Acute confusion is an abrupt disruption in consciousness, attention, cognition, and perception. It is reversible and is a symptom of an underlying condition. Causes can range in severity and pinpointing the precipitating factor is important in order to treat the patient and improve confusion. Show
The nurse’s role in acute confusion is to first ensure patient safety. Patients experiencing hallucinations, decreased consciousness, paranoia or anxiety are a safety risk to themselves and others. Along with implementing treatment and assessing for new or worsening confusion the nurse applies therapeutic interventions to relax the patient and provide a calming environment. Causes of Acute Confusion (Related to)
Signs and Symptoms (As evidenced by)Subjective: (Patient reports)
Objective: (Nurse assesses)
Expected Outcomes
Nursing Assessment for Acute Confusion1.
Identify contributing factors/conditions. 2. Consider
substance abuse or withdrawal. 3. Monitor vital signs closely. 4. Determine recent medication use. 5. Identify baseline
cognition. 6. Assess for a psychiatric history. 7. Monitor lab values. Nursing Interventions for Acute Confusion1. Orient the patient as necessary. 2. Implement safety measures. 3. Treat drug or alcohol withdrawal. 4. Treat underlying physiological
conditions. 5.
Limit stimuli. 6. Prevent sundowning. 7.
Reduce polypharmacy. 8. Ensure appropriate support at discharge. 9. Educate on causes and symptoms to prevent a recurrence. References and Sources
What is the nursing intervention of insomnia?Nursing Interventions for Insomnia. Educate the patient on the proper food and fluid intake such as avoiding heavy meals, alcohol, caffeine, or smoking before bedtime. Having full meals just before bedtime may produce gastrointestinal upset and hinder sleep onset.
What advice would you give someone who suffers from insomnia?Find ways to relax.
Try to put your worries and planning aside when you get into bed. A warm bath or a massage before bedtime can help prepare you for sleep. Create a relaxing bedtime ritual, such as taking a hot bath, reading, soft music, breathing exercises, yoga or prayer.
What should I ask a patient with insomnia?Individuals with insomnia often have poor sleep hygiene.. What time do you go to bed and get up in the morning?. Do you go to bed and get up at the same times every day? How about during off days?. Has this schedule changed recently?. How can you reduce the risk of insomnia?Prevention. Keep your bedtime and wake time consistent from day to day, including weekends.. Stay active — regular activity helps promote a good night's sleep.. Check your medications to see if they may contribute to insomnia.. Avoid or limit naps.. Avoid or limit caffeine and alcohol, and don't use nicotine.. |