%0 Journal Article
%T Intensive Care Unit: Psychosis | Insight Medical Publishing
%A Nipin kalal
%J Submission process:-
%D 2018
%X A unique clinical phenomenon of ˇ°Sun-downingˇ± in Intensive Care Unit (ICU) setting has been discussed inconsistently over the years despite many clinical observations documented in medical literature. Most healthcare professionals define the term ˇ°sun-downingˇ± or ˇ°ICU psychosesˇ± as late afternoon neuropsychiatric behavior changes such as agitation, confusion, disorientation, associated with or without delirium. There is an important relationship between alterations in biologic circadian rhythm and sun-downing in a chart review of demented patients. Increased shadows and low lighting were also shown to contribute to late-day agitation and confusion. Thus, it is hypothesized that behavioral symptoms emerge as the daylight levels decline during the evening/night hours. We suggest combination therapy of both bright light plus melatonin in the management of ICU or sun-downing psychosis for critically ill patients with agitation, confusion, disorientation, associated with or without delirium
%U http://primarycare.imedpub.com/intensive-care-unit-psychosis.php?aid=22072