Delirium

Delirium is a sudden and severe confusion, coupled with rapid changes in brain function, often triggered by physical or mental illness. It manifests as an altered level of consciousness, disorientation, and difficulty in focusing, sustaining, or shifting attention.

Causes of Delirium include :

Infections: Conditions such as urinary tract infections and pneumonia can induce delirium, particularly in older adults.

Medications: Drugs like sedatives, painkillers, and anticholinergics are common culprits.

Substance Withdrawal: Withdrawal from substances like alcohol and benzodiazepines can precipitate delirium.

Metabolic Imbalances: Issues such as dehydration, electrolyte imbalances, and organ failure can contribute.

Neurological Condition: Disorders like stroke, traumatic brain injury, and dementia heighten the risk.

Symptoms can fluctuate and include:

  • Reduced environmental awareness
  • Inability to focus or shift attention
  • Disorientation regarding time or place
  • Memory impairment
  • Sleep-wake cycle disturbances
  • Hallucinations or delusions
  • Agitation or lethargy

Diagnosing delirium involves a comprehensive medical and psychological evaluation, including medical history, physical examination, and cognitive tests. Treatment aims to address the underlying cause, provide supportive care, and ensure a safe environment.

Key interventions include:

  • Adjusting or discontinuing problematic medications
  • Treating infections or metabolic imbalances
  • Ensuring proper hydration and nutrition
  • Promoting good sleep hygiene
  • Using antipsychotic medications in severe cases

Preventing delirium involves managing risk factors, such as:

  • Maintaining adequate hydration and nutrition
  • Monitoring and managing chronic conditions
  • Carefully managing medications
  • Creating a supportive and stimulating environment, especially in hospitals or long-term care settings

Delirium is a serious condition requiring prompt medical attention. Early detection and intervention at Sumona, can significantly improve outcomes and reduce the risk of complications.