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Describe how the differences between the etiologies of dementia and delirium can affect the
nursing diagnoses for a geriatric patient with impaired memory.
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Ask by Long Logan. in the United States
Jan 18,2025

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When a geriatric patient has impaired memory, nursing diagnoses differ based on whether the cause is dementia or delirium. For dementia, diagnoses focus on long-term support and maintaining quality of life, addressing issues like impaired memory, risk of injury, and caregiver strain. For delirium, diagnoses target acute management of the underlying cause, such as confusion, sensory disturbances, and injury risk, with interventions aimed at treating the cause and stabilizing cognitive function.

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When diagnosing a geriatric patient with impaired memory, it’s essential to recognize that dementia typically has a gradual onset associated with brain pathology, while delirium often presents acutely due to factors like infections, dehydration, or drug interactions. This distinction can lead nurses to prioritize issues such as chronic cognitive decline in dementia versus urgent and reversible causes in delirium, shaping interventions and care plans accordingly.
Moreover, understanding these differences helps in setting appropriate expectations with family members. For a patient with dementia, the focus may be on long-term care strategies and support, while for one experiencing delirium, the emphasis would be on immediate treatment of the underlying cause, which can lead to a potentially quick recovery in cognitive function.

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