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The patient demonstrated impaired verbal communication and cognitive abilities related to disorientation, impaired memory, and inability to recall familiar words. The nurse's goals were for the patient to use communication to get needs met, relate to others, and participate in activities within 8 hours. The nurse planned to assess disorientation regularly, give clear explanations, anticipate needs, and allow extra response time. This would help determine how much intervention was needed to help the patient evaluate reality accurately.
The patient demonstrated impaired verbal communication and cognitive abilities related to disorientation, impaired memory, and inability to recall familiar words. The nurse's goals were for the patient to use communication to get needs met, relate to others, and participate in activities within 8 hours. The nurse planned to assess disorientation regularly, give clear explanations, anticipate needs, and allow extra response time. This would help determine how much intervention was needed to help the patient evaluate reality accurately.
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The patient demonstrated impaired verbal communication and cognitive abilities related to disorientation, impaired memory, and inability to recall familiar words. The nurse's goals were for the patient to use communication to get needs met, relate to others, and participate in activities within 8 hours. The nurse planned to assess disorientation regularly, give clear explanations, anticipate needs, and allow extra response time. This would help determine how much intervention was needed to help the patient evaluate reality accurately.
Copyright:
Attribution Non-Commercial (BY-NC)
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Subjective/ Rationale Rationale Diagnosis Objectives interventions Outcome Objective Nurse: Ano nga ulit Impaired Verbal Risk factors are Short term INDEPENDENT: This will determine Goal met. pangalan ko? Communication socioeconomic & outcome: 1. Assess degree of the amount of related to impaired biochemical After 8 hours of disorientation to reorientation and *The patient used a Patient: “di ko cognitive abilities nursing intervention, time, place, person, intervention the form of maalala.” the pt will be able to: and situation patient will need to communication to Nurse : “Ilang taon *Use a form of regularly and evaluate reality get needs met and ka na?” communication to frequently. accurately. to relate effectively Neurologic get needs met and to with persons on her Patient: “ Hindi ko developmental relate effectively 2.Giving Clear direct environment. alam” failure with persons on her information explanations of environment. a. Offer the client environment events *The patient Nurse: “Kelan ang clear, simple help to lessen the demonstrated kaarawan mo?” * Demonstrate explanations of client’s congruent verbal Alteration of congruent verbal and environmental suspiciousness and and non-verbal Patient: “October 29. function in non-verbal events, activities and fear or mistrust of communication umiiyak ako kanina cognitive and communication the behaviors of the surroundings and mommy naalala ko perceptive fields other clients as other. This can *The patient nanay ko.” *Participate in necessary. prevent aggressive participated in social activities behavior. social activities and Sensory &Cognition: and group group therapies *Conscious therapies 3.Anticipate patient The nurse should set but disoriented to Inaccurate needs and pay aside enough person interpretation of attention to non time to attend to all *Impaired incoming verbal cues. of the details of memory on Information patient care. Care personal measures may take information longer to complete in the presence of a *Poor focus communication regarding deficit. specific topic impaired cognitive abilities 4. Give the patient It may be difficult Attitude: ample time to for patients to *Withdrawn respond. respond under pressure; they may Thought Process: need extra time to *blocking organize responses, *perseveration find the correct *inability to recall word, or make familiar words, necessary language