Jul 30, 2022
Newly ill and hospitalized elderly people are prone to "delirium". Why is it often confused with depression
In Welcome to the Forum
The physical quality of the elderly is different from that of the young, so due to the influence of drugs or diseases, the phenomenon of rapid brain degeneration and loss of function occurs. This acute organic change of the brain is called delirium. Delirium can be relieved with careful treatment and care, so don't worry too much. However, there are also studies showing that delirium and dementia are still related, and delirium may even accelerate the deterioration of dementia. More than one-third of seniors over the age of 70 have experienced delirium during hospitalization, and up to 50% of seniors suffer from delirium after hip fracture surgery and heart surgery. Patients at the end of their lives have a 50% or even 90% chance of developing delirium. Delirium is curable Is Delirium OK? The answer is chance. Delirium is an acute cognitive dysfunction. The cause of delirium is due to diffuse metabolic disorders in the brain, resulting in brain dysfunction, disturbance of consciousness and attention problems in a short period of time (hours to days). In addition, the state of consciousness may be up and down within a day, and cognitive function changes (such as memory impairment, loss of orientation, language impairment) may also be accompanied by changes in perception. For those who are cured, as long as the causative number list factors are identified and treated immediately, brain function will gradually recover. Otherwise, if not properly treated, it may become dementia or death. It is prevalent in about 50% of hospitalized older adults, but about 30-40% of delirium is preventable. Causes of Delirium The causes of delirium can be divided into two categories: 1. Inpatient factor-induced delirium The elderly over 65 years old or the elderly with dementia, chronic kidney disease, chronic liver disease, multiple chronic diseases and multiple medications, As well as poor vision, poor hearing, malnutrition, chronic insomnia, or have a history of stroke, poor mobility, long-term Alcoholism and other factors, one or more of which are predisposing groups, are prone to the disease during hospitalization. Or in the intensive care unit, there are physical restraints, catheters, etc., or the use of tranquilizers, sleeping pills, and drugs to relieve gastrointestinal and urinary tract smooth muscle spasms in the hospital, and alcoholics suddenly stop drinking due to hospitalization, etc. 2. Disease factors induce delirium Experienced anesthesia and surgery, or hospitalization due to fractures, infections, strokes, dehydration, organ inflammation, etc., or hypoxia, hypoglycemia, acute liver and kidney failure, and pain, constipation, insomnia, and blood acid-base or ion insufficiency Balance, vitamin B deficiency, are prone to delirium. Statistics show that about 30% of the elderly hospitalized in medicine and surgery will develop delirium, and even up to 70% to 80% in the intensive care unit. The duration of delirium varies from person to person, and in people with dementia.