The authors tested a generic intervention, relevant to people with both chronic confusion (dementia) and acute confusion
* acute confusion
(odds ratio [OR]= 8.1; 95% confidence interval [CI], 4.8-13.7)
* comorbidities known to be associated with constipation (e.g., renal failure, electrolyte imbalances, spinal cord injury, arthritis, heart disease, diverticular disease, inflammatory bowel syndrome, colon cancer, painful lesions in the rectal or anal region, obstructing neoplasms, Parkinson's disease, amyotrophic lateral sclerosis, multiple sclerosis, myotonic dystrophy, stroke, insulin-dependent diabetes mellitus, untreated hypothyroidism, hyperparathyroidism, hypercalcemia, and symptoms of depression, dementia, psychosis, and acute confusion
An 83-year-old woman sought treatment at the hospital on September 12, 2002, with 3 days of fever, acute confusion
, nausea, vomiting, and profound weakness.
was suffering from acute confusion
, delirium, and was not capable of making any decisions regarding his health care and daily living needs.
At the Iowa Veterans Affairs Research Consortium, Carla Jene Rapp, Ph.D., and others have developed protocols to minimize the possibility of acute confusion
for those at risk.
They said dinoflagellate victims suffered "acute confusion
, episodes of disorientation, new or increasing forgetfulness, or difficulties concentrating".
Only three of 21 patients with acute confusion
had a PR examination whilst six of 13 patients with abdominal pain had had a PR examination.
"We expect a quarter of all patients in the hospital to have dementia and up to a third will suffer some sort of confusion, such as delirium, which is acute confusion
. This is extremely common and potentially has serious outcomes for patients."
M's acute confusion
, one would expect an abnormal EEG, but repeat EEGs were unremarkable.
NEECHAM is an instrument for assessing acute confusion
in hospitalized patients, particularly in the early stages.
The progressive illness can lead to problems concentrating and communicating, depression, physical weakness, memory problems, seizures and acute confusion
It has also been shown that older people have an increased risk of post-surgery complications, episodes of acute confusion
during hospitalisation, and so called 'challenging behaviours', which are manifested through expressions of anxiety, hallucinations and delusions, aggression and agitation, wandering, restlessness, rummaging and other socially deviant behaviors (Miller 1999; Finkel et al 1996).
C = character (describe the sign/symptom, how does it feel, took etc?) O = onset (when did it begin?) L = rotation (where is it, does it radiate?) D = duration (how long does it last?) S = severity (rate on a scale) P = pattern (what makes it better/worse?) A = associated factors (are there any other signs or symptoms?) Table 2 USEFUL ONLINE RESOURCES * Comparison of the clinical features of acute confusion
, dementia and depression.
The purpose of this module is to provide age-specific educational information about delirium or acute confusion
in older adults for the inpatient and outpatient staff.