Details

Care Plan Detail

Delirium or acute confusional episode related to: [specify] as evidenced by [specify]

Description
A delirium or acute ... Please Login or Join to access this information
Record Id
269
Code
00269
Downloads
116
References
Marcantonio, E. (2018). Delirium in Hospitalized Older Adults. New England Journal of Medicine, 379(15), 1506-1516. https://doi.org/10.1056/NEJMcp1803293
Fong, T. G., Vasunilashorn, S. M., Libermann, T., Marcantonio, E. R., & Inouye, S. K. (2020). Delirium and Alzheimer disease: a proposed model for shared pathophysiology. International journal of geriatric psychiatry, 35(7), 781-792. https://doi.org/10.1002/gps.5296

Outcomes

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Will be free of ... Please Login or Join to access this information
Description: Client shows no ... Please Login or Join to access this information
Rationale: Ensuring the client ... Please Login or Join to access this information
Record Id
311
Downloads
11,283
Evaluate in days
90
Evaluation Date
04/21/2026
Outcome References
Greene, S. J., Berger, J. T., & Sampson, A. L. (2019). Diagnosis and management of delirium in critically ill infants and children. Pediatric Critical Care Medicine: A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 20(5), 449-458.
Oh, E. S., Fong, T. G., Hshieh, T. T., & Inouye, S. K. (2018). Delirium in older persons: advances in diagnosis and treatment. Jama, 318(12), 1161-1174.

Actions

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Consult with family, review ... Please Login or Join to access this information
Description: Includes discussing with ... Please Login or Join to access this information
Rationale: Consulting with family ... Please Login or Join to access this information
Record Id
1961
Downloads
17,164
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Observe, document and report ... Please Login or Join to access this information
Description: Includes vigilant monitoring ... Please Login or Join to access this information
Rationale: Monitoring, documenting and ... Please Login or Join to access this information
Record Id
1962
Downloads
17,164
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Use communication techniques which ... Please Login or Join to access this information
Description: Involves using clear, ... Please Login or Join to access this information
Rationale: Clear, calm communication ... Please Login or Join to access this information
Record Id
2108
Downloads
17,164
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Discuss with family any ... Please Login or Join to access this information
Description: The nurse engages ... Please Login or Join to access this information
Rationale: Highlighting delirium concerns ... Please Login or Join to access this information
Record Id
1964
Downloads
17,164
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Engage in simple, structured ... Please Login or Join to access this information
Description: This involves participation ... Please Login or Join to access this information
Rationale: Engaging in simple, ... Please Login or Join to access this information
Record Id
1965
Downloads
17,164
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Obtain and monitor lab/ ... Please Login or Join to access this information
Description: The nurse will ... Please Login or Join to access this information
Rationale: This instructs the ... Please Login or Join to access this information
Record Id
2034
Downloads
17,164
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Promote optimal/ appropriate sensory ... Please Login or Join to access this information
Description: Prioritizes optimal sensory ... Please Login or Join to access this information
Rationale: Enhancing sensory input ... Please Login or Join to access this information
Record Id
1967
Downloads
17,164
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Redirect and provide gentle ... Please Login or Join to access this information
Description: Nursing plan action ... Please Login or Join to access this information
Rationale: Redirecting and gently ... Please Login or Join to access this information
Record Id
1969
Downloads
17,164
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Monitor vital signs as ... Please Login or Join to access this information
Description: Involves routinely checking ... Please Login or Join to access this information
Rationale: Monitoring vital signs ... Please Login or Join to access this information
Record Id
1983
Downloads
17,164
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Monitor for s/sx of ... Please Login or Join to access this information
Description: Involves vigilance for ... Please Login or Join to access this information
Rationale: Monitoring these signs ... Please Login or Join to access this information
Record Id
2044
Downloads
17,164
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Monitor for s/sx of ... Please Login or Join to access this information
Description: This involves observing ... Please Login or Join to access this information
Rationale: This helps to ... Please Login or Join to access this information
Record Id
2151
Downloads
17,164
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Consult with pharmacist for ... Please Login or Join to access this information
Description: Reviewing medications with ... Please Login or Join to access this information
Rationale: Consulting a pharmacist ... Please Login or Join to access this information
Record Id
2153
Downloads
17,164
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Ensure that hearing aids, ... Please Login or Join to access this information
Description: Meant to confirm ... Please Login or Join to access this information
Rationale: Ensuring these aids ... Please Login or Join to access this information
Record Id
2154
Downloads
17,164
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If restraints in use, ... Please Login or Join to access this information
Description: Describes evaluating and ... Please Login or Join to access this information
Rationale: This ensures client ... Please Login or Join to access this information
Record Id
2155
Downloads
17,164