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What'.

A suddenly changed sleep cycle may induce delirium. The disruption could be due to sedation or, as happens too often, because a patient is awakened during the night for a routine chore such as getting a bath or having blood drawn.

Disrupted sleep. Diagnosis is crucial, because delirium signals other issues. Ely is studying possible problems posed by common sedatives. Established factors include pneumonia, infection, low blood oxygen, a specific drug or combination of medications, too much fluid in the body, and out of balance electrolytes. Cat Safety Boots

who are sedated and ventilated. These cases often go undiagnosed, says Burberry Mens Dress Shoes

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Ely, because the breathing tube prevents the patients from talking. He developed a quick nonverbal way to check such patients' mental state: For example, they are instructed to squeeze a nurse's hand only when she comes to an A as she spells "save a heart" out loud.

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But in the past few years, researchers have unearthed evidence that "sundowning," as delirium states are nicknamed because of their timing, may be far from benign and could have lasting effects. "Delirium is a predictor of death, a longer hospital stay, and increased costs," says Wesley Ely, a critical care specialist who founded the ICU Delirium and Cognitive Impairment Study Group at Vanderbilt University School of Medicine. It may also be a risk factor for dementialike illness. A key finding of Ely's group is that delirium is far more likely to affect patients Burberry Evening Shoes

´╗┐ashing, but it's more a state of confusion. It may not be obvious at all. It may reveal itself as disorientation, inattentiveness, or difficulty Dior Sneakers 2017 Buy Online in following instructions. Or it may be more extreme paranoid statements, claims of bugs crawling on the body, or sudden efforts to rip out wires and IV tubes. Less frequently, younger patients who are neither in intensive care nor on a ventilator are affected. While enormously distressing to families, these occurrences typically are written off as benign, just one of those problems that come and go. Often the symptoms do fade quickly.

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