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(From: The Lone Ranger minus Tonto, aka Janet)
I realize this doesn't sound like much to choose from, but I thought
it was interesting, but then again I'm supposed to be demented, er,
well, delirious, er WHATEVER anyway the slovenly dressed seemed to fit.
But I did think it was relevant to the not-funny-at-all subject of
dementia.
Thanks,
Janet
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Table 118-3. COMPARISON OF DELIRIUM AND DEMENTIA
__________________________________________________________________________
____Manifestation___________Delirium_________________Dementia______________
Onset | Acute or subacute | Insidious
| |
Duration | Days to weeks | Permanent
| |
Associated conditions| Drugs, withdrawal, or | No systemic factors
| systemic illness | necessary
| always present |
| |
Nocturnal worsening | Almost always | Often
| |
Attention | Poorly maintained | Relatively unaffected
| |
Appearance | Slovenly | Relatively unaffected
| |
Arousal level | Fluctuates from lethargy | Normal
| to agitation |
| |
Orientation | Variably impaired, | Impaired if disease socially
| almost always for time | limiting
| |
Thought processes | Disorganized; | Impoverished, delusions
|hallucinations & illusions| common
| common |
| |
Language | Dysathric, slow, often | Nominal amnesia, less often
| poorly coherent and | aphasia
| inappropriate |
| |
Memory | Confused | Recent memory lost; remote
| | memory impaired
| |
Sleep-wake rhythms | Loss of circadian | Nocturnal sleep commonly
| regularity; napping often| inerrupted
| excessive |
| |
_____________________|__________________________|___________________________________
_______________________________________________________________________________
From: Merck Manual Sixteenth Edition, Merck Research Laboratories,
Merck Co.,Inc Copyright 1992, pg 1406
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