Student Name: Patricia C.

Elumba Room #: 331 A

Patient’s Name: Cuadalquiver, Adera Age: 66

NCP

Assessment Diagnosis Planning Intervention Rationale Evaluation

S: Disturbed Thought Within 8 hours of nursing - Assess extent of - Uremic syndrome’s After 8 hours of nursing
O: Process r/t intervention, the patient impairment in effect can begin with intervention, the patient,
- Disoriented to electrolyte will be able to identify thinking ability, minor confusion, along with her significant
person, place, imbalances ways to compensate for memory, and irritability and progress other, was able to
time cognitive impairment/ orientation. to altered personality identify ways to
- Minimal replies memory deficit Note attention or inability to compensate for cognitive
span assimilate information impairment. And was able
and participate in care. to note interventions to
Awareness of changes do to practice the
provides opportunity patient’s cognitive skills.
for evaluation and
intervention.

- Ascertain from - Provide comparison to P. Elumba, FSUU/SN

SO patient’s evaluate progression
usual level of and resolution of
mentation impairment

- Provide a quiet - Minimize

or calm environmental stimuli
environment to reduce sensory
overload and confusion

- Reorient to - Provides clues to aid in

surroundings, recognition of reality
person, and so
fort. Instruct SO
 to orient the
patient with
time and date
always
- Present reality - Confrontation
concisely, potentiates defensive
briefly, and do reactions and may lead
not challenge to patient mistrust and
illogical heightened denial of
thinking. reality

- Communicate - May aid in reducing

information and confusion, and
instructions in increases possibility
simple, short that communications
sentences. Ask will be understood and
direct, yes or no remembered.
questions.
Repeat
explanations as
necessary.

- Promote - Sleep deprivation may

adequate rest further impair cognitive
and abilities.
undisturbed
periods for
sleep.
- Correction of hypoxia
- Provide alone can improve
supplemental cognition.
O2 as indicated.
- Drugs normally
- Avoid use of detoxified in the
barbiturates kidneys will have
and opiates. increased half-life and
cumulative effects,
worsening confusion.

- Marked deterioration
- Prepare for of thought processes
dialysis, as may indicate worsening
ordered of azotemia and
general condition,
requiring prompt
intervention to regain
homeostasis.