TY - CHAP M1 - Book, Section TI - Delirium and Other Acute Confusional States A1 - Ropper, Allan H. A1 - Samuels, Martin A. A1 - Klein, Joshua P. A1 - Prasad, Sashank PY - 2019 T2 - Adams and Victor's Principles of Neurology, 11e AB - The striking state in which a patient with previously intact mentality becomes confused is observed daily on the medical, surgical, and emergency wards of a general hospital. Occurring, as it often does, during an infection with fever or in the course of a toxic or metabolic disorder (such as renal or hepatic failure) or as an effect of medication, drugs, or alcohol, it never fails to create problems for the physician, nurses, and family. The physician has to cope with the problem of diagnosis, often without the advantage of a lucid history, and any program of therapy is constantly impeded by the patient’s inattention, agitation, sleeplessness, and inability to cooperate. Nurses are burdened with the need to provide satisfactory care and a safe environment for the patient, and at the same time, maintain a tranquil atmosphere for other patients. The family must be supported as it faces the frightening prospect of a deranged mind with peculiar behaviors and all it signifies. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - neurology.mhmedical.com/content.aspx?aid=1162592289 ER -