Great Temperament Change｜Grandma’s Mutant Mutation, Sluggishness, and She Thinks She’s Demented

Mental confusion in the elderly, in addition to dementia or depression, may also cause “delirium” due to other factors! An old lady in Taiwan suddenly had a sudden temperament change recently. Xinbao mistakenly thought that her grandmother had suddenly suffered from dementia and sought medical treatment. The doctor felt that the situation was different, and after careful questioning, he found that the delirium was caused by the way the hospital used the medicine. A geriatric specialist pointed out in an interview with “Sky Post” that delirium generally refers to the sudden appearance of confusion and abnormal behavior, which is common in the elderly, and disassembled the two major treatment methods.

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Zhang Shunqin, director of Taiwan’s Geriatrics Department, recently appeared on the local health program “Health 2.0》Sharing the above case, referring to a new mother who brought her grandma to seek medical treatment, and said that the other party suddenly suffered from brain degeneration last week. However, brain degeneration does not appear suddenly, so Dr. Zhang felt quite strange when he heard the words. After careful consultation, he learned that the patient had a systemic allergy and itching due to taking a drug before, and the hospital prescribed another antihistamine for her Treatment side effects; but after patients take new drugs, new side effects occur again. Dr. Zhang pointed out that this kind of prescription method called “prescription waterfall” (that is, when a drug produces side effects, another drug is prescribed to treat the side effect, and the new drug has new side effects and another drug is used for treatment, and so on, forming a vicious circle). Suffering from the continuous superposition of drug effects, eventually leading to delirium.

Dr. Zhang pointed out that although delirium, dementia and depression are sometimes indistinguishable, if the symptoms “sudden onset”, generally speaking, it is more likely to be delirium; and delirium can be treated Altered symptoms can be corrected as long as the cause is identified early. Dr. Zhang suggested that you should pay more attention to the patients at home on weekdays, and see if there are any changes in daily life, such as saying things you would not normally say, seeing hallucinations, etc.; if the situation is different, you should seek medical advice as soon as possible.

Delirium has a good chance of resolving with treatment

Hong Kong geriatrician Dr. Seah Daming explained in an interview with Sky Post that “delirium” generally refers to the sudden appearance of confusion and abnormal behavior, which is common in the elderly. Pan Peiqiu, honorary consultant psychiatrist of Sanatorium and Hospital, pointed out that delirium is often accompanied by heart failure, severe respiratory diseases, infections such as pneumonia, poisoning, brain trauma such as encephalitis and stroke, and uncontrolled diabetes. He quoted a survey that said that 30% of the elderly patients in the medical ward had delirium, and the proportion in the surgical ward depended on the injury. For example, as high as 70% of the patients in the intensive care unit suffered from delirium. The exact cause is unknown, but it may be related to anesthesia, blood loss and related to body tissue damage.

Pan continued that even if the elderly are usually elves, once they suffer from delirium, they will suddenly become confused, have a big change in temperament, restless, have trouble falling asleep, and even have hallucinations and delusions, seeing deceased relatives and animals, and treating relatives as strangers People and difficulty concentrating and other symptoms, and the situation will continue to change, the most serious at dusk and night. Pan described it as twilight syndrome, which may be related to the dim light, which makes it difficult for the elderly to follow the environmental prompts to distinguish day and night and their location. Prolonged delirium may lead to dementia, and patients with dementia have a higher chance of suffering from delirium than ordinary people, and they can suddenly become confused without any inducement, but the relationship between the two is unclear.

However, as long as the disease is controlled, the delirium has a good chance of dissipating. For example, if the patient suffers from delirium due to heart failure or respiratory failure, if the oxygen level returns to normal, the mental state will also improve. However, he emphasized that a small number of chronically ill patients are difficult to improve in a short time, so non-drug methods such as stimulating their thinking and prescribing anti-psychotic drugs to those with violent tendencies should be used to improve symptoms.

Dr. Seah pointed out that the delirium usually improves after the elderly get used to the new environment in the hospital. However, when the elderly leave the hospital and go home and change the environment again, they may lose their temper, twist their minds and suffer from insomnia again. In this regard, he suggested that relatives and friends greet people with a smile, treat the elder as a child, hug and drag him more, and say good things such as “Don’t be afraid, this place is safe, we are with you” to help him calm down, and describe the bondage It’s “a way out of nowhere.”

delirium treatment

As for the prevention method, She Tat-Ming described that in the emergency department of the Hong Kong Public Hospital, only 10 of the most seriously ill people are admitted to the hospital for every 100 people, and then they may suffer from delirium. Medicine, and absorb enough nutrition, reduce infection and chronic diseases such as coronary heart disease. Pan Peiqiu suggested supplementing water and electrolytes, getting enough sleep, improving physical fitness, and reducing environmental changes for the elderly.

8 Symptoms of Dementia

The chances of developing dementia increase with age. Dr. Zhang Yating, Department of Neurology, Kaohsiung Chang Gung Hospital, Taiwan, once said that dementia is not a normal aging phenomenon, but a progressive neurodegenerative disease. The patient’s condition deteriorates over time and is different for each person, some rapidly and others more slowly. Patients will gradually lose language ability, thinking ability, learning ability, judgment ability, and sense of time and space. In severe cases, abnormal behavior, personality changes, delusions, hallucinations, and even aggressive behavior may occur.

The following are the 8 major symptoms of dementia:

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Written by: Ni Huiwen