Cognition : Chronic Confusion Flashcards
can’t speak
aphasia
can’t carry out motor activities
aphraxia
can’t recognize familiar objects
agnosia
irreversible, long - standing, progressive deterioration of intellect and personality (dementia falls under this category)
chronic confusion
what are some traits that are visible for a patient with chronic confusion?
memory loss impaired problem solving loss of abstract thinking changes in affect or personality disturbances oh higher cortical functions lower stress threshold sundowning
What are some common causes of chronic confusion?
insulin shock, benign brain tumors
what is chronic confusion manifested by?
forgetfulness
loss of cognitive integrative functioning
loss of ability to perform ADLs
What are some expected outcomes to maintaining the health of someone with chronic confusion ?
(first off it varies and depends on the stage)
reduce episodes of combative behavior
maintain weight
What are some interventions to manage confusion?
maintain dignity safe environment encourage independence appropriate stimulation therapeutic communication avoid catastrophic incidents evaluate
related nursing diagnoses?
anxiety risk for injury imbalanced nutrition fluid volume deficit caregiver role strain hopelessness chronic sorrow
assessment findings for chronic confusion?
forgetfulness
loss of cognitive integrative functioning
loss of ability to perform ADL
memory loss
unable to discern differences and similarities between related words or concepts
loss of abstract thinking
observe expressions and emotions change as chronic confusion progresses..personality changes over time
change in affect or personality
decreased ability to handle stressful situations…aggressive behavior/violence may occur
lowered stress threshold