Shared Flashcard Set

Details

cognition 3/18/12
cognition 3/18/12
17
Nursing
Undergraduate 3
03/18/2013

Additional Nursing Flashcards

 


 

Cards

Term
perceptual disorder
Definition
related to sense data – ex: hallucinations/ hearing voices
not delirum
Term
delerium deffers from dementia by the
Definition
rapid onset of delerium
Term
6 characteristics of delerium
Definition
Changes in cognition
Rapid onset ( unlike dementia)
Attentional difficulties
Distractability
Dysfunctional thinking
Speech affected
Irrelevant, rambling, pressured, tangential,(getting away from the point) incoherent
Term
delerium changes in perception
Definition
Visual hallucinations
May feel as if in a dream- depersonalization ( they cannot identify themselves )
Incapable of accurately performing tests of attention
Term
memory and delirum
Definition
can’t name four objects five minutes after being named
unable to recall any of these without prompting
Term
delirum and speech
Definition
Speech may be incoherent, dysarthric
Tone can vary wildly from incoherent mumbling to yelling and shouting
Rate often fluctuates between slow and pressured
Term
sleep/wake cycle in delirum
Definition
Sleep in day, wake at night
Somnolence and hypersomnia
Insomnia
Vivid dreams and nightmares
Term
duration and onset of delrium
Definition
Duration usually brief, over short time, hours to days; rare past one month
Typically abrupt onset; when slow probably associated with systemic illness or metabolic issue
Course typically fluctuates over the course of the day from one extreme to the other
Behaviors are typically worse at night
Term
13 people at high risk for delerium
Definition
Elderly
Post cardiotomy
Burns
Drug withdrawal- ETHO
AIDS
Those with high illness burden
Common; children and elderly
If pre-existing brain damage
Addictions
In critical care- sensory monotony
Entry or recovery from coma
Post-operative
Multiple medications
Term
causes of delerium
Definition
Due to general medical condition
Infection, metabolic disorders
Fluid and electrolyte disorders
Hepatic/renal disease
Thiamine deficiency
Hypertensive encephalopathy
Substance induced delirium
Medication side effects
Ingestion of toxins
Almost all medications may produce this
Term
labs for delerium
Definition
Routine unless otherwise indicated
CT scan for head injury
UDS- urine drug screen
MRI- head injury
LP- lumbar puncture (cns related)
Others specific to offending agent or suspected agent
Term
top 3 outcomes of care w delerium
Definition
1.No harm to self/others
2. No additional injury or insult
3. Can test reality- say you don’t hear what they hear (voices)
Term
delusions defined
Definition
Thoughts do not conform to reality- even w contrary evidinceMay be persecutory, grandiose, somatic (extra ears) , nihilistic ( everything is dieing
Term
delusions vs delerium define
Definition
Hard to find what causes it unlike delerium which is medically caused and cured once thing is gone
Term
4 delusions interventions
Definition
Indicate not sharing belief
Do not argue
Use reasonable doubt- “ I find that hard to believe”
Do not do things that evoke elaboration of belief
Laughing, talking behind hand, whispering
Term
3 big no's of delsional people
Definition
1. no touching
2.no competive activivtes
3.no arguing
Term
4 desired outcomes from delusions
Definition
Able to test reality
Questions own thoughts and beliefs
Delusions should diminish within a month given proper medications
Teach medications so that patient will adhere
Supporting users have an ad free experience!