Dr Shibley Rahman is an academic physician interested mainly in dementia and frailty. He tweets at @dr_shibley
My most recent experience of delirium was truly terrifying, to the point that, as a care partner of a close relative with dementia experiencing delirium, I felt I needed counselling about this admission to a London teaching hospital.
I have now witnessed delirium ‘around the clock’ for half a month so far.
Delirium research is not taken as seriously as it should be.
Where for example is the research which explains the neural substrates of hypoactive and hyperactive delirium? How long do ‘sleep episodes’ last for? Is it a good idea to wake someone up while he is sleeping? Are there are any neuroprotective agents which prevent long term deterioration after delirium? How much of the delirium will the person experiencing it actually remember? Continue reading