Brad - is a serious thought disorder in which a person has misconceptions about reality that seem to him absolutely correct.Typically delirium begins suddenly, in a few hours or days.In many cases, you can identify the factors that contributed to the development of delirium - it can be, for example, acute or chronic diseases, medication, surgery, abuse of alcohol or drugs.
Symptoms Symptoms of delirium can become more or less severe, and even completely disappear for a while.The main symptoms of delirium are:
weakened awareness of reality, which can be a result of:
- Inability to concentrate on anything, and frequent groundless change of subject;
- Wandering attention, a person easily distracted by minor irritants;
- fixation on one idea and the inability to carry on a conversation and answer questions;Absorption
- a weak response to external stimuli.
cognitive impairment, which can indicate the following features:
- bad memory, especially of recent events;
- Disorientation - people may not know where it is, what time, and even - who he is;
- slurred speech, including due to the fact that the person finds it difficult to remember and look up words;
- incoherent speech;
- Difficulty understanding speech;
- Difficulty reading and writing.
- Irritability, anxiety, wanton aggression;
- Sleep problems Dreams: how to understand our dreams ;
- extremely strong emotions Emotions and culture: how to decipher the emotional code , as a rule - fear, anxiety, anger, or depression;
- appeal to existing objects as a result of hallucinations.
Delirium and dementia
distinguish delirium from dementia or dementia can be very difficult, and in some cases people have seen both states simultaneously.Dementia - a progressive decline in cognitive function (memory, etc.), which occurs most often in older people, such as those who suffer from Alzheimer's disease.Delirium can occur in people of any age.The main differences between delirium and dementia:
- Brad starts very fast, a few days or even hours, while the dementia progresses slowly;
- Because delirium worsens a person's ability to hold the attention on an object, and in the early stages of dementia patient usually has no serious problems with concentration;
- If symptoms of delirium may become more or less pronounced, the kogninitivnye function in people with dementia tend to remain the same - they can temporarily improve memory or concentration, if it had significantly deteriorated.
When to see a doctor
Seek medical attention necessary to the appearance of any signs of delirium in a human.If a person suffers from dementia, a sharp worsening of its symptoms may indicate delirium - in this case, too, need to seek professional help.
cause of delirium is often a combination of factors that lead to brain damage.These factors include:
- Acute infections - especially in children;
- Disturbances of vision or hearing;
- malnutrition or dehydration;
- chronic, acute and terminal illnesses;
- numerous health problems and the need to constantly undergo medical procedures;
- abuse alcohol or drugs, or the abolition of alcohol or drugs.
following drugs or their combinations can cause delirium:
- Drugs used in Parkinson's disease;
- antiepileptic drugs;
- medicine for depression or anxiety;
- asthma medicine.
Delirium can last for a couple of hours, maybe - a few weeks or months.If it is possible to identify the causes of delirium and act on them, typically recover faster.The degree of recovery depends on the mental status and general health of the patient before the start of delirium.For example, in people with dementia after episodes of delirium may occur significant memory impairment and people with good health can fully recover.
People with severe disease complications of delirium may be:
- general deterioration of health;
- slow recovery after surgery;
- need constant care;
- increased likelihood of death due to disease.
main objective in the treatment of delirium is, if possible, eliminate its causes - for example, if the delirium is caused by an infection, it is necessary to cure it, and if it is caused by medications, need to reduce their dose or stop completelytheir reception.You should also create favorable conditions to heal the body and soothe the mind of the patient.
If necessary, help the patient to eat, move, and begin again to navigate through space and time.For example, for this purpose in the room where it is located, it is recommended to hang a calendar and clock, so that he could always know what time and what day.Health professionals are trying to regularly remind man where he is and what happened to him.While the person is in the hospital, he must bring to the House of familiar things from home - they help patients feel calmer and more confident.The patient should be given the opportunity to walk and perform a simple task - to dress, wash, and so on.Family members should be as often as possible to communicate with the patient during treatment.
Previously they need to talk to your doctor to know exactly how to behave with a man who survived an attack of delirium.As a rule, it is recommended to chat quietly as possible to avoid any disputes and calls on unpleasant topics.As for the patient's relatives can all be a difficult challenge, they themselves should seek psychological help Psychological help: to understand their own rubble ... , if they feel they can not cope with stress How to beat stress?Create an oasis , cause illness of a loved one.