00128 Acute confusion

image_pdfDownload PDF

00128 Acute confusion

Definition of the NANDA label

Abrupt onset of a set of transitory global changes and alterations in attention, knowledge, psychomotor activity, level of consciousness and the sleep / wake cycle.

Reversible disturbances of consciousness, attention, cognition and perception that develop over a short period of time, and which last less than 3 months.

Defining characteristics

• Lack of motivation to initiate or follow a behavior aimed at achieving a goal.
• Fluctuations in psychomotor activity.
• Misperceptions.
• Fluctuations in knowledge.
• Increasing agitation or restlessness.
• Fluctuations in the level of consciousness.
• Fluctuations in the sleep / wake cycle.
• Hallucinations.

Related factors

• Age over 60 years.
• Alcohol abuse.
• Delirium.
• Dementia.
• Abuse of illegal drugs.

At risk population

• Age ≥ 60 years
• History of cerebral vascular accident
• Male gender

Associated condition

• Alteration in cognitive functioning – Delirium
• Dementia
• Impaired metabolic functioning
• Infection
• Pharmaceutical agent

NOC

• Cognition.
• Personal safety conduct.
• Control of distorted thinking.
• Preparation of information.
• Neurological state: consciousness.
• Dream.

NIC

• Management of delirium.
• Handling illusory ideas.
• Management of dementia.
• Environmental management.
• Advice.
• Emotional Support.
• Prevention of falls.
• Management of hallucinations.
• Cognitive stimulation.
• Improved cerebral perfusion.
• Neurological monitoring.
• Orientation of reality.
• Encourage sleep

image_pdfDownload PDF