Alteration in Thought Processes (Geriatrics)

Published on Saturday March 10th , 2007

Alteration in Thought Processes
(Geriatrics)

(_)Actual (_) Potential

**Related To:**
*[Check those that apply]*
(_) Factors associated with aging. (_) Other:_____________________________ ____________________________________ ____________________________________

**As evidenced by:**
*[Check those that apply]*
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:

physiological
situational

(_) 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:

encourage ADL's per patient as much as possible
meals out of bed yes/no_____
other:

(_) Other:________________
________________________
________________________
________________________

__________________________
Patient/Significant other signature

__________________________
RN signature

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