| PLAN |
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- Assess for causative or contributing factors (dehydration, infection, hypoxia, medications).
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- Assess orientation to time, place, person and situation and orient to surroundings and reality, as needed.
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- Educate family member regarding the effects of current illness, providing as safe environment and techniques to reduce confusion.
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- Explain all activities using simple explanations and provide instructions step-by-step.
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- Provide calm environment. Eliminate extraneous noise/stimuli.
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- Provide safety measures and monitor medications and their reaction.
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| DESIRED OUTCOME |
An abrupt onset of a cluster of global, fluctuating changes in attention,
May be related to imbalances in fluid, electrolyte or endocrine
balances, medication changes or imbalances, cardiovascular or
respiratory disorders, infection, or is a stress response to an
environmental change.2
cognition, psychomotor behavior, consciousness, and/or the
sleep-wake cycle.1
Defining Characteristics: Lack of motivation to initiate and/or follow
through with purposeful behavior; Misperceptions; Increased agitation
or restlessness; Hallucinations; Fluctuations in psychomotor activity,
cognition, LOC, sleep-wake cycle. 1
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