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Confusion expertly managed
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In people with dementia, an exacerbation of confusion at day's end is often referred to as "sundowning." We encountered this phenomenon on a recent flight between Croatia and London, when a dramatic Alpine sunset was overshadowed by an even greater drama on board. An elderly passenger became increasingly agitated, and neither his wife nor other passengers and cabin crew could appease him. His interest in the nearby emergency exit and a metal object protruding from his clenched fist worried us all.
Happily, disaster was averted. The person who arrived on the scene
quietly dispersed the assembled multitude while introducing himself to
the confused man and to his wife. His tone of voice reassured
everybody. With minimal fuss, he persuaded the man to surrender his
weapon (a pair of nail clippers) and to resume his seat. As everybody
began to relax, we overheard him taking a history from the man's wife.
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