Download Cognition

COGNITION
RNSG 2539
Health Care Concepts 4
Concept – COGNITION
Concept Definition Cognition is the process of thought by which an individual learns, stores, retrieves, and uses
information (North Carolina Concept-Based Learning Editorial Board, 2011, p.197).
Exemplars
Traumatic Brain Injury
Encephalopathy
Schizophrenia
Postpartum Psychosis
Objectives
1. Explain the correlation between the listed exemplars to the concept of Cognition
(including compromised antecedents, deficit measurement in attributes, a list of
negative consequences, and the interrelated concepts which may be involved).
2. Analyze conditions that place an individual at risk for imbalance leading to a
compromised concept(s) resulting in the listed exemplars.
3. Discuss when impaired Cognition is developing in relation to the listed exemplars (signs
and symptoms).
4. Apply the nursing process with collaborative interventions for individuals experiencing
altered Cognition (including the listed exemplars).
Also and including:
a. Discuss therapeutic communication with patients who are experiencing
hallucinations, delusions, are suspicious, withdrawn or disoriented and disruptive.
b. Explain the role of the nurse in the therapeutic milieu and the elements of the milieu
that provide safety and security.
c. Articulate the recovery concept in the treatment of persons with schizophrenia.
d. Compare and contrast the antipsychotic and other medications that are most
commonly prescribed for the treatment of schizophrenia, and include side effects,
adverse reactions and nursing implications.
e. Discuss the importance of stress management skills and other supportive and
complementary therapies that can maximize the quality of life for people with
schizophrenia.
f. Identify the common comorbidities of persons with schizophrenia and how dual
diagnosis with drugs/alcohol is best treated.
g. Discuss the medications that may be prescribed for the exemplars and the nursing
implications related to these medications.
5. Identify the genetic, neurochemical, environmental theories regarding the etiology of
schizophrenia.
6. State other disorders that present in similar ways to schizophrenia.
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COGNITION
7. State the prevalence of postpartum psychosis.
8. Discuss the etiology as is presently understood.
Prior to class Assignments
Review the following content from previous courses
 Cognition Concept Analysis Diagram
 Therapeutic communication techniques
 Neurotransmitters important in psychiatric disorders
 Anticholinergic medications which will be used to treat side effects of the antipsychotic
medications
 Postpartum depression
 Antipsychotic and mood stabilizing medications
Written Assignment

Readings/Viewings
References
See Blackboard for further reading assignment
Internet
Virtual reality in rehabilitation following traumatic brain injury by: F. D. Rose
http://www.icdvrat.reading.ac.uk/1996/papers/1996_02.pdf
Understanding Traumatic Brain Injury
https://www.youtube.com/watch?v=9Wl4-nNOGJ0
Schizophrenia
http://www.upworthy.com/what-s-shizophrenia-like-a
https://www.youtube.com/watch?v=AgZHOSxN5cE woman who hears voices
o
https://www.youtube.com/watch?v=48YJMOcykvc
Content Outline
Concept: Cognition
1. Traumatic Brain Injury:
A. Discuss the impairments possible with traumatic brain injury
B. Discuss the risk factors for traumatic brain injury
C. Symptoms
D. Treatments
E. Nursing process: Assessment, diagnosis, intervention, evaluation
2. Encephalopathy:
A. Overview of encephalopathy.
B. Definition of encephalopathy pathophysiology.
C. Discuss different causes of encephalopathy.
D. Clinical manifestations associated with encephalopathy.
E. Diagnosis and diagnostic tests for encephalopathy.
F. Treatments for encephalopathy.
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COGNITION
G. Interventions for encephalopathy.
H. Complications of encephalopathy.
3. Schizophrenia:
A. Symptoms of schizophrenia (positive, negative, cognitive – includes types of
hallucinations, delusions)
B. Brief history of treatment of persons with schizophrenia (if not covered previously)
and current stigma
C. Other schizophrenic-like disorders in which psychosis is present
D. Etiology of schizophrenia (discuss genetic, neurotransmitter, brain structure,
environmental) and current acceptance of multiple causation
E. Nursing assessment including the Mental Status Assessment
F. Important principles in milieu management for safety and stabilization of patients
with schizophrenia
G. Medication administration and related nursing responsibilities: include typical and
atypical antipsychotics (long term injectable meds also) as well as anticholinergic
medications for side effects of antipsychotic medications.
H. Medication nonadherence issues
I. Therapeutic communication principles based on patient symptoms
J. Nursing interventions related to nursing diagnoses
K. Continuum of care for people with schizophrenia: prodromal, acute and stable
phases
L. The recovery concept as it applies to persons with schizophrenia (recovery referring
to a person diagnosed with a serious mental illness’s right to a safe, dignified, and
meaningful life in the community despite his psychiatric condition)
M. Range of treatment modalities including group therapy, CBT, social skills,
rehabilitation therapy, patient and family education, others.
4. Postpartum Psychosis:
A. Prevalence
B. Etiology
C. Risk factors
D. Symptoms
E. Treatment approaches: Medication and somatic
F. Nursing Process: Assessment, diagnosis, intervention, evaluation
J: Level IV Concepts/Syllabus 2017
Revised 11/11/16
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