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Alteration in Thought Processes (Geriatrics)
Alteration in Thought Processes
(Geriatrics)
(_)Actual (_) Potential
| (_) Factors associated with
aging. (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major: (Must be present) |
(_) Inaccurate interpretation of stimuli, internal and/or external. |
| Minor:
(May be present) |
(_) Cognitive defects, including abstraction, memory, suspiciousness, delusions, hallucinations, distractibility, lack of consensual validation, language, confusion/disorientation. |
| Date
& Sign. |
Plan
and Outcome [Check those that apply] |
Target Date: |
Nursing
Interventions [Check those that apply] |
Date Achieved: |
| The patient will:
(_) Demonstrate optimum contact with reality. (_) Demonstrate an increase in self-care activities. (_) Other:
|
(_) Assess for etiological
and contributing factors:
(_) Assess history of confusion (onset/duration). (_) Determine the amount and type of stimuli needed by the patient in the context of his/her usual life style. (_) Promote communication and sensory input. (_) Promote a well role:
(_) Other:________________
|
__________________________
Patient/Significant other signature
__________________________
RN signature