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Updated: Apr 25, 2026

SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients
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Acute confusion.

Abby Morrow-Barnes1

  • 1Warwick Hospital.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|August 14, 2014
PubMed
Summary
This summary is machine-generated.

Delirium, an acute confusion from severe illness, often fluctuates. This condition, characterized by worsening and improving cycles, rarely shows steady recovery.

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Area of Science:

  • Geriatrics
  • Neurology
  • Critical Care Medicine

Background:

  • Acute confusion, commonly known as delirium, is a significant indicator of severe illness.
  • Delirium presents as an acute cognitive impairment, frequently observed in elderly or critically ill patients.

Purpose of the Study:

  • To describe the typical clinical course of delirium.
  • To highlight the non-linear progression of delirium symptoms.

Main Methods:

  • Observational study of patients diagnosed with delirium.
  • Analysis of symptom fluctuation patterns over time.

Main Results:

  • Delirium rarely exhibits a consistent, steady improvement.
  • The clinical course of delirium is characterized by cyclical patterns of symptom exacerbation and remission.

Conclusions:

  • Understanding the fluctuating nature of delirium is crucial for patient management.
  • Interventions for delirium should account for its cyclical course to optimize patient outcomes.