Goals/ObjectivesWith assistance from caregiver, client will be able to interrupt Client will accept explanations of inaccurate interpretations within the environment.Long-term GoalShort-term Goalnon–reality-based thinking.Interventions with 3. Give positive feedback when thinking and behavior are appro- 1. Frequently orient client to reality and surroundings. Allow 2. Teach prospective caregivers how to orient client to time, assist in maintaining reality orientation. priate, or when client verbalizes that certain ideas expressed and enhances desire to repeat appropriate behaviors.client to have familiar objects around him or her. Use oth-er items, such as a clock, a calendar, and daily schedules, to helpful.from the hospital. Sharing successful interventions may be jeopardized during periods of disorientation. Maintaining reality orientation enhances client’s sense of self-worth and personal dignity.are not based in reality. person, place, and circumstances, as required. givers will be responsible for client safety after discharge Delirium, Dementia, and Amnestic Disorders Selected RationalesPositive feedback increases self-esteem Client safety is These care-●^63
Use simple explanations and face-to-face interaction when 7. Close observation of client’s behavior is indicated if delusion- 6. Do not permit rumination of false ideas. When this begins, 5. Express reasonable doubt if client relays suspicious beliefs vidual experiencing a hearing loss. Visual cues facilitate understanding. Shouting causes distortion of high-pitched sounds and in some instances creates a feeling of discomfort for client.a nursing priority.in response to delusional thinking. Discuss with client the potential personal negative effects of continued suspicious-ness of others. Reinforce accurate perception of people and situations. communicating with client. Do not shout message into cli-foster similar uncertainties about delusion on the part of ent’s ear. client.al thinking reveals an intention for violence. most effective when communicating with an elderly indi-talk to client about real people and real events. dignity.entation increases client’s sense of self-worth and personal Speaking slowly and in a face-to-face position is Expressions of doubt by a trusted individual may Client safety is Reality ori-
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