Kenneth Kee

Delirium, (Confusional State) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes the Delirium, Diagnosis, Treatment and Related Conditions

I was going to write about confusion (like how blurred a person) but apparently delirium also has the same connotation but more severe.

Delirium is a medical disorder which causes sudden severe confusion due to rapid changes in brain function that occurs with physical or mental illness.

Causes

Delirium has most frequently been the result of physical or mental illness, and is usually temporary and reversible.

Many illnesses cause delirium.

The medical disorders are those that do not permit the brain to get sufficient oxygen or other substances.

Causes are:

1. Alcohol or sedative drug withdrawal

2. Drug abuse

3. Electrolyte or other body chemical disturbances

4. Infections such as urinary tract infections or pneumonia (more likely in people who already have brain damage from stroke or dementia)

5. Poisons

6. Surgery

Symptoms

The common signs of delirium are the decreased attention span and a waxing and waning form of confusion.

A rapid change between mental conditions (for example, from lethargy to agitation and back to lethargy) also occurs in delirium.

Symptoms are:

1. Clouding of consciousness or awareness

2. Difficulty maintaining or shifting attention (typically more alert in the morning, less attentive at night)

3. Confusion (disorientation) about time or place

4. Illusions - Changes in feeling (sensation) and perception

5. Hallucinations

6. Fluctuating levels of consciousness - Changes in level of consciousness

7. Dysphasia

8. Dysarthria - Disorganized thinking, such as talking in a way that does not make sense

9. Tremor - Movements triggered by changes in the nervous system

10. Asterixis in hepatic encephalopathy and uremia

11. Motor abnormalities - (may be slow moving or hyperactive)

12. Problem concentrating

13. Decrease in short-term memory and recall

14. Emotional or personality changes, such as agitation, anger, irritability, depression, overly happy

15. Changes in sleep patterns, drowsiness

16. Incontinence

Diagnosis:

The diagnosis of delirium is clinical.

There is no laboratory test that can confirm a diagnosis of delirium.

Identification of delirium is by:

1. Confusion Assessment Method (CAM)

2. Delirium Symptom Interview (DSI)

3. Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)

4. Intensive Care Delirium Screening Checklist (ICDSC)

The severity of delirium symptom can be checked by the Delirium Detection Scale (DDS) and the Memorial Delirium Assessment Scale (MDAS).

Many of the tests done may have abnormal results:

Treatment

The purpose of treatment is to control or reverse the cause of the symptoms.

The patient may be required to stay in the hospital for a short period.

Cessation or change of medications that make confusion worse may help to improve the mental function.

Medical disorders that make the confusion worse should be treated:

1. Anemia

2. Decreased oxygen (hypoxia)

3. Heart failure

4. High carbon dioxide levels (hypercapnia)

5. Infections

6. Kidney and liver failure

7. Nutritional disorders

8. Psychiatric conditions (such as depression)

TABLE OF CONTENT

Introduction

Chapter 1 Delirium

Chapter 2 Causes

Chapter 3 Symptoms

Chapter 4 Diagnosis

Chapter 5 Treatment

Chapter 6 Prognosis

Chapter 7 Confusion

Chapter 8 Dementia

Epilogue

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 10. Juni 2018
• Englisch
• ISBN-13: 9780463818374
• Artikelnr.: 52910544

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...