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Caring for Persons with Delirium. Mary J. Dyck, PhD, RN, LNHA Associate Professor. Acute Confusion. Etiology Physiologic, emotional, or environmental processes Outcomes Will be CAM negative. Will be reoriented to the environment. Acute Confusion ~ Interventions.
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Caring for Persons with Delirium Mary J. Dyck, PhD, RN, LNHA Associate Professor
Acute Confusion • Etiology • Physiologic, emotional, or environmental processes • Outcomes • Will be CAM negative. • Will be reoriented to the environment.
Acute Confusion ~ Interventions • Monitor neurological status. • Determine cause together with other caregivers. • Encourage visitation by significant others. • Remove stimuli. • Inform client of person, place, and time prn. • Use environmental cues for orientation. • Encourage use of aids that increase sensory input.
Risk for Injury • Etiology • Altered ability to interpret the environment • Goals/Outcomes • Will be safe.
Risk for Injury ~ Interventions • Identify safety needs of the client. • Place identification bracelet on client. • Use protective devices. • Use notification devices.
Anxiety/Fear • Etiology • Misinterpretation of environmental cues • Expected Goals/Outcomes • Prevent anxiety. • Relieve anxiety.
Anxiety/Fear ~ Interventions • Avoid touch and proximity. • Avoid unfamiliar situations. • Provide familiar caregivers. • Avoid frustrating patient by quizzing with orientation questions. • Decrease noise levels.
Other Diagnoses • Self-care Deficit • Impaired Social Interaction
Summary • Medical Emergency • Determine and treat cause. • Provide orientation. • Use environmental cues. • Encourage family visits. • Encourage the use of sensory aids.
