Changing behavior

* Cognition
* Distorted thought control
* Safety Behavior: Personal
* Frame of Mind

NIC intervention (classification of nursing interventions)
Suggested NIC Labels

* Illusion of control
* Management of dementia
* Presence
* Manage behavior

Nanda Definition: Interruption of cognitive work and activities

Cognitive processes are mental processes that knowledge. These mental processes include reality orientation, insight, knowledge and advice. Mental defects of these processes can lead to misinterpretation of the environment and can lead to inability to accurately assess reality. Changes in thought processes are not limited to one age group, gender or clinical problem. Nursing the patient faces an impaired thinking in a hospital or community, but in patients with greater thought disorder, it is probably in hospital or living in extended care for their symptoms can be reduced to safe enough in defined communities. When the reported patient, the nurse is responsible for creating a treatment plan that the needs of patients "meets structural and safety, and effective treatment of symptoms. The care plan discussed by management during the acute phase of illness of hospital patients .

* Defining characteristics: Disorientation of one or more of the following: "In people, places and situations
* Change in behavior (eg, regression, poor impulse control)
* Mood states (for example, lability, hostility, irritability, undue influence)
* Reduced ability to maintain their own activity (eg, care, hygiene, eating and drinking)
* Change in sleep
* Changing the perception of the surrounding stimuli caused by abnormalities in these cognitive processes:
Memory
Decisions on
of Understanding
a concentration
* The ability to reason, solve, calculate and conceptualization
* Changing the perception of the surrounding stimuli caused by hallucinations, delusions, ideas for stories and link

* Related factors: organic mental disorders (not substance-induced)
of dementia
of primary degenerative (eg Alzheimer's disease out of print)
a multi-infarct (eg, cerebral atherosclerosis)
* Organic mental disorders associated with other disabling conditions:
of Huntington's chorea
in multiple sclerosis
Parkinson's disease
of cerebral hypoxia
Hypertension
of liver disease
of Epilepsy
the adrenal glands, thyroid or parathyroid disorders
head injuries
central nervous system (CNS) infection (eg encephalitis, syphilis, meningitis)
of intracranial lesions (benign or malignant)
The lack of sleep
* Organic mental disorders (substance-induced)
organic mental disorders due to alcohol (eg alcohol withdrawal, dementia associated with alcoholism)
organic mental disorders due to ingestion of drugs or mood key ingredients
* Schizophrenia disorders
* Personality disorders in which there is a change of mind
* Affective disorders where there is a change of mind

* The expected outcome of the patient shows an appropriate social behavior, as evidenced by the decrease of suspicion, aggression and defiant behavior.

Cass

* Regularly assess the patient's behavior and social interaction effectiveness. Age, gender, cultural and personal norms may influence individual behavior. It is not Sister value judgments about the liability issues of personal preferences to generate. This can be useful for security reasons, to be used in assessing the behavior of individuals.
* Evaluation of the patients' ability and willingness to respond to verbal instructions and restrictions. Patients level of confidence in medical staff and the relationship with him be able to accept direction. The ability of the patient and / or willingness to respond to verbal direction and / or restrictions may vary depending on the mood of the patient, the degree of reality orientation and environmental influences.
Get news, fantasy or desire to hurt themselves or others. Confusion, disorientation, impaired decision making capacity can, suspiciousness, loss of social inhibitions all lead to inappropriate social and / or harmful act, and others.

Therapeutic intervention

* Regular interaction, activities and direct observation, without any suspicion on the patient. Patients with a reduced ability to make decisions and loss of social inhibitions requires careful monitoring of inappropriate behavior and to prevent damage or injury to themselves and others.
* Develop an open and honest relationship where expectations are clear and respectful. Just promise. He promises to preserve a sense of trust between the patient and health officials.
* ERP accepts patients regardless of the inappropriateness of his behavior. Honesty, openness and consent of the patient increases their self-esteem and confidence.
* Providing an appropriate model for social and professional interaction of the patient with other patients and staff. Role models offers the patient an opportunity for socially appropriate behavior were observed.
* Promote patient responsibility for his behavior, but accepts his willingness to contribute to maintaining appropriate behavior, the patient sees ERP structure. Promotion of patient responsibility for their behavior, for its sense of independence is increasingly accepted, but the intervention nurse a sense of security, and security have.
* Provide a situation where a group interaction with other patients can provide feedback on the behavior of the patient information. It is important that the patient is appropriate social behavior, learning through group interaction. It offers an opportunity to influence the patient seen in people around him. It also allows the development of acceptable social skills.
* Provide positive reinforcement for their efforts and appropriate behavior. Addressing the patient carefully and respectfully when behavior is inappropriate, and awareness of the negative behaviors.

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