Chronic Confusion


Irreversible, long-standing, and/or progressive deterioration of intellect and personality characterized by a decreased ability to interpret environmental stimuli and a decreased capacity for intellectual thought processes, which manifest as disturbances of memory, orientation, and behavior

Defining Characteristics:
  • Altered interpretation/response to stimuli; 
  • clinical evidence of organic impairment; 
  • altered personality; impaired memory (short and long term); 
  • impaired socialization; 
  • no change in level of consciousness

Related Factors:
  • Multi-infarct dementia;
  • Korsakoff's psychosis;
  • head injury;
  • Alzheimer's disease; cerebrovascular accident

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Cognitive Orientation
  • Information Processing
  • Memory
  • Neurological Status: Consciousness
Client Outcomes
  • Remains content and free from harm
  • Functions at maximal cognitive level
  • Participates in activities of daily living at the maximum of functional ability
NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels
  • Dementia Management
  • Environmental Management
  • Reality Orientation
  • Surveillance: Safety

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