Nanda - Acute Confusion Definition:
Abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, or the sleep/wake cycle
Defining Characteristics:
Lack of motivation to initiate and/or follow through with goal-directed or purposeful behavior; fluctuation in psychomotor activity; misperceptions; fluctuation in cognition; increased agitation or restlessness; fluctuation in level of consciousness; fluctuation in sleep-wake cycle; hallucinations
Related Factors:
60 years of age; dementia; alcohol abuse; abuse; delirium; uncontrolled pain; multiple morbidities and medications
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
Suggested NIC Labels
Abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, or the sleep/wake cycle
Defining Characteristics:
Lack of motivation to initiate and/or follow through with goal-directed or purposeful behavior; fluctuation in psychomotor activity; misperceptions; fluctuation in cognition; increased agitation or restlessness; fluctuation in level of consciousness; fluctuation in sleep-wake cycle; hallucinations
Related Factors:
60 years of age; dementia; alcohol abuse; abuse; delirium; uncontrolled pain; multiple morbidities and medications
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
- Distorted Thought Control
- Information Processing
- Memory
- Neurological Status: Consciousness
- Safety Behavior: Personal
- Sleep
- Cognitive status restored to baseline
- Obtains adequate amount of sleep
- Demonstrates appropriate motor behavior
- Maintains functional capacity
Suggested NIC Labels
- Delusion Management
