310 likes | 459 Vues
Acute Confusion Case Study Felicia Dreesmann California State University, Chico. Patient Presentation. Wheezing. Shortness of breath . Treatment. Intravenous Solumedrol with change to oral Prednisone with tapering schedule. Acute Confusion. Disoriented. Hallucinations.
E N D
Acute Confusion Case Study Felicia Dreesmann California State University, Chico
Patient Presentation Wheezing Shortness of breath Treatment Intravenous Solumedrol with change to oral Prednisone with tapering schedule Acute Confusion Disoriented Hallucinations
Intravenous Solumedrol with longer weaning schedule Confusion resolved
Conceptual Model Precipitating Factors/ Insults Predisposing Factors/ Vulnerability
PRECIPITATING AND PREDISPOSING FACTORS
OTHER FACTORS TO CONSIDER WITH BOB
Developmental Risks What developmental risks did Bob have?
Corticosteroids and Acute Confusion : Taking a Closer Look Mechanisms (Warrington & Bostwick, 2006)
Mechanisms Aging Process and Acute Confusion: Taking a Closer Look
RELATED PATHOPHYSIOLOGICAL CONCEPTS AND DIFFERENTIAL DIAGNOSES
CLINICAL MANAGEMENT Nurse assessment
CLINICAL MANAGEMENT CONTINUED Assessment considerations Nursing interventions
M A N I F E S T A T I O N S
PATHOLOGICAL CONSEQUENCES Full recovery Increased rates of injury Increased cost Outcomes of acute confusion/delirium Physiological stress Functional decline Longer hospital length of stay Increased falls Death Institutionalization
Research, Music and Acute Confusion MUSIC LISTENING: ITS EFFECTS IN CREATING A HEALING ENVIROMENT FOR THE CONFUSED PATIENT