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Delirium (also known as Acute Confusion)

What is Delirium?

Delirium is a sign that someone is physically unwell.

It is a SUDDEN change over hours or days, varying at different times. People can show signs of confusion at times and normal at others.

People who become delirious may start behaving in ways that are unusual for them. Such as:

  • Becoming more agitated than normal

  • Feeling more sleepy or withdrawn

It may be more difficult to hold a conversation with them. Or, they may ramble and jump from one topic to another.

They may not know where they are. Or, think they are some where completely different, on holiday for example.

Delirium can sometimes cause people to see things that others cannot. Or, believe things that are not true.

IT DOES NOT MEAN THEY ARE GOING MAD OR THEY WILL BE CONFUSED FOREVER

Whats causes delirium?

The most common causes are:

  • Infection

  • Constipation

  • Dehydration

  • Pain after a fall or surgery

  • Reaction to medication

  • There are many other causes of delirium, there is a list on this page.

Who can get delirious?

Anyone of any age can, it is most common in older people and children.  People with dementia are more likely to get delirium. Due to this they cannot always say what is wrong or how they feel.

How do you treat delirium?

The best treatment is to treat the cause.

If you are visiting someone who appears unusually confused. They may be delirious and may not remember who you are.

  • Be very calm and patient, avoid being confrontational.

  • Remind them where they are and who you are.

  • Urge them to drink plenty of water or juice. This can prevent and treat dehydration and constipation.

  • They may need treatment from their Doctor for an infection, pain or other illness.

How long does it last?

Delirium is NOT permanent in most people.

For adults who are fairly healthy. Delirium may only last a few days after finding the cause and treated.

For older people. Delirium can often last longer. Confusion may still last for several weeks after finding the cause and treated.

What should I do If I am worried about my friend or relative?

If you have worries about your friend or relatives. You can talk to a member of staff about your concerns.

Tell staff if someone shows more confusion then usual. This is to make sure they get the correct care and treatment.

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