▲ A Hong Kong man said his father suffered from autoimmune encephalitis and that his temperament changed dramatically after recovery. (online image)
[Encefalite/Residenza per anziani/Suicidio]In addition to affecting health, brain diseases can also cause changes in personality. A Hong Kong man said his father suffered from autoimmune encephalitis. After recovery, his temperament began to change drastically, in addition to transforming from a quiet and thoughtful man, he transformed into a strange, rude, forgetful man who often spoke nonsense. Recently, he began taking drugs indiscriminately and said he felt “life was meaningless” and wanted to die, which made the family physically and mentally exhausted. The Hong Kong man broke down and said that his father is now a very strange man and he no longer knows how to get along with him. He even started to consider “sending him to a nursing home.” , he asked netizens for help if there is a treatment that can bring his father back to the past.
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A man from Hong Kong recently published an article on the “Lian Deng Forum” titled “Did Lao Dou commit suicide today?” He said his father was introverted by nature. He was calm and reasonable, and he was also clean and reasonable. However, last year he suffered from his own illness. I was admitted to the hospital for treatment of immune encephalitis. After I was discharged, my temperament changed dramatically, I became rude, reckless and “loud and mean”. falling, losing sight of things and suddenly forgetting your way home. I needed to be a “mountain chief” to find it.
You want a famous author to write his autobiography
The victim reluctantly said that his father sometimes forced him to do things he didn’t want to do, and that the two almost became violent because of it. As time passes, his father’s problems seem to become more and more serious. In recent months, he often does crazy things, like writing letters to major newspapers saying that he wants world peace, that war is unwise, etc.; I’ll see you first. I met an American writer who won the prize, and I thought that the other person’s ideas were very similar to his, and I wanted the other person to “help me publish my autobiography.” Until yesterday, the victim’s father suddenly took 3 or 4 days of heart medicine and said to the victim’s mother: “I want to die and I feel that life is meaningless.”
Faced with a completely different father from the past, the victim admitted that he and his mother had felt physically and mentally exhausted and under great mental pressure over the past year. He also felt very strange around his father and didn’t want to have too much contact with him. She didn’t know how to deal with him.
I don’t know what to do with him in the future… I don’t know if I should send him to a nursing home.
Netizens suspect that his father may be suffering from delirium
The victim wrote helplessly, trying to find doctors or neuroscientists on the Internet, asking if her father could be treated to return to his pre-illness appearance. Many netizens commented that their father may have suffered from “delirium” due to brain injury, brain disease and other problems, and that this may be a temporary phenomenon. They advised the victim to ask for help from social workers and doctors. His father writes an autobiography and reprints it, seeking spiritual support for him, but the victim responds helplessly: “He doesn’t want to write it alone, but he wants to find great writers who can help him. help write it. I think he did. problem with his thinking…” He lamented that his father might have wanted someone in his heart. Agree.
Delirium has a high chance of resolving with treatment
Hong Kong geriatric specialist Dr. Seah Tat-ming explained in an interview that “delirium” generally refers to sudden confusion and abnormal behavior, common among the elderly. Poon Pei-chu, honorary consultant psychiatrist of the Sanatorium & Hospital, said delirium is often accompanied by heart failure, severe respiratory diseases, infections such as pneumonia, poisoning, brain trauma such as encephalitis and stroke, and uncontrolled diabetes. You cited a study according to which 30% of elderly patients in the medical ward suffer from delirium, while in the surgical ward the percentage depends on the severity of the lesion. For example, up to 70% of patients in the intensive care unit suffer from delirium. The exact cause is unknown, but it may be related to anesthetics, blood loss, and damage to body tissue.
Pan continued that even though the elders are normally elves, once they suffer from delirium, they will suddenly become confused, have drastic changes in temperament, become restless, have trouble sleeping, and even have hallucinations and delusions. They will see deceased relatives and pets, and regard their relatives as The symptoms include strangers and difficulty concentrating, and the condition will continue to change, with the most severe symptoms occurring at dusk and at night. He later described it as twilight syndrome, which may be related to the fact that dim light makes it difficult for older adults to follow environmental cues to distinguish between day and night and their location. Long-term delirium can lead to dementia, and patients with cognitive impairment are more likely to suffer from delirium than the general population. They may suddenly get confused without any incentive, but the relationship between the two is unclear.
However, as long as the underlying disease is kept under control, the delirium has a high chance of disappearing. If a patient suffers from delirium due to heart or respiratory failure, her mental condition will improve if the oxygen content returns to normal. However, he stressed that a small number of patients with chronic diseases are difficult to improve in a short time, so non-pharmacological methods such as stimulating their thinking and prescribing antipsychotic drugs to people with violent tendencies should be used to improve symptoms.
Dr Seah pointed out that delirium usually improves after older people get used to the new hospital environment. However, when older adults are discharged from the hospital and return home and change their environment, they may lose patience, become angry and. suffer from insomnia again. In this regard, he suggested that relatives and friends greet the elderly with a smile, treat them like children, hug and hold them more often, say kind words like “Don’t be afraid, it’s safe here, we are with you” to help them calm down and describe the bondage. It is “the best solution among all options”.
Delirium treatments
As for prevention methods, Seah Tat-ming said that in the emergency room of Hong Kong Public Hospital, only 10 out of 100 people are admitted to hospital with the most serious disease and may suffer from delirium and stay healthy and seek medical care immediately if you have mild illness, and absorb enough nutrients to reduce infections and chronic diseases such as coronary heart disease. Pan Peiju suggested replenishing water and electrolytes, getting enough sleep and improving physical fitness, as well as allowing older adults to reduce changes in their environment.
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