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Common cognitive issues (delirium)

The word “delirium” is used to describe a severe state of confusion.

What is delirium?

People with delirium:

  • Cannot think clearly
  • Have trouble paying attention
  • Have a hard time understanding what is going on around them
  • May see or hear things that are not there. These things seem very real to them.

Delirium also often causes patients to feel frightened, angry, lonely and ashamed.

Delirium is common:

About 2 out of 3 patients in ICUs get delirium.

Seven out of 10 patients get delirium while they are on a breathing machine or soon after. It can continue to affect patient even after they have left the ICU to go to the ward. 

Experts think delirium is caused by a change in the way the brain is working.

This can be caused by:

Less oxygen to the brain

The brain’s inability to use oxygen

Chemical changes in the brain

Certain medicines

Infections

Severe pain

Medical illnesses

Alcohol, sedatives, or pain killers

Withdrawal from alcohol, nicotine

 

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Document: GSTT memory impairment information leaflet

This post ICU information Sheet was developed by Dr Mary Summers and Dr Noelle Blake, both are Consultant Clinical Neuropsychologists, at the Maudsley Hospital part of South London and Maudsley NHS Foundation Trust, Neuropsychology and Neuropsychiatry Service. It explains the memory difficulties that patients have after critical illness and offers some strategies for managing these problems. There are links to other website that focus on memory services to support patients, relatives and...

Web Link: Royal College of Psychiatrists - Delirium webpage

This information is for anyone who has experienced delirium, knows someone with delirium or is looking after people with delirium.