Hyperactive Delirium System Disorder PDF

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ACTIVE LEARNING TEMPLATE:

System Disorder

Espinosa ST UDENT NAME Catherine _____________________________________ Hyperactive Delirium DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis) Confusion Risk for injury

Pathophysiology Related to Client Problem State of confusion characterized by (motor) agitation, restlessness, and sometimes aggressiveness. may become violent and may believe in or see things that are not there

Altered perception

59 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention -Prevention of hyperactive delirium by identifying patients who are high risk -Eliminating precipitating factors e.g. if it is drug induced, medications are discontinued. -Give attention to increasing physcial activity

ASSESSMENT

Risk Factors Age 65 and older Male gender Cognitive Impairment Dementia Depression Dehydration/Malnutrition Alcohol or drug use or drug withdrawal

Laboratory Tests CBC Serum electrolytes BUN and Creatinine ECG Urinalysis

SAFETY CONSIDERATIONS

Expected Findings Deficits in memory, orientation, language, visuospatial ability, or perception may be present. Patient may be hypoactive or hyperactive Emotional problems include fear, depression, euphoria, or perplexity. Sleep may be disturbed.

Diagnostic Procedures Medical and psychological history including medication record Physical assessment

Correcting fluid an electrolyte imbalances if appropriate Protecting patient from harm by creating a calm and safe environment-providing familiar objects and family photos Use of reorientation and behavioral interventions. Clocks, calenders, and lists of scheduled activities are helpful. Personal contact through touch and verbal communication.

Therapeutic Procedures Drug Therapy Therapeutic touch and contact Therapeutic verbal communication

ACTIVE LEARNING TEMPLATES

Protect the patient from harm by providing a calm and safe environment and encouraging family members to stay at the bedside. Reduce environmental stimuli including noise and light levels

Confusion Assessment Method

PATIENT-CENTERED CARE

Nursing Care

The onset and progression duration of hyperactive delirium can be abrupt

Complications Medications

Client Education

Dexmedetomidine (Precedex)

Provide safe and familiar surroundings

Alpha adrenergic receptor agonist

Maintain a regular day and night schedule

Low dose antipsychotics (e.g. haloperidol, risperidone, olanzapine, quetiapine)

Immobility Skin breakdown Delusions and hallucinations Disturbed sleep

Interprofessional Care Psychiatrist Psychologist...