00127 Syndrome of deterioration in the interpretation of the environment

00127 Syndrome of deterioration in the interpretation of the environment

Definition of the NANDA label

Constant lack of orientation regarding people, space, time or circumstances, for more than 3 to 6 months that requires a protective environment

Defining characteristics

• Constant disorientation in familiar and unfamiliar surroundings.
• Loss of employment or social function due to memory loss.
• Inability to follow simple directions or instructions.
• Inability to reason.
• Inability to concentrate.
• Slow response to questions.
• Chronic confusional states.

Related factors

• Dementia:
– Alzheimer disease
– Multi-infarct dementia
– Pick’s disease
– AIDS
– Alcoholism
– Parkinson’s disease.
• Huntington’s disease.
• Depression.

NOC

• Concentration.
• Safety behavior: physical environment of the home.
• Preparation of information.
• Neurological state: consciousness.
• Memory.
• Cognitive orientation.

NIC

• Decreased anxiety.
• Cognitive stimulation.
• Facilitate learning.
• Orientation of reality.
• Security.
• Environmental management.
• Surveillance.
• Improved cerebral perfusion.
• Neurological monitoring.
• Memory training.
• Dementia management