Homeopathic Approach For Delirium

Homeopathic Approach For Delirium

Homeopathic Approach For Delirium

DEFINITION: it is term used to describe an acute confusional state, remains a major cause of morbidity and mortality.RISK FACTORS:The two most consistently identified risks are older age and baseline cognitive dysfunction.Other predisposing factors include sensory deprivation, such as preexisting hearing and visual impairment, as well as indices for poor overall health, including baseline immobility, malnutrition, and underlying medical or neurologic illness.PathogenesisThe pathogenesis and anatomy of delirium are incompletely understood. The attentional deficit that serves as the neuropsychological hallmark of delirium appears to have a diffuse localization with the brainstem, thalamus, prefrontal cortex, thalamus, and parietal lobes. Rarely, focal lesions such as ischemic strokes have led to delirium in otherwise healthy persons.Deficiency of acetylcholine often plays a key role in delerium pathogenesis. Medications with anticholinergic A number of complex human syndromes with defined inheritance are associated with obesity .Although specific genes are undefined at present, their identification will likely enhance our understanding of more common forms of human obesity. In the Prader-Willi syndrome, obesity coexists with short stature, mental retardation, hypogonadotropic hypogonadism, hypotonia, small hands and feet, fish-shaped mouth, and hyperphagia. Most patients have a chromosome 15 deletion.properties can precipitate delirium in susceptible individualsNot all individuals exposed to the same insult will develop signs of delerium. A low dose of an anticholinergic medication may have no cognitive effects on a healthy young adult but may produce a florid delirium in an elderly person with known underlying dementia. However, an extremely high dose of the same anticholinergic medication may lead to delirium even in healthy young persons.Clinical Features of delirium:A multitude of terms are used to describe delirium ,including encephalopathyacute brain failureacute confusional statepostoperative or intensive care unit (ICU) psychosis. Delirium has many clinical manifestations, but essentially it is defined as a relatively acute decline in cognition that fluctuates over hours or days. The hallmark of delirium is a deficit of attention, although all cognitive domains-including memory, executive function, visuospatial tasks, and language-are variably involved. Associated symptoms may include altered sleep-wake cycles, perceptual disturbances such as hallucinations or delusions, affect changes, and autonomic findings including heart rate and blood pressure instability.Some episodes of delirium continue for weeks, months, or even years. The persistence of delirium in some patients and its high recurrence rate may be due to inadequate treatment of the underlying etiology for the syndrome.HOMOEOPATHIC APPROACH:HYOSCYAMUS:There is aversion to light and the person fears of being poisoned He will sit up in bed and talk to himself all the time Thre is great deal of nervous ness and whining and crying with twitchingsThere is constant picking of bed clothes.STROMONIUM:The patient desires light and company and is very loquacious He laughs and sings swears and prays curses and makes rhymesThe head is raised frequently from the pillow and the face is bright red.VERATRUM ALB:It has restless ness and desire to cut and tear the clothing The patient is loquacious talks very loud and sees frightened imagesIt also has the state of frenzy or excitement

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