Caring for Persons with Delirium Mary J. Dyck, PhD, RN, LNHA Associate Professor

Acute Confusion Etiology Outcomes Physiologic, emotional, or environmental processes Outcomes Will be CAM negative. Will be reoriented to the environment.

Acute Confusion ~ Interventions Monitor neurological status. Determine cause together with other caregivers. Encourage visitation by significant others. Remove stimuli. Inform client of person, place, and time prn. Use environmental cues for orientation. Encourage use of aids that increase sensory input.

Risk for Injury Etiology Goals/Outcomes Altered ability to interpret the environment Goals/Outcomes Will be safe.

Risk for Injury ~ Interventions Identify safety needs of the client. Place identification bracelet on client. Use protective devices. Use notification devices.

Anxiety/Fear Etiology Expected Goals/Outcomes Misinterpretation of environmental cues Expected Goals/Outcomes Prevent anxiety. Relieve anxiety.

Anxiety/Fear ~ Interventions Avoid touch and proximity. Avoid unfamiliar situations. Provide familiar caregivers. Avoid frustrating patient by quizzing with orientation questions. Decrease noise levels.

Other Diagnoses Self-care Deficit Impaired Social Interaction

Summary Medical Emergency Determine and treat cause. Provide orientation. Use environmental cues. Encourage family visits. Encourage the use of sensory aids.