00127 Syndrome of deterioration in the interpretation of the environment

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00127 Syndrome of deterioration in the interpretation of the environment

Definition of the NANDA label

Constant lack of orientation regarding people, space, time or circumstances, for more than 3 to 6 months that requires a protective environment

Defining characteristics

• Constant disorientation in familiar and unfamiliar surroundings.
• Loss of employment or social function due to memory loss.
• Inability to follow simple directions or instructions.
• Inability to reason.
• Inability to concentrate.
• Slow response to questions.
• Chronic confusional states.

Related factors

• Dementia:
– Alzheimer disease
– Multi-infarct dementia
– Pick’s disease
– AIDS
– Alcoholism
– Parkinson’s disease.
• Huntington’s disease.
• Depression.

NOC

• Concentration.
• Safety behavior: physical environment of the home.
• Preparation of information.
• Neurological state: consciousness.
• Memory.
• Cognitive orientation.

NIC

• Decreased anxiety.
• Cognitive stimulation.
• Facilitate learning.
• Orientation of reality.
• Security.
• Environmental management.
• Surveillance.
• Improved cerebral perfusion.
• Neurological monitoring.
• Memory training.
• Dementia management

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