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CNA-NIC F25 CH4.11
Identifying Communication Guidelines for Disorientation and Confusion
| Question | Answer |
|---|---|
| DISORENTATION | is confusion about person, place or time |
| describe the duration of the condition of disorientation | this condition may be permanent or temporary |
| what causes permanent disorientation | due to an injury or disorder in the brain |
| what causes temporary disorientation | due to dehydration, constipation, hypoxia or medication |
| hypoxia | a condition in which the body tissues do not receive enough oxygen |
| what was a way to observe residents accurately | via orientation |
| what does it mean when a resident is orientated | it means they can identify who they are and who their caregiver is (person): the city. state, and facility they are in(place) and the correct time (time of day, year or season:spring) |
| a resident who is disorientated may not be able to | express one or more of these things: who they are, who their caregiver is, where they are, and time |
| CONFUSION | is the inability to think clearly and logically |
| a confused person has trouble | focusing his attention and may feel disoriented |
| what behaviors may a confused resident exhibit | A confused resident may not remember to finish their meal or may not be able to locate their room |
| what does confusion interfere with | the ability to make decisions |
| what can change when a person has confusion | may change a persons personality |
| what sort of things can a resident not be able to identify if they have confusion | they may not be able to identify his name, the date, other people, or where he is |
| confusion can be | temporary or permanent |
| what is confusion often due to | a physical problem |
| what is an example of a physical problem that causes confusion | a stroke |
| what is another name for strokes | cerebrovascular accidents |
| CVA | cerebrovascular accidents |
| confusion can also be caused by what conditions #1 | Urinary tract infections, Low blood sugar, Head trauma or head injury, dehydration, Nutritional problems, fever, sudden drop in body temperature, lack of oxygen, medication, infection, brain tumor, illness, loss of sleep, seizures ... |
| UTI | Urinary tract infections |
| confusion can also be caused by what conditions #2 | not using a hearing aid when it is necessary |
| Disorientation or Confusion Guidelines #1 | Do not leave the resident alone |
| Disorientation or Confusion Guidelines #2 | Stay Calm. Provide a quiet environment |
| Disorientation or Confusion Guidelines #3 | Speak in a lower tone of voice. Speak clearly and slowly |
| Disorientation or Confusion Guidelines #4 | Introduce yourself each time you see the resident. Remind the resident of her location, her name and the date. A calendar can help |
| Disorientation or Confusion Guidelines #5 | Explain what you are going to do , using short simple sentences. Break tasks into steps |
| Disorientation or Confusion Guidelines #6 | Be patient with the resident. Do not rush her |
| Disorientation or Confusion Guidelines #7 | Listen closely and observe how the resident is communicating. Pay attention to his body language. Do not focus on his words alone. |
| Disorientation or Confusion Guidelines #8 | Tell the resident about plans for the day. Keeping a routine may help |
| Disorientation or Confusion Guidelines #9 | Encourage the use of eyeglasses and hearing aids. Make sure they are clean and are not damaged |
| Disorientation or Confusion Guidelines #10 | Report observations to the nurse |
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