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Confusional disorders, Definition - Coggle Diagram
Confusional disorders
Is a sleep disorder that cause a person to act in a very strange and confused waynn
Nursing Diagnosis
Increased agitation
Restlessness
Misperceptions
Fluctuations in level of consciousness
Fluctuation of sleep and awake
Medication
Selective serotonin reuptake inhibitors
Norepinephrine inhibitors
Older tricyclic antidepressants
Causes
Infections such as urinary tract infections
Alzheimer's disease
Head injury
Cardiac problems
Diabetes
Malnutrition
Schizophrenia
Depression
Hyperthyroidism
Myxedema coma
Decreased blood flow to the brain
Meningitis
Brain tumor
Epilepsy
Types of Confusional disorders
Dementia
impaired brain function evidenced by memory loss and poor judgement
there's difficulty in concentrating
Delirium
disturbed ability evidenced by disorientation
Amnesia
types of amnesia
Anterograde amnesia
Transient global amnesia
Retrograde amnesia
refers to loss of memory of which an individual can forget his identity
Clinical manifestations
Slurring speech or long pauses on speech
Abnormal incoherent speech
Poor insight
Sudden Agitation
Sudden changes in mood and emotion
Memory loss
Disorientation
Individuals appear to be confused and don't even know their names or relatives
Nursing assessment
Factors of substance abuse are identified if present
Seizure history
Recent ECT therapy
Episodes of pain and fever
Presence of acute infection
Exposure to toxic substances
Change in environment
Psychomotor behavior
Mood and Affect
Insight and judgement
Cognition
Attention
Nursing intervention
Orientation of patient to surroundings
Placing patients on calm and cool environments
Intoxication
Avoid illogical and challenging thinking
Provision of safety needs
Avoid and limit the use of restrainants
Maintenance of fluid and electrolyte balance
Planning care for appropriate sleep and awake cycles
Communicating the patient status
Offer therapeutic programmes
Identifying and treating pain if noted
Risk factors
Severity of illness
Sensory impairment
Urea and electrolyte imbalance
Malnutrition
cardiovascular risk factors
Head trauma
Depression
Smoking
Diabetes
references
http://dsm.psychiatryonline.org
https://www.merchmanuals.com/proffesional/neourological
disorders/delirium-and-dementia/delirium.
Definition