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TOPIC : DELIRIUM
DATE : /0 /2013
DURATION : 1 HRS
ASST. PROFESSOR.
PREVIOUS KNOWLEDGE: The 3ed year students has the knowledge regarding
the
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GENERAL OBJECTIVES:
By the end of the class the group will be able to acquire knowledge regarding the Epidemiology improve the
skills in managing client with Delirium and develops positive attitudes towards persons who is suffering with delirium.
SPECIFIC OBJECTIVES:
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Specific Teaching and
S.no objectives Time Content learning Evaluation
activities
1 Introduce the DELIRIUM (ACUTE ORGANIC BRAIN
topic of SYNDROME, Acute confusional state) Teacher:
delirium Introduce the
Although Delirium is unlikely to be encountered by topic with a good
the Decision Maker, it is included for completeness. example
Delirium is disturbed consciousness with disorientation in Student:
time and place, which typically fluctuates over the course Shows interest
of 24 hours.
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3 state the Incidence Teacher: adopts Which people
prevalence of - 20—40 per cent of geriatric clients in lecture method are more
delirium hospitalization Student: affected with
- In postoperative cases highest incidence was Listens carefully delirium
noticed.
Nursing Assessment:
History — past psychiatric history medication history What all you
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medical history, suicide risk, self-care ability, mental will assess a
competence, mental status, Psychiatric evaluation. client with
Physical — self injury, agitation, personal hygiene, delirium
shaking tremor, unsteadiness, difficulty in initiating
movements, slowed speech, incontinence
Mental status examination.
list down the Neurological assessment
8 nursing
diagnosis of a Nursing Diagnosis Teacher:
client with Alteration in cognitive functioning related to brain Adopts lecture
delirium damage resulting in impaired mental functions in cum discussion Tell some
thought process, attention, concentration and memory. method nursing
Impaired physical mobility related to muscle rigidity interventions
and motor weakness postural instability for the clients
Self care deficits (eating, drinking, dressing, hygiene) Student: with delirium
related to tremor and motor disturbance Listens carefully,
Imbalanced nutrition less than body requirement taking notes.
related to eating difficulties like chewing, swallowing.
Altered sleeping pattern related to depression,
aloofness
Impaired communication related to language
difficulties, speech problems, difficulty in facial
movement.
Potential for injuries because of sensory deficit.
Social isolation related to mood changes and
depression.
Alteration in perception related to hallucinations and
depression.
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Inadequate coping related to impaired cognitive
abilities.
Knowledge deficit related to the disease condition.
Risk for Constipation related to medication and
reduced activity