This is common in certain groups of people who suffer from various health conditions, for instance, malnutrition, aging, hypoxia, infections, head injuries, later-life depression, medication, degenerative processes. The symptoms are usually characterized by disorientation, distractibility, altered attention span, memory deficit, hallucinations, and inability to make decisions or solve problems and hypovigilence or hypervigilance. When any or a number of these symptoms are recognized in a patient, the nurse should aim at creating a balance or reversing their implications.
After ample medical and nursing care, the patient should be able to recognize changes in behavior sustain no injury or harm to themselves, maintain proper orientation to place, time and person, participate in activities, and also demonstrate tactics to cope with the changes in their health status.
Nursing Interventions to Disturbed Thought Processes
As a nurse, you will be expected to assess the attention span of the patient as well as observe their ability to make decisions. This determines the patient’s ability to participate in the planning and execution of caregiving.
It is also important that one checks the patient’s ability to receive, send and interpret information. This is done so as to determine the degree of impairment.
Due to the many factors that lead to this ailment, it is advisable that one checks for any underlying factors such as sleep deprivation, brain injury, Alzheimer’s disease, sensory deprivation, stroke, and malnutrition. Determining the underlying factor will aid in finding the cause of the problem.
You will also be required to perform assessment of neurological status on a frequent basis. This facilitates modification of the care plan for a quick recovery.
For this group of patients, it is best that items are kept in the same place as it creates a consistent environment and reduces confusion/frustration. It is also advisable that the patient receives frequent rest periods as system overload may trigger confusion. In order to jog their memory, past events should be discussed often. When speaking to the patients, do it slowly and clearly and allow them time to process what is being said and for them to respond. Their routine should also be consistent.
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