Nursing 3920A/B Lecture Notes - Lecture 10: Dementia, Sputum, Attention

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Goals: explore similarities & differences of dementia, delirium and depression, develop understanding of the effects of these health challenges on the client and family, discuss therapeutic approaches and nursing care for clients and their family. The 3 ds of confusion: delirium, depression, dementia. When caring for an elderly client who is confused ask yourself is it dementia? delirium? or depression: always consider that it may be infection, know the client(cid:495)s cognitive status baseline. Practice questions: delirium is the most common complication of hospitalization in elderly clients, delirium is associated with increased morbidity and mortality. It should be considered a medical emergency: research tells us there is a high degree of under recognition by both nurses and doctors of delirium in acute care settings. Screening for delirium, dementia and depression in older adults. Clinical manifestations: acute onset, fluctuating course, disorganized thinking, disorientated; altered loc.

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