1. patient' vital sign (BP : 130/98mmHg, BT: 36.6(')
Pulse 77 times Respiration 22 times )
Mental stage : alert
2. patient can say place(CheongShim hospital), person(nurse), and
time(2016.1.6.) And speak slowly and enunciate clearly when talk to patient.
3. Keep patient’s routine as consistent as possible.
Encourage participation in activities of daily living (ADLs) as able.
4. Every morning, and after having meal, nursing time and interventions
5. Evaluate visual acuity as indicated.
6. keep the environment safely
7. patient said, she doesn't need to have walker or stick. just grasp a handrail when she feel slants to one side?
