00173 Risk for acute confusion

00173 Risk for acute confusion

Definition of the NANDA label

Risk of the appearance of reversible disorders of consciousness, attention, knowledge and perception that develop in a short period of time.

Susceptible to reversible disturbances of consciousness, attention, cognition and perception that develop over a short period of time, which may compromise health.

Risk factors

• Alcoholism.
• Decreased mobility.
• Decrease in limitations.
• Dementia.
• Fluctuation in the sleep-wake cycle.
• History of the stroke.
• Impaired cognition.
• Infection.
• Male gender.
• Medications / drugs.
• Anesthetics.
• Anticholinergics.
• Diphenhydramine.
• Polypharmacy.
• Opioids.
• Psychoactive substances.
• Metabolic abnormalities
• Azotemia.
• Decrease in hemoglobin.
• Dehydration.
• Electrolyte imbalance.
• Increase in blood nitrogen urea (BUN) / creatinine.
• Malnutrition.
• Age over 60 years.
• Pain.
• Sensory deprivation.
• Substance abuse.
• Urinary retention.

At risk population

• Age ≥ 60 years
• History of cerebral vascular accident
• Male gender

Associated condition

• Alteration in cognitive functioning – Delirium
• Dementia
• Impaired metabolic functioning
• Infection
• Pharmaceutical agent

NOC

• Cognition.
• Personal safety conduct.
• Preparation of information.
• Dream.

NIC

• Environmental management.
• Advice.
• Emotional Support.
• Prevention of falls.
• Cognitive stimulation.
• Improved cerebral perfusion.
• Neurological monitoring.
• Reality orientation