Travel Reference
In-Depth Information
Slow or delayed reactions
Severe Derangement (confused about time, place, events, and person, but may gradually
respond to information and reassurance, unlike individuals with brain trauma, which
must be considered)
Forgetful of own name and names of associates
Unclear about date—year or month
Unable to clearly describe the location
Unable to recall clearly events of the previous twenty-four hours
Regresses to an earlier period of life
Complains about memory gaps of thirty minutes or more
Confused about identity or occupation
Appears unaware of what is happening
MOTOR BEHAVIOR
Mild Derangement
Wringing hands or clinching fists; stiff and rigid appearance; continuously sad expres-
sion
Some restlessness; mild agitation and excitement
Difficulty falling asleep or keeping down food
Rushing about trying to do many things at once but accomplishing little
Feelings of fatigue inconsistent with previous and current activity
Halting or rapid speech that is out of character; difficulty getting words out
Severe Derangement
Agitated movements; inability to sleep or rest quietly
Grimacing or posturing of recent onset
Markedly reduced activity; sits and stares; remains immobile for hours
Incontinence
Mutilation of self or objects for no reason
Repeatedritualisticactsofnofunctionalsignificance;attemptstopreventtheactscreate
resistance and excessive emotion
Excessive use of drugs or alcohol
Inability to carry out simple functions such as eating, dressing, organizing equipment
VERBAL BEHAVIOR
Mild Derangement
Verbalizes hopelessness: “It's no use,” “I can't go on”
Incapable of making a decision
Doubts ability to recover
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