SR. NO.

TIME

OBJECTIVES

CONTENT

TEACHING LEARNING ACTIVITY

A.V.AIDS

EVALUATION

1.

2min

To introduce self & topic.

INTRODUCTION: My self Nayka Anjna nursing tutor & my topic is Acute organic brain syndrome(Delirium).

Lecture cum Discussion

Black Board & Projector

DEFINITION: It is a state of clouded consciousness in which organic brain attention cannot be sustained,the environment is syndrome(Delirium). wrongly perceived & disturbances of thinking are present.
To define Acute To explain causes of Delirium. CAUSES OF DELIRIUM: Head trauma Fever specially common in children Metabolic Toxic Drug intoxication or overdosage of drug or drug withdrawl. The post operativ state. Infections specially febrile such as pneumonia, TB. Metabolic disorders such as vitamin-B deficiency,uraemia,liver disease etc. Circulatory disturbances e.g. congestive heart failure,hypertensive encephalopathy.

 To discuss the
2. 2 min

Epilepsy. Cerebral tumor Lupus erythematous Respiratory insufficiency. Sensory deprivation.

PSYCHOPATHOLOGY Chart The main part of the brain responsible for delirious state are:brain stem,autonomic nervous Lecture system, limbic system, sensory cortex cum &pathways.ID & Ego get affected. Discussion SIGN & SYMPTOMS: Impaired consciousness Disorientation Mental confusion Thinking is distorted Dream like content in thinking Memory,comprehension,factualknowledge ,reasoning ability & judgement are impaired. Lecture Lack insight cum Illusion ,hallucination &delusion are present Discussion Inappropriate,impulsive,irrational or violent behaviour are present.

psychopathology of Delirium.

To describe the sign & symptoms of Delirium.

3. 5min

Blackboard

To described the medical management of Delirium.

MEDICAL MANAGEMENT: Projector

Lecture cum Discussion

To discuss the nursing management of delirium.

NURSING MANAGEMENT: Any type of illness or complaints may be treated symptomatically. Give medication as prescribed. Help the patient to express any of his physical complaints. Involve relatives in giving the patient medication in time. Plan a safe & less congested environment. Provide just adequate furniture in the room. Check that no wires,tubes or other things are spread in the room. Electricity connection should be covered. Provide adequate light in the room.

 Maintain pleasant & quiet environment. Set up a routine for the patient to attend to his personal hygiene. Plan out some activities & help him maintain his regular bowel & bladder habits. To provide well balanced diet to the patient. As chewing ability is also decreased ,soft,easilydigestable food may be planned. Provide roughage &green vegetable in diet to relieve constipation. Planning of asleep schedule for the night. Discourage the patient to sleep in day time. Keep him or her busy in activity in day time. Keep the environment calm & quiet. Allow the patient to read a magazine if he/ she like. Leave the light on if the patient is having hallucination. Put up bedside rails. Call the patient by name. Encourage him or her to participte in activities. Actively listen to the patients past experience. Gradually these patients become noncommunicative, thinking others do nothave time for them, these sense can be reduced by spending time with the patient. Lecture Give simple & clear message. cum Due to disorientation the patient is confused so Discussion

Projector


4. 3 min

To discuss the nursing diagnosis of Delirium.

reorientation is required. Help relatives not to get irritated if the patient is not able to inform them about a telephonic message or what the doctor told him. Hel him control his anger & irritability. Encourage tha patient to participate in family dicision. Dont over protect them. Help in diverting the patients mind by games,watching TV Encourage the patient to interact & socialize with his own group. These patients are ritualistic in their religious Lecture activity, help them to maintain it. cum Provide religious books, video/audio cassettes. Discussion NURSING DIAGNOSIS Alteration in thought process Impaired attention & concentration Self care deficit due to loss of independent functioning. Social isolation may be lead to depression,agitation. Prone to injuries self due to sensory deficits.

Transparencies

5.

3 min

Flash card

Lecture cum Discussion

Explain the Rh incompatibility

(hemolytic disease of the new born).

Projector

Lecture cum Discussion

Describe the typing and cross-matching blood for transfusion.