{"id":20394,"date":"2025-10-06T10:09:59","date_gmt":"2025-10-06T08:09:59","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=20394"},"modified":"2026-05-06T11:56:05","modified_gmt":"2026-05-06T09:56:05","slug":"livlige-droemme-eller-delir-om-oplevelser-hos-alvorligt-syge-og-mennesker-med-demens-ved-livets-afslutning","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/10\/06\/livlige-droemme-eller-delir-om-oplevelser-hos-alvorligt-syge-og-mennesker-med-demens-ved-livets-afslutning\/","title":{"rendered":"Livlige dr\u00f8mme eller delir \u2013 om oplevelser hos alvorligt syge og mennesker med demens ved livets afslutning"},"content":{"rendered":"
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Maria Mavropoulou1<\/sup><\/strong> , Zarah Zimling2<\/sup><\/strong> , Mie Grube Sk\u00e5rh\u00f8j3<\/sup><\/strong>, Maria Balle4<\/sup><\/strong>, May Bjerre Eiby5<\/sup><\/strong>, Martin Schultz6<\/sup><\/strong> , Kristoffer Mars\u00e57<\/sup><\/strong><\/p>\n

1<\/span><\/strong>\u00a0ELDV forsker, specialist i psykoterapi, cand.psych., Palliativ Medicinsk Afdeling, Bispebjerg Hospital.
\n<\/span>2<\/span><\/strong>\u00a0Speciall\u00e6ge i onkologi, fagomr\u00e5de specialist i palliativ medicin, afdelingsl\u00e6ge, Palliativ Medicinsk Afdeling, Bispebjerg Hospital.
\n<\/span>3 <\/span><\/strong>Sygeplejerske, cand.cur., klinisk Sygeplejespecialist, Hospice S\u00f8nderg\u00e5rd.
\n<\/span>4 <\/span><\/strong>Sygeplejerske, cand.cur, konstitueret hospicechef, Hospice S\u00f8ndergaard.
\n<\/span>5<\/span><\/strong>\u00a0<\/strong>Sygeplejerske, cand.cur., Leder, Dagmarsminde.
\n<\/span>6 <\/span><\/strong>Chefl\u00e6ge, Afdeling for \u00c6ldresygdomme og Lindrende Behandling, Amager og Hvidovre Hospital, PhD, Forperson for Dansk Selskab for Geriatri.
\n<\/span>7<\/span><\/strong>\u00a0Speciall\u00e6ge i lungemedicin, fagomr\u00e5de specialist i palliative medicin, Overl\u00e6ge p\u00e5 Steno Diabetes Center Copenhagen, K\u00f8benhavn & Plejehjemmet Dagmarsminde, Gr\u00e6sted.<\/span><\/p>\n

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Baggrund
\n<\/span><\/strong>Organisk delirium (i det f\u00f8lgende kaldet delir) er en pludseligt inds\u00e6ttende og fluktuerende tilstand, som er karakteriseret ved nedsat opm\u00e6rksomhed, sv\u00e6kket kognitiv funktion med nedsat hukommelse, desorientering og tankeforstyrrelser samt d\u00f8gnrytmeforstyrrelser og \u00e6ndret psykomotorik. Patienten med delir er oftest urolig og forpint, ligesom der kan forekomme hallucinationer. Delir adskiller sig fra depression og demens ved dets akut inds\u00e6ttende debut og kan beskrives som \"akut hjernesvigt\"(1).<\/span><\/p>\n

Delir er en hyppig tilstand blandt mennesker med alvorlig sygdom og er plagsomt b\u00e5de for mennesket, som gennemlever det, og for de p\u00e5r\u00f8rende (2). Tilstanden medf\u00f8rer en betydeligt forringet prognose b\u00e5de m\u00e5lt i forl\u00e6nget indl\u00e6ggelse og d\u00f8d (1,2). Den uafvendeligt d\u00f8ende har ligeledes en \u00f8get risiko for at udvikle det s\u00e5kaldte terminale delir. Delir\u00f8se symptomer er hyppigt forekommende i de sidste leved\u00f8gn for op til 85 % af alle d\u00f8ende (3,4).<\/span><\/p>\n

Der er de seneste \u00e5r gennemf\u00f8rt international forskning, der peger p\u00e5, at der hos mange mennesker kan opst\u00e5 livlige dr\u00f8mme og syn i den sidste tid. Disse livlige dr\u00f8mme og syn kaldes for End of Life Dreams and Visions (ELDV)<\/strong>. De livlige dr\u00f8mme (Dreams) opst\u00e5r i forbindelse med s\u00f8vn, hvorimod synene (Visions) forekommer i v\u00e5gen tilstand (5). <\/span>ELDV er i de fleste situationer ikke forbundet med lidelse. Tv\u00e6rtimod kan ELDV have et lindrende potentiale og h\u00e6nger ofte sammen med en oplevelse af tr\u00f8st, h\u00e5b, mening og mindre d\u00f8dsangst. <\/span><\/p>\n

Livlige dr\u00f8mme eller delir?
\n<\/strong>Meget livlige dr\u00f8mme og syn kan forveksles med de hallucinationer, der kan forekomme ved delir i den sidste del af livet (6,7). Derfor er det vigtigt, at sundhedsprofessionelle har viden om ELDV, s\u00e5ledes at patienter ikke modtager medicinsk behandling for oplevelser, der ubehandlet kan have en lindrende effekt (6). <\/span>I denne artikel vil der blive lagt v\u00e6gt p\u00e5 livlige dr\u00f8mme og syn samt p\u00e5 delir i den sidste del af livet. Fokus vil v\u00e6re p\u00e5 mennesker med kort forventet restlevetid. S\u00e5ledes vil indholdet kunne inspirere sundhedsprofessionelle p\u00e5 plejehjem, hospice samt hospitalsafdelinger, hvor der er patienter med begr\u00e6nset behandlingsniveau. Indholdet vil ogs\u00e5 kunne anvendes i hjemmeplejen af sundhedsprofessionelle, der m\u00f8der mennesker i den sidste del af livet i egen bolig.<\/span><\/p>\n

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English abstract<\/h4>\n

Vivid dreams or delirium \u2013 experiences of seriously ill people and people with dementia at the end of life<\/strong><\/h5>\n


\nBackground<\/strong>
\nOrganic delirium (hereafter referred to as delirium) is an acute and fluctuating condition characterised by reduced attention, impaired cognitive function with memory loss, disorientation and thought disturbances, as well as sleep\u2013wake cycle disruption and altered psychomotor activity. Patients with delirium are often restless and distressed, and hallucinations may occur. Delirium differs from depression and dementia by its acute onset and can be described as \u201cacute brain failure\u201d.
\nDelirium is a frequent condition among people with serious illness and is distressing both for the person experiencing it and for their relatives. The condition is associated with a significantly worse prognosis, including prolonged hospitalisation and increased mortality. People who are imminently dying also have an increased risk of developing so-called terminal delirium, and delirious symptoms occur in the last days of life in up to 85% of dying patients.<\/p>\n

In recent years, international research has shown that many people may experience vivid dreams and visions towards the end of life. These vivid dreams and visions are referred to as End of Life Dreams and Visions (ELDV). The vivid dreams occur during sleep, whereas the visions are experienced in a waking state. In most cases, ELDV are not associated with suffering; on the contrary, they may have a palliative potential and are often linked to experiences of comfort, hope, meaning, and reduced fear of death.<\/p>\n

Vivid dreams or delirium?<\/strong>
\nVery vivid dreams and visions can be confused with the hallucinations that may occur in delirium in the final phase of life. It is therefore important that healthcare professionals are knowledgeable about ELDV so that patients are not given pharmacological treatment for experiences which, if left untreated, may have a relieving effect.
\nThis article focuses on vivid dreams and visions, as well as on delirium, in the last phase of life. The focus is on people with a short expected remaining lifespan, and the content is intended to inspire healthcare professionals working in nursing homes, hospices, and hospital wards caring for patients with treatment limitations, as well as professionals in home care who meet people in the last phase of life in their own homes.<\/p>\n

Keywords:<\/strong>\u00a0Delirium, End of Life Dreams and Visions (ELDV), palliative care, dementia, end of life, hallucinations, terminal care.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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