A&V:20 Delirium and other Acute Confusional States Flashcards
Define confusion
incapacity to think with customary speed, clarity and coherence
define delirium
confusion that arises in certain medical contexts that consists of agitation , hallucination, and tremulousness. Essentially elevated mood state.
8 observable aspects of behavior and intellect in confusion
Attention, perception ,recall, reasoning, mood, initiative, social behavior, insight
Observable sensory aspects of behavior
attention and preception
Observable cognitive aspects of behacior
recall and reason
define attention
the ability to maintain one or a limited number of external stimuli or internal thoughts for a fixed period of time
4 parts of memory
registration, fixation, recall, reproduction
Ribot’s rule
older memories are retained in preference to newer memories
define pseudobulbar palsy (spastic)
disconnection between the patient’s reported emotional feelings and the outward display .
two pathways involved with spastic bulbar palsy
corticopontine
corticobulbar
define bradyphenia/abulia
quantitative reduction in spontaneous movement
define paratonia ( similar to catatonia)
voluntary resistance that is psychotic in nature
4 causes of akathisia
prolonged use of phenothiazine,butyrophenones, new antipychotics, L-dopa
define acute confusional state
manifest reduction in alertness and psychomotor activity
what is common between delirium and acute confusional state
acuity
