Nursing 3920A/B Lecture Notes - Lecture 12: Tau Protein, Agraphia, Mini–Mental State Examination

• School: Western University
• Department: Nursing
• Course: Nursing 3920A/B
• Professor: Judith Moore Hepburn

Document Summary

The three ds of confusion: delirium, depression, dementia. If the issue is(cid:374)(cid:859)t ph(cid:455)siologi(cid:272)al i(cid:374) (cid:374)atu(cid:396)e, the(cid:374) (cid:449)e (cid:373)o(cid:448)e o(cid:374) to so(cid:373)ethi(cid:374)g else: k(cid:374)o(cid:449) the (cid:272)lie(cid:374)t(cid:859)s (cid:272)og(cid:374)iti(cid:448)e status baseline. Infection such as a uti or pneumonia may be present in the elderly with no signs except for a. Delirium: delirium is the most common complication of hospitalization in older clients, delirium is associated with increased morbidity and mortality. Medications (most common reversible cause, these on top of all the other medications they are receiving: sedatives, hypnotics, narcotics, anticholinergics, cardiac, antihypertensives, miscellaneous: h2-blockers, steroids, lithium, metoclopramide, drug/alcohol withdrawal. If person is confused on admission, determine if confusion is new or different than their cognitive baseline: ask fa(cid:373)il(cid:455) (cid:373)e(cid:373)(cid:271)e(cid:396)s, (cid:862)is this a (cid:272)ha(cid:374)ge? (cid:863) Client should be assumed delirious until proven otherwise. Use interprofessional approach this is essential for effective care and discharge planning.