Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 12 Mental Health^469


TREATMENT



  • Psychotherapy:

    • Interpersonal therapy.



  • Cognitive-behavioral therapy.

  • Family therapy.

  • Medical management of electrolyte imbalance—replacement as needed.

  • Monitor cardiac rhythm for rate and presence of arrhythmia.

  • Monitor vital signs.

  • Monitor weight.

  • Monitor fluid and calorie intake.


NURSING DIAGNOSIS



  • Disturbed body image

  • Imbalanced nutrition: less than what body requires

  • Altered dentition


NURSING INTERVENTION



  • Monitor vital signs.

  • Monitor calorie intake.

  • Monitor cardiac rate and rhythm.

  • Monitor lab results; report abnormalities.


Delirium


WHAT WENT WRONG?


Patients exhibit a global disturbance in cognitive functions that may develop rap-
idly, sometimes within hours. Symptom severity may vary during the course of the
day, depending on cause of symptoms. The patient with a sudden onset of disori-
entation and behavioral changes, especially the elderly patient, is often sent for a
psychiatric evaluation.


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