1/9. Managing acutely disturbed behaviour.Managing acutely disturbed behaviour is difficult, particularly in environments which are not designed for dealing with such conduct. An understanding of factors which can lead to this behaviour and clear management policies and procedures are needed.- - - - - - - - - - ranking = 1keywords = behaviour (Clic here for more details about this article) |
2/9. The mentally confused geriatric dental patient.Mental confusion is an affliction of the aged. It is caused by acute and chronic brain disorders and by regressive tissue changes in the brain associated with aging. The mentally confused patient requiring dental care presents significant problems for the dentist. Oral diagnosis, treatment planning and treatment procedures are all seriously influenced by the patient's confused mental state necessitating a carefully programmed interview technique, possible modifications in prescribed treatment and behavioural management during treatment.- - - - - - - - - - ranking = 0.16666666666667keywords = behaviour (Clic here for more details about this article) |
3/9. Amnesic syndromes after surgery of anterior communicating artery aneurysms.Five patients had severe generalized disorder of memory, which lasted for several months after anterior communicating artery aneurysm surgery. Two of them had no signs of frontal lobe lesions. They were confused for not more than four days after surgery. One of them performed normally on the non-memory tests and short-term memory tests. cues did not substantially improve his poor memory performance. The other patient had similar test results, but he had poor imagination in an inkblot perception test. Three patients had frontal lobe lesions. Two of them were restless, confused and confabulating, with one showing apathetic and stereotyped behaviour for more than a month after surgery. On the memory tests they showed disinhibition of irrelevant associations or deficient initiative. Cueing markedly improved their poor retrieval. These defects seem to be associated with frontal lobe lesions and can affect memory but are not obligatory features of amnesia.- - - - - - - - - - ranking = 0.16666666666667keywords = behaviour (Clic here for more details about this article) |
4/9. Acute confusional states and depression treated with maprotiline mesylate. Report of 4 patients successfully treated in an intensive care unit.Four patients admitted to hospital with multiple injuries developed psychiatric symptoms after an initially favourable response to intensive therapy. Alterations in the level of consciousness and behavioural pattern were observed, associated with the presence of acute depression, possibly endogenous in origin. Within 24--48 hours of intravenous administration of maprotiline mesylate (Ludiomil, Ciba), a tetracyclic antidepressant drug, considerable improvement was noted in all 4 patients, with regard to both the depressive state and the clouding of consciousness. The importance of recognizing psychiatric disorders in severely ill patients in an intensive therapy environment is stressed.- - - - - - - - - - ranking = 0.16666666666667keywords = behaviour (Clic here for more details about this article) |
5/9. cimetidine neurotoxicity. EEG and behaviour aspects.cimetidine-related neurotoxicity may be characterized by signs of affective dysfunction, toxic delusional state and/or delirium, confusion and/or amnestic signs, coma, epileptic phenomena and focal neurological signs. EEG features are rarely mentioned in the literature. They are discussed here in a patient presenting with cimetidine-related mental impairment and epileptic seizures. Some of the clinical signs are related to our incomplete understanding of the neurotransmitter function of histamine in the brain. It is suggested that transient functional deafferentiation of the cortex may occur with chemical histamine receptor blockade at brain stem level. EEG monitoring may be helpful in patients at risk.- - - - - - - - - - ranking = 0.66666666666667keywords = behaviour (Clic here for more details about this article) |
6/9. Psychiatric problems in intensive care. Five patients with acute confusional states and depression.Five case histories are presented of patients with multiple trauma or severe infection, who developed psychiatric symptoms after an initially favourable response to intensive therapy. Alterations in the level of consciousness and behavioural pattern were observed, associated with the presence of acute depression, possibly primarily endogenous in origin. Following intravenous clomipramine administration, considerable improvement was noted in all five patients, regarding both the depressive state and the clouding of consciousness. The importance of recognising psychiatric disorder in severly ill patients in an intensive therapy environment is stressed.- - - - - - - - - - ranking = 0.16666666666667keywords = behaviour (Clic here for more details about this article) |
7/9. dementia in acute units: aggression.This is the fourth article in a series which looks at how nurses in acute units can manage the behaviour problems presented by people with dementia. This month, the focus is on aggression, a topic which causes nurses extreme concern. The author discusses some of the precipitating factors which can cause a person with dementia to become aggressive while in hospital, then sets out some appropriate management strategies.- - - - - - - - - - ranking = 0.16666666666667keywords = behaviour (Clic here for more details about this article) |
8/9. Behavioural and psychiatric aspects of silent cerebral infarction.A number of psychiatric and behavioural symptoms have been described in relation to silent cerebral infarction. At least four symptom clusters were identified, namely, affective, paranoid delusional, confusional state and changes in mood with behavioural disturbances. The mechanisms involved are unclear. Biochemical changes involving neurotransmitter mechanisms, vascular compromise or structural damage to the anatomical pathways may be contributory if not causal. It is clear that in patients presenting with behavioural or psychiatric manifestations without any previous history of mental illness and without any focal or lateralising neurological signs, cerebrovascular disease should be a diagnostic consideration.- - - - - - - - - - ranking = 0.5keywords = behaviour (Clic here for more details about this article) |
9/9. Parental anxiety due to abnormal behaviour following withdrawal of sedation.Abnormal behaviour has been previously reported on withdrawal of sedation in critically-ill children. This description of a child who had prolonged withdrawal symptoms lasting almost 2 weeks includes a report on his parent's comments in relation to the anxiety they felt while he was behaving abnormally. health professionals need to be aware of the severe nature of this withdrawal reaction and its effect on the parents.- - - - - - - - - - ranking = 0.83333333333333keywords = behaviour (Clic here for more details about this article) |