Nursing actions for insomnia definition11/30/2023 ![]() The main symptom of delirium in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is impaired awareness and attention, which can be accompanied by a disturbance in cognition (Zoremba & Coburn, 2019).Ī person with dementia can experience acute confusion (delirium). Prompt diagnosis of delirium or confusion is challenging since the clinical picture and symptoms vary considerably. ![]() The change is commonly caused by a medical condition, substance intoxication, or medication side effects. Altered mental status or disorientation can be caused by a variety of factors, such as an infection, a fluid or electrolyte imbalance, or a cerebrovascular accident (Haddad et al., 2019).įactors that increase the risk for delirium and confusional states can be categorized into those that increase baseline vulnerability including underlying brain disease such as dementia, stroke, or Parkinson’s disease, and those that precipitate the disturbance like infection, sedatives, and immobility. Impairment in one particular aspect of a person’s life, instrumental activities of daily living (ADLs), has been shown to be correlated with the presence of dementia and may be one of the early signs of cognitive changes. Cognitive impairments in the aged person can take many forms. Acute confusion ( delirium), or nowadays, an acute confusional state, can befall any age group and can evolve over a period of hours to days. It is a behavior that indicates a disruption in cerebral metabolism. Table of ContentsĬonfusion is a term nurses use often to represent a pattern of cognitive impairments. Use this nursing diagnosis guide to help you create an acute confusion nursing care plan. This plan should include strategies for assessing and monitoring the patient’s mental status, providing a safe and supportive environment, managing any behavioral disturbances, and communicating with the patient’s healthcare team and family members. Nurses play a crucial role in the care of patients with confusion and altered mental status, and their nursing care plan should be individualized to the patient’s needs and circumstances.
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