Disorientation

What is Disorientation?

Orientation is a function of the mind involving awareness of three dimensions: time, place and person. Problems with orientation lead to disorientation, and can be due to various conditions, from delirium to intoxication. Typically, disorientation is first in time, then in place and finally in person.

In the context of an accident or major trauma, the Emergency Medical Responder performs spiraling (increasingly detailed) assessments which guide the critical first response. Assessment of mental orientation typically lands within the immediate top three priorities:

  1. Safety - Assess the area safety (potential traffic, fire, overhead/underfoot objects and collapse risks, rushing water, gunfire, chemical/radiation threats, storm conditions, downed power lines, etc.), wait for the threat to subside, or move the person to safety if and when possible, all without endangering oneself.
  2. ABCs - Note conscious or unconscious then assess Airway, Breathing and Circulation factors (with priority to any potential gross or debilitating blood loss.)
  3. Orientation - Determine if the person is "alert and oriented, times three (to person, place, and time)." This is frequently abbreviated A&Ox3 which also serves as a mnemonic. The assessment is best done right up front, ahead of moving or transporting the victim, because it may illuminate potential internal damage.

Mental orientation is closely related, and often intermixed with trauma shock, including physical shock (see: Shock (circulatory)) and mental shock (see: Acute stress reaction, a psychological condition in response to terrifying events.)

The exact cerebral region involved in orientation is uncertain, but lesions of the brain stem and the cerebral hemispheres have been reported to cause disorientation, suggesting that they act together in maintaining awareness and its subfunction of orientation.

Questions and answers on "Disorientation"

i am an 18 year old female. i have found that after resting my laptop on my lower stomach over many days for long periods of time is gradually starting to cause me discomfort and today pain as well as some slight disorientation in my vision and a feeling in my throat that makes me want to gag. there is something emitting from the computer that i can feel effecting my body. could cancer or tumor be a result from the radiation or whatever it is?

doctor1 MD

HI
Thank for asking to HCM
I really appreciate your concern and from the history given here I could say that this is because of the posture and monotonous gesture and not any thing due to the laptop radiation you need to change the posture periodically and avoid putting the laptop on your body,...

Read Full Thread   Ask a Doctor Now

Good evening. I m eating well, I am physical the whole day, but my weight always remains an issue. Can t get past the heavily overweight bmi . Doctor put me on duromine first, now off and onto toplep for weightloss due to its apparent side effect of weightloss, yet I can feel the disorientation and loss of memory. What could I take to drop the weight without compromising my health or mood for that matter

doctor1 MD

Hi,

Thanks for consulting HealthcareMagic!

I suggest you to try for lifestyle modification measures very strictly rather than going for medications. These include exercise, dietary modification, ruling out the pathological causes for obesity like some hormonal disorders etc. If they fail, you...

Read Full Thread   Ask a Doctor Now

Hi, I am a female, 110 lbs, relatively healthy however for the past two and a half years I ve had an undiagnosed stomach ailment. Some of my symptoms consist of lightheadedness , instant urge to go to the bathroom, instant stomach pain, slight disorientation after eating. I ve been to a few specialists and they were on the fence about it being my gall badder, however nothing was conclusive. So if you have any suggestions I would greatly appreciate it.

doctor1 MD

Hi, many thanks for the query!
Well, it sounds like you are having IBS.
You need to do- USG (Abdo-Pelvis), Stool (Culture & Microscopy),
CBC, ESR, LFT, Hydrogen Breath Test.
Most common cause for IBS is stress, so stress reduction remedies like Yoga & Meditation should be done.
Do regular...

Read Full Thread   Ask a Doctor Now

I think I am suffering from anxiety, depression ,or dementia. I am 64years. For the last 13months I have been suffering from slight disorientation. It started one am when I was driving like a panic attack. I had three subsequent attacks when driving. This has left me feeling very insecure, I am now afraid of getting lost in large buildings like Hotels ect.
Some days my head feels very mussy and I find it hard to concentrate. I sometimes get a choking feeling when cleaning my teeth esp in the mornings. The problem when out driving is getting better. I am afraid this may develop into agrafobia. I hope you can help me. Many thanks.

doctor1 MD

Hi there, thanks for asking. The symptoms you have described are the signs of panic attack. When they happen, especially at your age, the doctor should check you for any medical problem which may cause it. For example, many people with higher than normal hyperparathyroid gland function may show...

Read Full Thread   Ask a Doctor Now

Over the last three months I have been treated for a staph infection. After finishing the medication the infection continues to come back. This time the skin rash did not come back but I have been suffering from extreme disorientation and an overall run down feeling. The urgent care facility started me on iv recephrin last night and oral cefadroxil for 14 days.. They seem to be missing the fact that I feel like I am going to pass out and just treating the previous staph infection symptoms. I have already done a 14 day treatment of cefadroxil which didn t resolve the problem. What course of action should be taken?

doctor1 MD

chlorhexidine washes
In shower, use chlorhexidine liquid in place of liquid soap.
Apply all over the body using a washcloth
scrub properly.
Then take normal shower
Laundry: Wash undergarments, towels, and tight jeans/clothing in bleach-containing soap water
Antibiotics
Topical/skin ointment with...

Read Full Thread   Ask a Doctor Now

Hello Dr. ! I'm 24 yeas old. I've been taking Dexpoten syrup continuesly from the last three years. I can't stop singing & it helps me to sing better than normal. so i take this syrup before singing. i didn't face anykind of disadvantages symtoms from this except little anxiety, tenson & restless . i want to know to u sir if i continue this addiction what kind of things could possibly happen to me? is dexpoten damage neuron cell or damage brains activity? please let me know about this sir m waiting.

doctor1 MD

Hi

Dexpoten is a preparation of dextromethorphan + pseudoephedrine + triprolidine. Dextromethorphan is an opoiod and is usually abused in higher doses. Even in recommended doses of 300 to 1800 mg, it can be abused, though it is abused in much higher doses. Both dextromethorphan and its metabolite...

Read Full Thread   Ask a Doctor Now

Hi,my husband is 65 years old and has bn a diabetic since 1991.lately he has not bn managing it well,he is overweight and alcoholic.he also has hypertension and taking medication .on several occasions,he has had hypos and has had to be rushed to hospital.when his sugar is low,he acts really confused,and almost in a paranoid mad mental case,,,,,,I need to understand why and if there is a treatment to end his state of confusion and aggressiveness.

doctor1 MD

Hello.
If a diabetic drinks too much, it could have very serious consequences because of  the high sugar content in many alcoholic drinks.
Normally, when blood glucose levels drop, the liver converts the body's stored carbohydrate into glucose. Sent into the bloodstream, this glucose helps avoid...

Read Full Thread   Ask a Doctor Now

Shock sensation down forearm after inserting needle to draw blood . I had blood drawn 2 days ago and when the needle was inserted I felt a shocklike, burning sensation, down my arm towards my wrist . Where the blood was drawn doesn t hurt, but now I m still getting these shocklike burning sensations down my forearm when I move my arm in certain postions. What is causing this pain? What can I do to make it stop?

doctor1 MD

Hi,
Welcome to HCM,
It seems that you might be having thrombophlebitis, an infection in the vein.
Go for antibiotic and anti-inflammatory medicine.
Apply Thrombophob cream on affected part.
Ok and bye.

Read Full Thread   Ask a Doctor Now

Recent questions on  Disorientation

doctor1 MD

Hello Dr. ! I'm 24 yeas old. I've been taking Dexpoten syrup continuesly from the last three years. I can't stop singing & it helps me to sing better than normal. so i take this syrup before singing. i didn't face anykind of disadvantages symtoms from this except little anxiety, tenson & restless . i want to know to u sir if i continue this addiction what kind of things could possibly happen to me? is dexpoten damage neuron cell or damage brains activity? please let me know about this sir m waiting.

doctor1 MD

Good evening. I m eating well, I am physical the whole day, but my weight always remains an issue. Can t get past the heavily overweight bmi . Doctor put me on duromine first, now off and onto toplep for weightloss due to its apparent side effect of weightloss, yet I can feel the disorientation and loss of memory. What could I take to drop the weight without compromising my health or mood for that matter

doctor1 MD

Over the last three months I have been treated for a staph infection. After finishing the medication the infection continues to come back. This time the skin rash did not come back but I have been suffering from extreme disorientation and an overall run down feeling. The urgent care facility started me on iv recephrin last night and oral cefadroxil for 14 days.. They seem to be missing the fact that I feel like I am going to pass out and just treating the previous staph infection symptoms. I have already done a 14 day treatment of cefadroxil which didn t resolve the problem. What course of action should be taken?

doctor1 MD

I think I am suffering from anxiety , depression ,or dementia . I am 64years. For the last 13months I have been suffering from slight disorientation . It started one am when I was driving like a panic attack . I had three subsequent attacks when...

Ask Question
Doctor Image
MD

Hi, I am Dr. Andrew Rynne (Family Physician). I will be guiding you through the process. Please write your question below.

Related Treatment/Therapy
Related Procedures