Coma and related disorders
نویسندگان
چکیده
Disorders of consciousness represent a major challenge in clinical practice. The last decade of neuroscience research brought new insights about brain function and neural correlates of these pathological states of consciousness. Although behavioural evaluation still remains the gold standard, conscious behaviours are too often missed, leading to unwanted grey zones between conscious and unconscious patients. In order to increase the chances of detecting the signs of consciousness, scientists now focus on the development and validation of neuroimaging and electrophysiological paradigms in noncommunicative patients. Recent insights in this field also raise new questions of medical ethics. Indeed, for conscious patients, legal questions will occur about treatment plans, rehabilitation and communication strategies while for the unconscious patients, end-of-life decisions will take place after the patients’ condition is stated as “permanent” or “irreversible”.
منابع مشابه
Coma Blisters in the Setting of Quetiapine Overdose: Case Report and Review of Literature
Background: Skin lesions and blistering in the overdose patient, most notably associated with barbiturate overdoses, are commonly referred to as coma blisters, ‘barb blisters’, or ‘barb burns’. We present a patient who was noted to have skin lesions including bullae and blistering following a prolonged coma after quetiapine overdose. Case report: A 27 year old male presented to our institution ...
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EXTRACT When you are faced with a diabetic person that has been numbness, lethargic or confuse condition and Likely to enter into a diabetic coma what nursing interventions should be done? The answer of question is related to complete review of symptoms by nurses. Typically, in the most cases hypoglycemia can cause coma. The next cause of coma is diabetic ketoacidosis ...
متن کاملMemory disorder related to coma duration after head injury.
The relationship of memory and intelligence test performances to coma duration was studied in 51 head injured patients who had not been operated on for intracranial haematoma. Memory defect was related to coma duration, and was not secondary to impaired perceptual or conceptual analysis of the material to be remembered.
متن کاملInvestigating the Effect of Listening to Nature Sounds on the Level of Consciousness and Physiological Indices of Patients with Traumatic Coma
Introduction: Disorders of consciousness are the most common complications after head injury. Patients with traumatic coma, due to their nature, are more likely to show impaired physiological indices. This study aimed to investigate the effect of listening to nature sounds on the level of consciousness and physiological indices in patients with traumatic coma. Methods: 60 patients with traumat...
متن کاملNociception coma scale-revised scores correlate with metabolism in the anterior cingulate cortex.
BACKGROUND The Nociception Coma Scale-Revised (NCS-R) was recently validated to assess possible pain perception in patients with disorders of consciousness. OBJECTIVE To identify correlations between cerebral glucose metabolism and NCS-R total scores. METHODS [18F]-fluorodeoxyglucose positron emission tomography, NCS-R, and Coma Recovery Scale-Revised assessments were performed in 49 patien...
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