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  • Date/ Time Focus DAR: Disturbed Thought Process

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    Maria Chrislyn Marcos Genorga
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    The patient was experiencing disturbed thought processes as evidenced by losing track of time, believing the TV was turning on by itself at night, claiming to mail a news clipping that never arrived, and forgetting the date, time, and day of the week. The patient also insisted they saw a strange man looking in their window, though this was not verified. The nurse assessed the patient's cognitive functioning, memory, orientation, communication, and thinking patterns. Interventions included allowing freedom to sit by the window, providing positive reinforcement, speaking slowly and clearly, maintaining a consistent routine, and educating family on managing disturbed thought processes. The patient's thought processes improved slightly but remained near their baseline level, with occasional awareness of reality but also periods of

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    The patient was experiencing disturbed thought processes as evidenced by losing track of time, believing the TV was turning on by itself at night, claiming to mail a news clipping that never arrived, and forgetting the date, time, and day of the week. The patient also insisted they saw a strange man looking in their window, though this was not verified. The nurse assessed the patient's cognitive functioning, memory, orientation, communication, and thinking patterns. Interventions included allowing freedom to sit by the window, providing positive reinforcement, speaking slowly and clearly, maintaining a consistent routine, and educating family on managing disturbed thought processes. The patient's thought processes improved slightly but remained near their baseline level, with occasional awareness of reality but also periods of

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    92 views1 page

    Date/ Time Focus DAR: Disturbed Thought Process

    Uploaded by

    Maria Chrislyn Marcos Genorga
    The patient was experiencing disturbed thought processes as evidenced by losing track of time, believing the TV was turning on by itself at night, claiming to mail a news clipping that never arrived, and forgetting the date, time, and day of the week. The patient also insisted they saw a strange man looking in their window, though this was not verified. The nurse assessed the patient's cognitive functioning, memory, orientation, communication, and thinking patterns. Interventions included allowing freedom to sit by the window, providing positive reinforcement, speaking slowly and clearly, maintaining a consistent routine, and educating family on managing disturbed thought processes. The patient's thought processes improved slightly but remained near their baseline level, with occasional awareness of reality but also periods of

    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 1

    Date/ Time Focus DAR

    09/15/21 Disturbed D- “I am losing time,” as verbalized by the patient. “I believed that Margaret is turning the set on in the middle of the night because when I get up in the
    thought morning, the TV is on,” as verbalized by the patient. “I mailed my granddaughter Becky a news clipping from the local paper,” as insisted by the patient- but it
    9:00 AM never arrived. “I kept on forgetting date, time, day of week,” complained by the patient. “I saw a strange man with a hat was looking in my window from the
    process
    street,” insisted by the patient – This has not been verified. Age: 81 y/o. Disorientation to date, time, person, and circumstances. Altered perceptions to
    surroundings. Hallucinations.
    A- Identify factors contributing to disturbed thought processes. Recognized the client's perception of the environment. Evaluated response on diagnostic
    examinations. Assessed the patient's ability for thought processing such as cognitive functioning, memory changes, disorientation, difficulty with
    communication, or changes in thinking pattern. Assessed the level of cognitive disorders such as change to orientation to date, time, people, attention, and
    circumstances. Assessed level of confusion and disorientation. Allowed the patient the freedom to sit in a chair near the window, utilize books and magazines
    as desired. Provided positive reinforcement and feedback for positive behaviors. Spoke slowly and clearly. Allowed ample time for the patient to respond.
    Planned the patient’s routine and follow it as consistently as possible. Provided educational materials to the significant other on ways to manage disturbed
    thought processes. Administered medicine as prescribed by the physician. Instructed significant others methods to use with communication with patient such
    as listen carefully, listen to stories even if they’ve heard them many times previously, and avoid asking questions that the patient may not be able to answer.
    Instructed significant others, to provide a calm environment
    R- Mrs. Sta. Maria was able to improved slightly her thought process, maintained closely at the baseline level. Somehow aware and oriented and reality was
    slightly maintained at given intervals. Perceived the environment correctly for a time being and shifted to being lost in time again. Significant others exhibited
    understanding of required care and demonstrated coping skills in interacting with Mrs. Sta. Maria. __________

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