Alteration in Thought Processes (Geriatrics)

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