Definition:
a state in which an individual experiences a disruption in mental processes
such as conscious thought, reality orientation, problem solving, comprehension
and judgement
1. Your initials (required):
2. Defining Characteristics - check those that apply to your
client:
None- high risk diagnosis
inaccurate interpretation of environment
inappropriate nonreality-based thinking
memory deficits
distractibility
egocentricity
delusions
3. Related Factors- check those that apply to your client:
mental disorders ( dementia, genetic disorder, hormonal changes)
situtational disorder (depression, substance abuse, emotional trauma)
4. Goal (ultimate, long term)
5. Outcome Criteria (short term)
6. Evaluation: Was the outcome criteria met?
Yes- Give
Evidence:
No- Explain
how you would change the plan:
7A. Interventions
1.
2.
3.
4.
5.
6.
7B. Rationale for each intervention
1.
2.
3.
4.
5.
6.