00131 Memory Deterioration

Domain 5: perception/cognition
Class 4: cognition
Diagnostic Code: 00131
Nanda label: memory deterioration
Diagnostic focus: memory
Approved 1994 • Revised 2017, 2020 • Level of evidence 3.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « Memory deterioration .

Definite characteristics

  • Systematically forgets to perform a behavior at the scheduled time
  • Difficulty to acquire a new skill
  • Difficulty in acquiring new information
  • Difficulty to remember events
  • Difficulty to remember information about facts
  • Difficulty to remember family names
  • Difficulty to remember family objects
  • Difficulty to remember family words
  • Difficulty to remember if a behavior has been carried out
  • Difficulty in retaining a new ability
  • Difficulty in retaining new information

Related factors

  • Depressive symptoms
  • Inadequate intellectual stimulation
  • Inadequate motivation
  • Inadequate social support
  • Social isolation
  • Electrolytes-water imbalance

Risk population

  • People at economic disadvantage
  • People> 60 years of age
  • People with low educational level

Associated problems

  • Anemia
  • Cerebral hypoxia
  • Cognitive disorders

Suggestions of use

This diagnosis should only be used if possible an improvement in the patient’s memory. If the deterioration is permanent, it should be used as an etiology of another diagnosis as a deficit of self -care or risk of injury. Deterioration of memory is also a defining characteristic of other diagnoses, such as chronic confusion, in which other symptoms also appear.

Suggested alternative diagnostics

  • Chronic confusion
  • Deterioration syndrome in the interpretation of the environment

NOC Results

  • Neurological status: Central and nervous peripheral systems to receive, process and respond to internal and external stimuli
  • Memory: cognitive capacity to recover and communicate information previously stored
  • Cognitive orientation: Ability to correctly identify person, time and place

Evaluation objectives and criteria

Examples with the use of terms no c

  • demonstrates a memory without deterioration, as stated by its cognitive orientation, memory and neurological state
  • Demonstrates cognitive orientation, as manifested by the following indicators (specifying 1 to 5: severely, substantially, moderately, slightly or not compromised): it identifies themselves, nearby people, the place where it is currently located , as well as the right day, month and year, as well as the station
  • demonstrates a neurological state, which is manifested by the following indicators (specify from 1 to 5: severely, substantially, moderately, slightly or not compromised):
    • Cognitive orientation
    • Adapted communication to the situation
    • Cognitive state
    • Central motor control

Other examples

The patient will be able to:

  • Use techniques to improve memory
  • Remember immediately, recent and remote information
  • Verbally express greater capacity to remember

NIC Interventions

  • Memory training: memory facilitation
  • Cognitive stimulation: promotion of alertness and understanding of the environment through the use of planned stimuli
  • Dementia management: Provision of a modified environment for a patient who is in a state of chronic confusion
  • Acute confusional state management: provision of a therapeutic and safe environment for a patient who is in an acute confusion state
  • Improvement of brain perfusion: Promotion of adequate perfusion and limitation of complications in a patient that is at risk or experiences an inadequate cerebral perfusion
  • Reality orientation: Improvement of patient consciousness about their personal identity, time and environment
  • Anxiety reduction: minimization of apprehension, fear, omen or discomfort, related to the feeling of a danger of unknown origin
  • Neurological surveillance: Patient data collection and analysis to prevent or reduce neurological complications

Nursing Activities

Valuations

  • Evaluate the presence of depression, anxiety or greater stressful factors that could contribute to the loss of memory
  • Assess the neurological function to determine if the patient only suffers a memory loss or also presents other problems, such as dementia, for which treatment should be sought
  • Assess the scope and nature of memory loss (such as immediate, recent or ancient events; gradual or sudden loss)
  • Determine the history and current pattern of alcohol consumption
  • Determine which of the medications or drugs consumed by the patient could affect the memory (for example, marijuana)
  • (NIC) Memory training-, monitor patient behavior during therapy

Patient and family education

  • (NIC) Memory training: Structure teaching methods according to the way in which the patient organizes information

Collaboration activities

  • Channel to a doctor patients who suffer sudden loss of memory
  • (NIC) Memory training: channel to occupational therapy, as required

Others

  • Do not change the arrangement of the furniture in the room
  • Help the patient relax to improve concentration
  • Keep the same caregivers as much as possible
  • (NIC) Memory training:
    • Talk to the patient and relatives about any problem that occurred in practical memory
    • Stimulate memory by repeating the last thought expressed by the patient, as appropriate
    • Remember past experiences with the patient, as needed
    • Implement appropriate memory techniques, such as visual imagery, nemotecnias, memory games, memory indications, association techniques, list preparation, computer use or labels with names, or a review of information < /li>
    • Help in the learning tasks by association, such as practical learning and the memory of verbal and pictographic information shown, according to proceed
    • Offer orientation training; For example, ask the patient to review dates and personal information, as required
    • Provide opportunities to concentrate, such as card even memory games, as required
    • Give opportunities to use the memory of nearby events, such as asking the patient about a recent walk
    • Improve the pictographic recognition memory, according to proceed
    • Help photographs recognition, as required
  • Motivate the patient to participate in group programs for memory training, as needed

At home

  • Label things (such as bath door, sink, refrigerator, etc.) to improve memory
  • Do not change the arrangement of furniture
  • Assess whether the patient needs family and friends to help him handle the schedules and remind him of things (for example, appointments or medications)

Older adults

  • Explain to the patient greater than when you sometimes lose memory in the short term
  • If memory continues to deteriorate and affect affective and cognitive functioning, channel the patient to a mental health evaluation (for example, for dementia or depression)
  • Evaluate whether memory loss could be a side effect of patient medication (for example, by digital)
  • motivate the patient to work to improve their memory; Explain that this is possible with the use of brain stimulation strategies