NURSING 2A04 Study Guide - Final Guide: Acetylcholinesterase Inhibitor, Anticholinergic, Risperidone
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29 Apr 2016
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GROUP 3 RESEARCH 1 of 18
“A BIT OUT OF SORTS” CARE SCENARIO
Learning Aims:
1. Understand differences in delirium, dementia, and depression
2. Consider communication strategies with a patient with delirium
3. Use of screening tools for DDD
4. Familiarize self with RNAO BPG
5. Understand the role of the nurse in discussing suicide risk with patient
1. Definitions of the DDDs
Delirium ➔ an acute, complex disorder that requires immediate interventions to
prevent permanent brain damage and health risks, including death
Dementia ➔ cognitive deficits which are severe enough to cause impairment in an
individual’s social or occupational functioning, and represent a decline from a
previous level of functioning
Depression ➔ multi-faceted syndrome, comprised of a constellation of affective,
cognitive, somatic and physiological manifestations, in varying degrees from mild to
severe
(RNAO, 2004a)
2. Communication Strategies with a Patient with Delirium
•establish and maintain a supportive therapeutic relationship with the older adult
•include orienting support as well as confirmation of their emotional state/reality
•reassure with a calming voice and with the presence of family or recognized supports
•provide light in the day and reduce at night to stimulate sleep/wake cycles
•use short, simple sentences
•speak slowly and clearly, pitching voice low to increase likelihood of being heard; do not act
rushed, do not shout
•call client by his/her preferred name
•point to objects or demonstrate desired action
•allow adequate time to respond
•be patient, listen, observe behaviours to try and identify what the client is trying to say
•validation therapy: technique tries to find the reason behind the expressed feeling
•resolution therapy: attempts to understand and acknowledge the confused client’s feelings
(RNAO, 2004a, p.124)
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GROUP 3 RESEARCH 2 of 18
“A BIT OUT OF SORTS” CARE SCENARIO
3. Use of Screening Tools for DDD
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GROUP 3 RESEARCH 3 of 18
“A BIT OUT OF SORTS” CARE SCENARIO
(RNAO, 2003, p.22)
(RNAO, 2003, p.59)
4. Familiarize Self with BPG
Summary of the BPG:
RNAO. (2004). Caregiving strategies for older adults with delirium, dementia and depression.
Retrieved from http://rnao.ca/sites/rnao-
ca/files/Caregiving_Strategies_for_Older_Adults_with_Delirium_Dementia_and_Depressi
on.pdf
Quick Appraisal
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