00129 Chronic confusion

00129 Chronic confusion

Definition of the NANDA label

Irreversible, long-lasting or progressive deterioration of the intellect and personality, characterized by a decrease in the ability to interpret environmental stimuli; reduced capacity for intellectual thought processes, and manifested by memory, orientation and behavior disorders.

Irreversible, progressive, insidious, and long-term alteration of intellect, behavior and personality, manifested by impairment in cognitive functions (memory, speech, language, decision making, and executive function), and dependency in execution of daily activities

Defining characteristics

• Altered interpretation or response to stimuli.
• Clinical evidence of organic deterioration.
• Long-term or progressive cognitive decline.
• Alteration of the personality.
• Impaired socialization.
• Memory impairment (both short-term and remote)
• There are no changes in the level of consciousness.

Related factors

• Multi-infarct dementia.
• Korsakoff psychosis.
• Head trauma.
• Alzheimer disease.
• Stroke.

Associated condition

• Cerebral vascular accident
• Dementia


• Cognition.
• Concentration.
• Control of distorted thinking.
• Preparation of information.
• Awareness.
• Identity.
• Memory.
• Decision making.


• Support for the main caregiver.
• Management of dementia.
• Family support.
• Emotional Support.
• Advice.
• Cognitive stimulation.
• Control of mood.
• Handling illusory ideas.
• Support in decision making.
• Improved cerebral perfusion.
• Neurological monitoring.
• Orientation of reality.
• Cognitive restructuring.
• Memory training.
• Promotion of family involvement.