The PMHNP is asked to prepare a presentation for non-nursing health care workers in a local long-term care facility on the various causes of cognitive impairment in the elderly
Answer: The PMHNP is asked to prepare a presentation for non-nursing health care workers in a local long-term care facility on the various causes of cognitive impairment in the elderly
This case presentation uses a few basics to lead the audience through a case and reinforce the principles of identifying cognitive impairment in the elderly.
Did you know that more than 60% of the older adults who live in nursing homes are diagnosed with delirium? This presentation will walk you through the causes of delirium, the signs and symptoms, and how to report it to the patient’s attending provider.
Case Presentation on Elderly Patient with Delirium by Nurse
Mrs. Smith is a 75-year-old female admitted to a long-term care facility with complaints of confusion and disorientation. On presentation, she is disheveled, out of touch with her surroundings, and is complaining of visual and auditory hallucinations. You should notify the patient’s attending provider immediately to ensure that this symptom is addressed in an expeditious manner.
Cognitive impairment is a diagnosis that covers a broad range of conditions affecting memory, thinking ability, judgment, and other mental functions. The most common cause of cognitive impairment in the elderly is delirium. Delirium is defined as an acute change in mental status (including mental confusion and a decrease in awareness of one’s surroundings) that develops over hours or days, is often fluctuating, is frequently caused by an underlying medical condition (such as infection or certain medications), and may result in long-term changes in cognitive function if not treated promptly. Delirium can be difficult to recognize without close monitoring and because it has many causes, your health care team will determine the best plan for treatment and when to return home. Early recognition of delirium and immediate treatment are important because left untreated it can lead to other complications including infections, falls or fractures, injuries, hospitalization, or even death.
Making sure your patient is treated for their cognitive impairment is always the most important concern. In some cases, there are a number of things to keep in mind about patients with cognitive impairment, specifically related to delirium, or acute confusional state. Of these, there are some notable correlations between the patient’s general health status and common causes of this condition that should help you improve care for them.
Delirium can be a frightening condition for the patient and family members. Because it is a state of mental confusion, it also can be very harmful in a long-term care setting. Here we review 3 cases, each with different sources of cognitive impairment.
In this interactive presentation, you will learn more about delirium, including why it happens, its causes and its treatment. You’ll also receive practical strategies on how to identify delirium when diagnosing nursing home residents in order to increase coordination of care and patient safety.
In this case the elderly man fell asleep while standing. This is a potential sign of delirium, especially in the elderly. It is important to note that this isn’t isolated to man is delirious, but also check for changes in mental status, other signs and symptoms and possible complications which are displayed by this man.
The PMHNP is asked to prepare a presentation for non-nursing health care workers in a local long-term care facility on the various causes of cognitive impairment in the elderly. A case presentation approach is used to reinforce principles of identifying delirium, which needs to be reported to the patient’s attending provider right away. The case should emphasize which of the following features as being closely correlated with delirium?