such as dementia, stroke or Parkinson's disease. Previous delirium episodes. Visual or hearing impairment. The presence of multiple medical problems Laboratory Tests Quick onset of symptoms and worse at night Reduced awareness of the environment Poor thinking skills (cognitive impairment) Behavior changes Emotional Disturbances Diagnostic Procedures Blood panels and urinalysis to rule out other conditions. Brain scan/imaging Mental status assessment Physical and neurological exam PATIENT-CENTERED CARE Nursing Care Protecting the airway, Providing ﬂuids and nutrition, Assisting with movement, Treating pain, Addressing incontinence, Avoiding use of physical restraints and bladder tubes Therapeutic Procedures Avoiding changes in surroundings and caregivers when possible Encouraging the involvement of family members or familiar people Reduce environmental stimuli Disorientation/ confusion Risk for falls Risk for impaired airway Incontinence Risk for skin integrity Poor judgement/ lack of control/ behavior alterations Safety of family members and health care team Complications Medications Antipsychotics -haloperidol Antianxiety medications Short acting benzodiazepine -lorazepam Client Education Promote good sleep habits, promote calmness and orientation, prevent complicating problems, adapt the home environment to needs Interprofessional Care Psychology Psychiatry Neurology General Internal Medicine Primary Care General decline in health Poor recovery from surgery Need for institutional care Increased risk of death Increased risk of pysical harm