NURSING 2LA2 Study Guide - Final Guide: Psychosis, Attention, Visual Impairment
26 Nov 2017
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Document Summary
Is linked to poor clinical outcomes, and should be regarded as a marker to sever illness and mortality: complicates hospital stays for approximately 20% of patients 65 and older, one-year mortality rate associated in the elderly is 35-40% Clinical features of delirium: acute onset, fluctuating course, inattention, disorganized thinking, altered level of consciousness, cognitive deficits, perceptual disturbances, psychomotor disturbances, altered sleep-wake cycles, emotional disturbances. Types of delirium: three different subtypes, hyperactive, restlessness, constant movement, agitation, may be mistaken for schizophrenia, bipolar disorder, or agitate dementia. Insomnia, hyper-vigilance, irritability, rapid speech: hypoactive, slowing or lack of movement, paucity of speech, unresponsiveness, may be mistaken for depression, most common form of delirium, associated with a higher mortality, mixed, alternating hyperactive and hypoactive states. It has been adapted to be used for indirect communication (cam icu: to have a positive cam result. Infection with human immunodeficiency virus: precipitating factors, drugs, primary neurologic diseases, stroke, meningitis or encephalitis.
