NANDA Definition: Abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, or the sleep/wake cycle
Defining Characteristics: Lack of motivation to initiate and/or follow through with goal-directed or purposeful behavior; fluctuation in psychomotor activity; misperceptions; fluctuation in cognition; increased agitation or restlessness; fluctuation in level of consciousness; fluctuation in sleep-wake cycle; hallucinations
Related Factors: 60 years of age; dementia; alcohol abuse; abuse; delirium; uncontrolled pain; multiple morbidities and medications
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
• Distorted Thought Control
• Information Processing
• Memory
• Neurological Status: Consciousness
• Safety Behavior: Personal
• Sleep
Client Outcomes
• Cognitive status restored to baseline
• Obtains adequate amount of sleep
• Demonstrates appropriate motor behavior
• Maintains functional capacity
Read More :
http://nandadiagnosis.blogspot.com
Defining Characteristics: Lack of motivation to initiate and/or follow through with goal-directed or purposeful behavior; fluctuation in psychomotor activity; misperceptions; fluctuation in cognition; increased agitation or restlessness; fluctuation in level of consciousness; fluctuation in sleep-wake cycle; hallucinations
Related Factors: 60 years of age; dementia; alcohol abuse; abuse; delirium; uncontrolled pain; multiple morbidities and medications
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
• Distorted Thought Control
• Information Processing
• Memory
• Neurological Status: Consciousness
• Safety Behavior: Personal
• Sleep
Client Outcomes
• Cognitive status restored to baseline
• Obtains adequate amount of sleep
• Demonstrates appropriate motor behavior
• Maintains functional capacity
Read More :
http://nandadiagnosis.blogspot.com
