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काठमाडौंमा वायुको गुणस्तर: १९०

Restlessness of mental instability

Providing a calm and safe environment is important for people with delirium. Avoiding excessive light, such as bright lights, can help reduce confusion and agitation.
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One of the friends expressed her grief like this - 'Being an only child is okay. I was not even able to leave the house. If it doesn't work, there is a problem with hand-to-mouth. It has been two months since the mother's health deteriorated. I am with the mother when the son needs a guardian. Mother was not ready to be nineteen twenty. I am thinking of taking it to an old age home.'

Restlessness of mental instability

When I told my mother to take her to the old age home, I got curious and asked, 'Why? What happened to the mother?'

She said, 'You have come to eat my property, go to your house and bring my daughter. When will you come to beat me? Aachi and wrap it all over the room. He says that there is no sound, but there is a sound. When and where do you fight from? You only talk about confusing things. He had a bad fever, he got better after treatment, but more problems appeared. His mood has changed in an instant.'

My friend's words made me think. The same parents raise their children by suffering and taking risks, but the children say that they will easily take them to the old age home when the parents fall ill! Many things started playing in my mind. I asked my mother for the examination report. Psychiatrist wrote - mental instability.

What is mental instability?

The medical term for mental instability is 'delirium'. Previously it referred to a mental disorder experienced during a high fever or after a head injury. Delirium is a syndrome of visual hallucinations, auditory hallucinations, sporadic hallucinations and other hallucinations, anxiety and psychomotor disorders, sleep and consciousness disturbances. Delirium is a commonly diagnosed neurocognitive disorder. Delirium is a mental disorder in which a person's ability to think, feel, or behave normally is disturbed. That is, an altered state of consciousness.

This results in confused thinking and a lack of awareness of one's surroundings. Whereas the disorder usually comes on quickly, within hours or days. This problem is a syndrome, not a disease. Although this problem affects people of all age groups, it is more severe in the elderly and adults. This problem is not caused by a single cause. It can also be seen if the disease is of a serious nature, if it is a chronic problem. This problem can also occur if the amount of sodium in the body is low. Certain medications and vitamin deficiencies, infections, surgery, alcohol or drug use, brain damage, and lack of oxygen can also cause this problem.

This is a cognitive disorder associated with mental instability. A person does not pay attention to himself. Its symptoms are more active during the day than at night. A person with mental instability cannot feel where he is. The ability to think and remember is impaired. Anxiety, excitement and fear are overwhelming. Up to one-third of hospitalized patients and the majority of those in the ICU experience mental instability. Doctors consider this problem to be associated with a high risk of death.

Symptoms

-mental confusion (developing over hours or days)

-difficulty paying attention, listening or taking in information

-lack of interest

-difficulty thinking or remembering

-concentrating difficulty

-difficulty remembering events, people or dates

-changes in sleep patterns

-slurred speech

-difficulty answering questions

-more emotional, fearful or angry

-change in mood or personality

cause

Medication : Some medications can have side effects that trigger delirium, especially in older, adults. These may include sedatives, opioids, anticholinergic drugs, and some medications used to treat Parkinson's disease.

Infection : Serious infections such as urinary tract infections, pneumonia or sepsis can cause delirium, especially in the elderly, adults or those with weakened immune systems.

Metabolic imbalances : Electrolyte imbalances such as low sodium or calcium levels, dehydration or abnormal blood sugar levels can disrupt brain function and contribute to delirium.

Drug or alcohol withdrawal : Sudden cessation or reduction in use of drugs or alcohol can cause delirium.

Intoxication : Excessive use of alcohol or recreational drugs can cause delirium.

Sleep deprivation : Prolonged sleep deprivation or pattern disruptions can impair cognitive function and contribute to delirium.

Underlying medical conditions : Delirium can be a symptom of an underlying medical condition. Such as: liver or kidney failure, thyroid disorder, brain tumor or stroke.

Surgery or hospitalization : Being in an intensive care unit, undergoing major surgery, or receiving certain medical treatments can increase the risk of delirium.

Psychological or emotional stress : Severe stress, anxiety or trauma can cause delirium in some people.

Treatment Methods

Underlying Causes and Identification Treatment : Delirium is often the result of an underlying medical condition. Such as: infection, side effects of medication or withdrawal of certain substances. Identifying and addressing the root cause is important for effective treatment.

Symptom management : Providing a calm and safe environment is important for people with delirium. Bright Avoiding excessive light, such as lamps, can help reduce confusion and agitation. Encouraging rest and maintaining a regular sleep-wake cycle can be beneficial.

medication : Some specific symptoms such as: hallucinations or sleep disturbances can be reduced by medication. However, caution should be exercised in the use of the drug, taking into account the potential risks and benefits.

Family support : Involving family members and caregivers in the care and management of a person with delirium can be helpful. They can provide support, participate in daily activities and introduce the person. which can reduce their confusion and anxiety.

therapy: therapy may be beneficial in people with severe cases of delirium or chronic cognitive impairment.

It is important to note that the treatment process may vary depending on the individual and the underlying cause of delirium. It is important to consult a doctor before treating a person with such a problem.

– Rizal is a psychologist.

प्रकाशित : वैशाख १३, २०८१ ०७:५९
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