NSG 3320 Lecture Notes - Lecture 11: Perseveration, Etiology, Executive Functions
10 Dec 2017
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Cognitive disorders: cognition - system of interrelated abilities (perception, reasoning, judgment, intuition, memory, awareness, memory retaining and recalling past experiences, delirium acute cognitive impairment caused by a medical condition (ex. Lowering bed w rails up, environmental precautions, secure iv lines and catheters : you cant reason with a person who is delirious, monitor vs, stop meds maybe, assessment. Identify baseline state will probably need to include family: past and present health status, change in daytime/nighttime behaviour (to differentiate between other mental illness); presence of other chronic illness, physical exam and sx including lab values, ex. Hallucinations, aggression, agitation: low beds, rails up, 1 to 1 supervision, maintaining fluid and e balance, again, ivs are hard, adequate nutrition, drugs, benzos should only be used when delirium is due to. Alcohol: patients should be monitored for sedation, hypotension, eps (ex. Interventions: self-care maintain independence and oral hygiene most important, nutritional monitoring weight, oral intake, hydration, good meals (ex.
