Nursing Diagnosis for Acute Confusion

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

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