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Confusion - Coggle Diagram
Confusion
Pathophysiology
inability to think as clearly or quickly as one would normally do
signs and symptoms include disorientation, difficulty paying attention and remembering, making decisions, and grogginess
can come on quickly or slowly over time; can last for a short time and go away; can be permanent and not curable
common causes include delirium, dementia, carbon monoxide exposure, other dissociative disorders, electrolyte imbalances, hospitalization, liver failure, sleep failure, toxins
Interventions
avoid any illogical thinking and keep directions and communication simple
help maintain sleep schedule as normal as possible
orient the patient to their surroundings
assist family members with the diagnosis to help with management
Medications
glutamate regulators
start low dose and increase slowly
cholinesterase inhibitors
Pertinent Assessment Findings
patients will have problems with communication, ADLs, and emotional stability
sundown syndrome can occur from confusion
can be acute or chronic confusion
Patient Education
confusion can cause the patient to be at risk for falls and at risk for safety
confusion can be due to an infection so the patient should determine if they have any possible infections
it can cause the patient to not meet their nutrition needs so staff should do their best at assisting with it