Delirium
Name something that can cause delirium
Age-related changes
Medications - esp. chemotherapies
Anesthesia
Disease processes
Electrolyte imbalances
Sleep deprivation
Mental illness
Alcohol and substance withdrawal
Name a physical fall risk factor
General weakness
Memory changes
Changes in vision/hearing
Edema in lower extremities
Balance problems
Poor nutrition and/or dehydration
Seizures
Falls within the last 30 days
This is a reason why a restraint can be used
Confusion
Agitation
Violent and aggressive behavior
To prevent pulling out of tubes and lines
Prevention of harm to the patient or others
This is a suicide red flag
Verbalized suicidal ideation with a plan
Suicidal gestures
History of suicidal attempts
Recent treatment for the presence of psychiatric illness
Family history of suicide
A diagnosis of major depressive disorder
Verbalized hopelessness
Name an example of a diversional activity
Yoga
Breathing techniques
Self-care
Folding towels
Etc