room by putting shoes under bed, and ensuring clear path from bed to door/commode. GRIEVING ACUTE CONFUSION Medications List Visual impairment R/T macular degeneration Has eye glasses- often forgets to put on No hearing impairment Cognition fluctuates throughout the day Disoriented to date/time oriented to person/event 'Pleasantly confused' Some word-finding difficulties Dx dementia 2010 Risk for Falls CT Image of Chronic Subdural Hematoma Reduce clutter in pt. Figure shows two burr holes created with a perforator. a | Burr hole craniostomy with subdural drain. b | Twist drill craniostomy showing a single twist drill hole created over the thickest portion of the hematoma with a minimally invasive hollow screw in place. captures image of the brain and depicts bleeding around the brain, confirms the presence of the subdural hematoma. A low red blood cell count indicates significant blood loss. measures red blood cell, count, white blood cell count, and platelet count.

with frequent teaching of the consequences of falling, and importance of safety. (Doenges et al., 2016) R/T insufficient fluid intake, dysuria, incontinence AEB urinary retention, urinary tract infection, catheterization Provide pt. bed in lowest possible position and use a floor pad at side of bed. NURSING INTERVENTIONS INTERCONNECTIONS Place pt. I.P, week 6 clinical placement Admitted to Medical Floor after undergoing a frontal twist drill craniostomy to relieve a subdural hematoma caused by fall-related injury with direct impact to the head.

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