Have any questions about how to use the community? Check out the Help Discussion.

Reminder: hospital induced delirium is real

My husband was released from 2.5 days in the hospital. I spent all day Sunday and Monday with him except to run home to feed the dogs and let them out to pee. I left the hospital at 10 both nights to sleep at home. First night he had sun downers, calling me multiple times until 2:20 am. The 2nd night was pure hell. We live in a remote community with a 25 bed hospital. Everyone was wonderful. 2nd night though the phone calls escalated. I had never heard my husband that angry in 35 years. He was threatening to call the police, he was being held hostage and attempted to leave the hospital. At 1am while on the phone with him I offered to come back and nurses felt that was probably the only solution. When I arrived at 1:30am I managed to get him back in bed and calmed down and I stayed the rest of the night lying next to him. I must have looked like the walking dead in the morning because the nurse told me to go home and take a hot shower (I did) and they would make sure he was ok. When I arrived back at the hospital this wonderful nurse talked to me about hospital induced delirium and for them, it wasn’t uncommon. As the morning progressed he was his happy self, not remembering a thing. He fell right back into our normal routine once we were home. The doctor did explain they prefer not to attempt different medications during these episodes if at all possible. Instead they attempt to calm the person by listening to their fears and trying to reassure the person. My husbands fear was I had abandoned him, so I was the solution.
Every person is different, but for some like my husband, the hospital situation makes him spiral into delusions. (He did a similar thing 2.5 years ago in the same hospital). I had never heard of this until I experienced it 2.5 years ago and someone on this site told me about it.

Comments

  • harshedbuzz
    harshedbuzz Member Posts: 5,795
    Eighth Anniversary 1,500 Likes 5000 Comments 1,000 Insightfuls Reactions
    Member

    @trottingalong

    An excellent reminder to all caregivers. Hospital-induced delirium is common in the elderly, even without dementia.

    I hope your DH is recovering from whatever landed him in the hospital and that you've gotten a chance to catch up on the sleep and tasks missed while you were at the hospital.

    My friend's DH was hospitalized for heart issues without dementia and was next-level delirious— he was triggered by his wife and called security on her to search her bag which contained a bible and some needlework to keep her busy while he slept. He was a city judge, btw. When that didn't bring satisfaction, he called the DA's office and pressed charges against her. The DA remarked that her DH seemed his credible self in the midst of his delirium but fortunately, the hospital was outside his jurisdiction. Like your DH, he seemed fine during the day and was his usual charming self.

    My mom goes off the rails at times too. She's normally in for pneumonia and the combination of hospital, massive doses of steroids and low O2 isn't pretty.

    HB

  • trottingalong
    trottingalong Member Posts: 772
    Ninth Anniversary 500 Likes 500 Comments 250 Care Reactions
    Member

    My husband was in for a COPD flare up and was also given steroids. That makes me wonder if maybe the steroids could have contributed to the rage. The previous time he was hospitalized he thought we were in a horrible motel and did hallucinate, but no anger. This time he also kept saying he was going to call the police. Food for thought. Thank you.

  • Scooterr
    Scooterr Member Posts: 204
    Third Anniversary 100 Comments 25 Likes 25 Insightfuls Reactions
    Member

    I hate to hear your DH was having such a hard time trottingalong. I do have to say what a fortunate man he is to have such a wonderful caregiving spouse. It sounds like you want through hell those days he was in the hospital. Hopefully no more hospitals for your DH and yourself. Take care

  • trottingalong
    trottingalong Member Posts: 772
    Ninth Anniversary 500 Likes 500 Comments 250 Care Reactions
    Member

    Thank you. I think the fatigue I experienced was there most difficult. Thankfully he’s home and doing well.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
Read more