Altered Mood States Confusion

Confusion, disorientation: inappropriate social behavior, mood states, delusions, cognitive processes
Results Night (nursing classification result)
Did NOC Labels

* 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:
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
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

* Expected results of the patient shows appropriate and reduces the effect of instability and hostility.


* Assess and regularly influence. Influence is defined as the direct expression of emotion and respect. Prejudice is appropriate, if not in connection with the voice of a patient and / or ideas. Instability is defined as repeated, sudden and rapid changes affecting them. Mood is defined as a widespread and lasting feeling. Regular and frequent assessment of the patient's mood and help to influence the dominance of a particular effect or mood, and to determine any abnormalities. This assessment will identify the presence of instability or hostility.
* Environmental assessment and situational factors that may contribute to a change in mood or affect. It is important to note that patients with disorders of thinking can lead to fluctuations in mood and affect external stimuli, including environmental and situational factors.

Therapeutic intervention

* Proof of the patient as a person. It is important to tell the patient the consent of the person for him, whatever his or her behavior.
* Demonstrate tolerance and influence mood swings. Address undue influence and vote in a calm but determined. Calm reported arrests and the tolerance of the patient and his touch and mood. Addressing the definition of misconduct for clear expectations for the patient to communicate.
* Identification of environmental stimuli that lead to increased anxiety or agitation in patients. Remove the patient from external stimuli, which appeared irritated and hostile behavior worsens. The patient's ability to detect and remove irritating stimuli from the source may be affected. Remove the patient from external stimuli that exacerbate fluctuations in mood and promoting a sense of security and safety for the patient.
* Encourage participation in group activities as tolerated. Participation in group activities is determined by several factors including the activity level and group level tolerated by the patient. You should know that the patient's fluctuations in mood and affect its ability to react adequately and in other capacities, complex and diverse incentives to treat people.

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