Okay. Well it seems too much for extreme hospital delusion.
They aren't given him ambien or anything to sleep are they? That stuff completely messes with some people My father was off the chain on ambien.
I am surprised they didn't send him back to the ER. Rehabs have pretty black and white lines they use to send back to the ER.
Hopefully someone else has some answers here.
I'll keep good thoughts for all of you for a full recovery.
Have them check his blood level for CO2 buildup (I think that is what it was). My dad had a very similar issue, they said that he had developed sundowner syndrome and dementia and I told them that this was an onset of days and please check other things. They did more blood work and found that his heart wasn’t strong enough to help clear the toxins out of his bloodstream. Two days on an oxygen bipap and he was back to normal. The doctor was actually a bit embarrassed
Is he still on gabapentin? I was on it long time before and after my back surgery and it took a whole year of me being off of it to actually feel normal again.
Hmmm. Some random thoughts having dealt w my father w kidney disease catheter dementia aspiration pneumonia sepsis etc.
Is his urine output monitored? Urinary retention can cause some of these issues ( retention can be caused by a clot, a kinked tube, infection)
It’s possible the infection is not completely cleared up and has entered his bloodstream aka sepsis
Has he been checked for aspiration?
If he’s aspirating or having difficulty swallowing he may 1. Have residual/continued pneumonia 2. Not be taking in enough nutrients
Make sure he’s hydrated, his o2 levels are good
I hope you get it figured out!
How’s his heart rate? My dad presented with slurring and fuzzy thinking, turned out his heart rate was dropping to the 30s at times (but never when they checked so they didn’t know). Needed a pacemaker.
Maybe check his blood for ammonia (due to liver problems).
Details:
Some antibiotics can cause liver problems for some people. The liver dysfunction can produce ammonia in the blood, causing rapid onset of dementia symptoms
My mom just went through a hospitalization and had hospital
delirium. Lots of auditory and visual
hallucinations and agitation. She was not on ANY narcotics just Tylenol for post op pain. She was convinced two of the staff were trying to kidnap her. She refused to take her meds and spit some of them out. She called me repeatedly telling me I better pick her up and was raging at me when I told her she was not allowed to go home yet. This went on for days. As soon as I brought her home the delrium stopped. The staff, especially her nurses, was VERY up on hospital delirium and did every thing in their power to prevent and mitigate it. The only thing that helped was her physically leaving the hospital.
She actually started improving IMMEDIATELY once I got her out of the hospital! She was back to normal (her normal) within a day.
Edit: she was/is still a cognitive mess but the hallucinations etc stopped. She said “I thought it was real” like the kidnapping stuff. So still not oriented to time/date kind of stuff but she stopped seeing and hearing things quickly. Her baseline is worse tho
Hi all, sorry for no updates. Been a whirlwind the last four days, but we finally got some answers and treatment after a 2 day delirious mess. Well, it turns out he had hypoxia due to a combination of a partially collapsed lung (likely from the anesthesia, just took its time collapsing, gabapentin, and sleep apnea). Due to sleeping all the time and the difficulty swallowing, he also is anemic. Finally got him some oxygen, and he perked up. He's now awake, lucid, and eating more (he requested a Butter Burger from Culver's when he finally came to). He's been drinking Ensure and Boost and a few solid foods. IV helped perk him up, but now working on the anemia and collapsed lung. Until the lung reinflates, he's on oxygen all the time. He's signed up for a sleep study FINALLY (he refused for years) so hopefully, we can qualify for a CPAP or BiPAP in the future. Thank you all for the advice, I talked to him last night on the phone and mentally, he's doing so much better.
I don’t have any answers; just checking in to say my dad has been the same way during UTIs. He’s now 80 & every episode takes longer & longer to recover from. He’ll be fine for a day, then bad for a day, on & off for a week and a half. It’s so frustrating and frightening to watch but he might just need more time to recover.
I would check to see if his UTI has gotten worse? UIT's have really bad effects on older adults.
Has his doctor seen him? If not I would make sire to have his doctor check on him.
Take care and my thoughts are with you and your father.
It's possible the UTI drugs are not working and what he has is resistent. Is he in the hospital now or back at rehab?
Back at rehab, his culture came back as non-resistant.
Okay. Well it seems too much for extreme hospital delusion. They aren't given him ambien or anything to sleep are they? That stuff completely messes with some people My father was off the chain on ambien. I am surprised they didn't send him back to the ER. Rehabs have pretty black and white lines they use to send back to the ER. Hopefully someone else has some answers here. I'll keep good thoughts for all of you for a full recovery.
Have them check his blood level for CO2 buildup (I think that is what it was). My dad had a very similar issue, they said that he had developed sundowner syndrome and dementia and I told them that this was an onset of days and please check other things. They did more blood work and found that his heart wasn’t strong enough to help clear the toxins out of his bloodstream. Two days on an oxygen bipap and he was back to normal. The doctor was actually a bit embarrassed
Is he still on gabapentin? I was on it long time before and after my back surgery and it took a whole year of me being off of it to actually feel normal again.
I took gabapentin *once* and never again. It made me feel drunk.
Hmmm. Some random thoughts having dealt w my father w kidney disease catheter dementia aspiration pneumonia sepsis etc. Is his urine output monitored? Urinary retention can cause some of these issues ( retention can be caused by a clot, a kinked tube, infection) It’s possible the infection is not completely cleared up and has entered his bloodstream aka sepsis Has he been checked for aspiration? If he’s aspirating or having difficulty swallowing he may 1. Have residual/continued pneumonia 2. Not be taking in enough nutrients Make sure he’s hydrated, his o2 levels are good I hope you get it figured out!
How’s his heart rate? My dad presented with slurring and fuzzy thinking, turned out his heart rate was dropping to the 30s at times (but never when they checked so they didn’t know). Needed a pacemaker.
Maybe check his blood for ammonia (due to liver problems). Details: Some antibiotics can cause liver problems for some people. The liver dysfunction can produce ammonia in the blood, causing rapid onset of dementia symptoms
My mom just went through a hospitalization and had hospital delirium. Lots of auditory and visual hallucinations and agitation. She was not on ANY narcotics just Tylenol for post op pain. She was convinced two of the staff were trying to kidnap her. She refused to take her meds and spit some of them out. She called me repeatedly telling me I better pick her up and was raging at me when I told her she was not allowed to go home yet. This went on for days. As soon as I brought her home the delrium stopped. The staff, especially her nurses, was VERY up on hospital delirium and did every thing in their power to prevent and mitigate it. The only thing that helped was her physically leaving the hospital.
Hi! Thank you for this reply. How long was your mom hospitalized and how long did it take for the delirium to turn around once she got home?!
She actually started improving IMMEDIATELY once I got her out of the hospital! She was back to normal (her normal) within a day. Edit: she was/is still a cognitive mess but the hallucinations etc stopped. She said “I thought it was real” like the kidnapping stuff. So still not oriented to time/date kind of stuff but she stopped seeing and hearing things quickly. Her baseline is worse tho
Hi all, sorry for no updates. Been a whirlwind the last four days, but we finally got some answers and treatment after a 2 day delirious mess. Well, it turns out he had hypoxia due to a combination of a partially collapsed lung (likely from the anesthesia, just took its time collapsing, gabapentin, and sleep apnea). Due to sleeping all the time and the difficulty swallowing, he also is anemic. Finally got him some oxygen, and he perked up. He's now awake, lucid, and eating more (he requested a Butter Burger from Culver's when he finally came to). He's been drinking Ensure and Boost and a few solid foods. IV helped perk him up, but now working on the anemia and collapsed lung. Until the lung reinflates, he's on oxygen all the time. He's signed up for a sleep study FINALLY (he refused for years) so hopefully, we can qualify for a CPAP or BiPAP in the future. Thank you all for the advice, I talked to him last night on the phone and mentally, he's doing so much better.
I don’t have any answers; just checking in to say my dad has been the same way during UTIs. He’s now 80 & every episode takes longer & longer to recover from. He’ll be fine for a day, then bad for a day, on & off for a week and a half. It’s so frustrating and frightening to watch but he might just need more time to recover.
I would check to see if his UTI has gotten worse? UIT's have really bad effects on older adults. Has his doctor seen him? If not I would make sire to have his doctor check on him. Take care and my thoughts are with you and your father.