Confusion is a mental state characterized by a change in thinking and attention deficit, followed by problems in comprehension. Confusion in accompanied by memory loss and sometimes short-tempered alternative to sleepy.
- The cause is usually alcohol and drug.
- Confusion can also follow fever, heart failure, head injury and anesthesia.
- Another cause is hypoxia, hypoglycemia, weight offending liquid electrolyte, sepsis, liver and renal failure, poison and drug overdoses.
- Dementia can cause the severity of chronic confusion that be afect on memory, judgment, thinking abstractly, which cause loss of independent social and personal.
- Alzheimer's disease.
Is a variation of the risk factors.
Three mechanisms of development of acute confusion;
- Damage to the brain swelling, loss of oxygen, blood, or both (functional impairment).
- Damage to the nervous system by the action of chemicals or other substances.
- Rebound depression centers of the brain activity. Injury that results in an increase in ICP. Chemicals that cross the blood-brain barrier, such as alcohol damage neuron cell metabolism. When the action of the drug in patients below the center of the brain over-active. Over-activity of developing acute confusion, combativesness, and abnormal behavior.
- Attentional problems, loss of concentration.
- Emotionally labile.
- Insomnia / drowsiness.
- Vivid nightmare.
- Looks like anxiety and be crazy (going crazy).
- Disruption continues to stupor and coma.
- Fluctuations in cognitive (thinking skills and reasoned.
- Lost memory.
- Perceptual errors, hallucinations, illusions and delusions.
Sleep pattern disturbance related to daytime napping and night time hallucinations
Increased sleep patterns,
characterized by: sleep 4-6 hours every night and do not sleep at noon.
- Intervention at night planned not to interrupt sleep.
- Assess the pattern of REM sleep with eye movements, if the REM phase should not be disturbed (recall cycle requires 2-3 hours of sleep and loss of REM can increase confusion).
- Patients should be active every so tired during the day at night, so it can rest.
- Giving medication to sleep "seldom" given for changing the sleep cycle and "deplete" the patient to REM sleep.