00173 Risk for acute confusion

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00173 Risk for acute confusion

Definition of the NANDA label

Risk of the appearance of reversible disorders of consciousness, attention, knowledge and perception that develop in a short period of time.

Susceptible to reversible disturbances of consciousness, attention, cognition and perception that develop over a short period of time, which may compromise health.

Risk factors

• Alcoholism.
• Decreased mobility.
• Decrease in limitations.
• Dementia.
• Fluctuation in the sleep-wake cycle.
• History of the stroke.
• Impaired cognition.
• Infection.
• Male gender.
• Medications / drugs.
• Anesthetics.
• Anticholinergics.
• Diphenhydramine.
• Polypharmacy.
• Opioids.
• Psychoactive substances.
• Metabolic abnormalities
• Azotemia.
• Decrease in hemoglobin.
• Dehydration.
• Electrolyte imbalance.
• Increase in blood nitrogen urea (BUN) / creatinine.
• Malnutrition.
• Age over 60 years.
• Pain.
• Sensory deprivation.
• Substance abuse.
• Urinary retention.

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.
• Preparation of information.
• Dream.

NIC

• Environmental management.
• Advice.
• Emotional Support.
• Prevention of falls.
• Cognitive stimulation.
• Improved cerebral perfusion.
• Neurological monitoring.
• Reality orientation

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