Nursing care plan for acute confusion risk conditions

Nursing care plan for acute confusion risk conditions

<Definition>
Acute confusion is a condition in which a reversible disorder that progresses in a short period of time suddenly develops in consciousness, attention, cognition, and perception.

<Nursing care plan>

Target
Understand the difference between reality and unreality
Confusion is reduced (or eliminated)
I can organize my thoughts

Observation plan
1. Disease, history, treatment details, test data
2. Consciousness level
3. Facial expressions, behavior, speaking pace
4. Emotional changes
5. Communication availability
6. Cognitive function (presence or absence of delirium / depression / cognitive function, higher brain dysfunction, etc.)
7. Presence or absence of hallucinations, delusions, and confabulations
8. Rest
9. Activity status
10. Presence or absence of dangerous behavior
11. Presence or absence of root tracheal tube, etc.
12. Understanding and acceptance of diseases and treatments
13. Living environment before hospitalization, family relationships, presence of key persons
14. Utilization of social support

Care plan
1. Adjust the environment so that you can spend your time safely
2. Devise so that you can know the date and time and place
3. Adjust so that you can put your family’s photos and things you normally use nearby.
4. Take care to get rid of unpleasant symptoms
5. Adjust the length of the routes so that they will not come off even if they move.
6. Work to get the rhythm of your life in order
7. Use sleeping pills for insomnia
8. Perform pain control for pain
9. When explaining, use pamphlets and pictures to make it easier to imagine
10. Communicate according to the patient’s situation (written conversation, gesture, etc.)
11. Change your mood
12. Ask the patient to do what he / she can do (diet, excretion, cleanliness, etc.)
13. Introducing social support

Education plan
1. Explain to family members that acute confusion is often transient
2. Explain to the family that family visits are effective for emotional stability.


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