The patient M.C. is a 74 year old male who has been in the intensive care unit (ICU) for 3 days after unexpected major abdominal surgery. He is becoming increasingly confused and agitated. Before surgery, he was alert and oriented. States he needs to “get out of here”. Angry at family members for not “taking me home”. Family members are very upset about M.C.’s confusion.
Answer the following questions thoroughly and cite resources appropriately.What type of cognitive impairment does M.C. likely have?How can this diagnosis be confirmed?Are there any other issues that you need to consider as possible causes for his mental state?What is the nurse’s priority regarding M.C.’s mental status?What is the next priority for the nurse caring for M.C.?What diagnostic tests may be ordered and what would each contribute?How will you support M.C.’s family at this time?Complete the attached CAM worksheet for this patient and discuss the results here
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