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Disorientation and confusion of consciousness
March 26, 2014
The disorientation is a state when the person loses ability accurately and to think and work clearly. Depending on disorientation type at the patient ability to learn the place where it is, to remember what happened to it disappears. As a result, there is a confusion of consciousness, and the person cannot independently make any decision any more.
How the disorientation and confusion of consciousness is shown?
The person staying in a condition of a disorientation is not capable to realize own identity, the place of stay, time, social accessory. Only one certain type of disturbance of orientation is sometimes noted, but in certain cases at the person set of the disorientation types described above is shown.
Precursory symptoms of confusion of consciousness is disorder of orientation, decrease in attention. If such state progresses, then at the patient the perception of world around, memory is gradually broken, there are disturbances of the speech later. The patient does not recognize those who are near him. Sometimes it has illusions – the wrong perception of what occurs around. As a rule, confusion of consciousness conducts to the fact that the person becomes silent, suppressed, he moves very little.
Confusion of consciousness at elderly people is characterized by noticeable loss of orientation, confusion, inability to independent actions. Symptoms of confusion of consciousness are shown both gradually, and suddenly. This syndrome can be as temporary (for example, patients periodically have a night disorientation), and to constants. The reasons of confusion of consciousness at elderly people can be also connected with stresses. It is important to address timely the specialist as the correct treatment of confusion of consciousness can slow down development of an illness and otstrochit the beginning of progressing of weak-mindedness.
Severe dizziness and confusion of consciousness after an anesthesia – the physiological phenomenon which disappears over time.
If confusion of consciousness is shown at the person suddenly and at the same time it notes a psychomotor hyperactivity and hallucinations, then the delirium is diagnosed for the patient. The progressing and long confusion of consciousness decides on a wastage of a number of inborn functions as weak-mindedness.
The general disorientation is accompanied by also autiopsikhichesky disorientation of which various emotional frustration, disturbances of orientation in the personality are characteristic.
The mental disorientation gradually leads to noticeable change of the identity of the person. The person at whom the emotional and moral disorientation is noted cannot distinguish bad and good acts, the good and evil put to other people. Symptoms of a disorientation can be expressed by apathy, indifference to the events around.
The disorientation of the personality is shown by disturbance of orientation in consciousness, consciousness of the person. Periodically there is a disorientation in time – the patient does not understand what now the period of day, the day of the week, is confused in what occurred just and earlier.
The disorientation reasons in space, time, own personality, confusion of consciousness are the serious symptoms testimonial of development of diseases. Therefore consultation of the doctor in this case is necessary.
Why the disorientation and confusion of consciousness is shown?
The social disorientation is shown owing to the different reasons connected with diseases and morbid conditions. At children such syndrome can be connected with sharp changes in life, for example from the beginning of visit of kindergarten, school.
At small children manifestation of a social disorientation is a physiological phenomenon. The small child is not capable to carry out correctly identification of own floor, occupation, he hard is guided in group of new people. Only at teenage age there comes the period of full social orientation. But if parents suspect that at the child the disorientation which is not connected with age features is noted it is necessary to address the specialist as this sign can demonstrate development of weak-mindedness and an oligophrenia.
The disorientation at the person is often connected with organic lesions of a brain, and also with metabolic disturbances. At elderly people confusion of consciousness and loss of orientation are often connected with senile dementia.
The confused consciousness can become result of an anoxemia which is shown at diseases of lungs, and also nervous, cardiovascular systems. This symptom can be shown at severe infections, at serious insufficiency of food, dehydration.
Thus, confusion of consciousness can be a symptom of the following diseases: Alzheimer's disease, a tumor of a brain, disturbance of blood circulation in a brain, head injuries, an anoxemia, disturbances of endocrine character, metabolic disturbances.
Confusion of consciousness is shown also under the influence of some external factors. Disturbances of consciousness are possible at strong overcooling, at a heatstroke. Often this symptom is noted at people who a long time stayed in an alcohol intoxication, did drugs or strong psychotropic medicines.
How to get rid of a disorientation and confusion of consciousness?
To provide effective treatment of diseases at which at the person disturbances of consciousness and orientation are shown it is necessary to conduct comprehensive examination and to establish the exact diagnosis. Initially the specialist conducts detailed survey of the patient and his close people. If there is a suspicion on existence of organic lesion of a brain, the biochemical blood analysis, other laboratory analyses, EEG, MRT or KT, research of metabolic disturbances is surely conducted.
If the diagnosis is established, complex treatment of a basic disease is carried out. It is important to cancel all medicines and to provide lack of factors which can provoke confusion of consciousness.
If it is about senile dementia, then it is necessary to take care not only of treatment of the patient, but also of ensuring the correct care of it. At senile dementia at the person a number of symptoms is noted: loss of orientation when walking, incoherence of thinking, loss of understanding of own personality. It is necessary to consider what at people with senile dementia can be noted both short-term loss of orientation, and loss of space orientation to longer period. If loss of orientation and dizziness is observed at the patient regularly, it is not necessary to leave him alone on the street.
It is important to remember that loss of orientation in space can lead to the fact that the patient will simply get lost. It is also necessary to ensure the maximum safety of the patient. If it is necessary, it is possible to use supportive mechanical applications. The person at whom senile dementia – an illness of loss of orientation in time and space is noted – has to be in the quietest and benevolent situation. If at the patient only temporary loss of orientation is noted, it is always desirable to hold near him a calendar, hours. Whenever possible the nurse or someone from relatives constantly has to look after the patient. Depending on a condition of the patient the doctor allows it to sit, go, go outside.
Sometimes with confusion of consciousness reception of antidepressants is appointed sick. It is important to control constantly the arterial pressure, pulse, not to allow dehydration.
If at the person confusion of consciousness is shown suddenly, it is necessary to see a doctor surely urgently. For example, disturbances of consciousness can suddenly be shown at a diabetes mellitus if in blood sugar level sharply goes down.
At the expressed social disorientation at the child it is necessary to consult surely with the psychologist. The specialist will prompt what behavior model to prefer to promote social adaptation of the child.
As measures of prevention of disturbance of consciousness and orientation it is desirable to adhere to the principles of healthy nutrition, not to abuse alcohol, to get enough sleep regularly fully. A sick diabetes mellitus it is necessary to control the content in sugar blood constantly. Elderly people should take that medicine which is attributed by the doctor. For prevention of senile dementia it is important to conduct whenever possible active life and it is obligatory to train memory and a brain.