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Sep 11, 2018 07:43
5 yrs ago
9 viewers *
German term

bettflüchtig

German to English Medical Medical (general) type of seizure? from a medical report
Krampfanfall:
generalisiert / fokal / Status / Myoklonien / Nackensteifigkeit / Aphasie / Schmatzen / agitiert / *** bettflüchtig *** / aggressiv
Proposed translations (English)
4 +2 refuses to stay in bed
4 +1 leaves the bed
4 +1 restless patients unable to remain in bed
3 frequently out of bed
3 age-related insomnia
3 wandering
2 nocturnal wandering

Discussion

Stuart and Aida Nelson Sep 23, 2018:
@ Johanna @ Sophie -Seizures - bettflüchtig It might well be that 'the German language has invented the term “senile Bettflucht” (literally, senile bed evacuation) to describe the difficulty that elderly individuals have in sleeping at night' but nowadays the term is not only applied to elderly people and is certainly not only related to insomnia. The patient here has a 'Krampfanfall = seizure'. I know for sure that also young people, even children, have seizures. When this patient has a seizure he/she leaves the bed or probably refuses to stay in bed and is also aggressive. The etymology of the word is 'flee/escape from bed'. I would also think that this patient has some degree of consciousness and is able to get out of bed. I would not think that he/she falls off bed. Another term related with 'flüchten' is 'Flüchtling = refugee' a very difficult subject :) I hope you agree with me, cheers, Aida (for you not to get stressed writing Stuart & Aida)
Stuart and Aida Nelson Sep 11, 2018:
children But not necessarily with any of the disturbances we mentioned here :). My point is that the term is widely used in German.
Johanna Timm, PhD Sep 11, 2018:
sure, and note the quotation marks :-)
Stuart and Aida Nelson Sep 11, 2018:
Small children also 'bettflüchtig' HILFE! Meine Tochter ist "Bettflüchtig"

https://www.rund-ums-baby.de/forenarchiv/kleinkind/HILFE-Mei...

Proposed translations

+2
6 days
Selected

refuses to stay in bed

http://www.pflege-für-menschen.de/common/aerztlfragebogen.pd...
Geistig- psychischer Zustand:
bettflüchtig ja / nein
Peer comment(s):
agree Stuart and Aida Nelson : and probably wanders off
5 days
Thank you! Yes, they probably wander after they 'escape the bed' but that's probably not the emphasis here.
neutral Michael Martin, MA : True, this may be the likeliest scenario covered under the German term. Still, that term is silent on motivations or whatever causes the patient to be bettflüchtig
6 days
agree Harald Moelzer (medical-translator) : best option in this context
6 days
Thank you!
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4 KudoZ points awarded for this answer. Comment: "Selected automatically based on peer agreement."
22 mins

nocturnal wandering

Something went wrong...
+1
6 hrs

leaves the bed

I would just say 'the patient leaves the bed' in this case.

Delirium and epilepsy
"The face is flushed, and the aspect of the patient is like that of a man under intoxication; he attempts to start from bed and run about [...]"
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181626/

Consider using a safety mats on the floor next to the bed if the person tends to fall out of bed during seizures
https://www.epilepsy.org.au/about-epilepsy/understanding-epi...

The wireless patient security system KOGNIMAT alerts care personnel, as soon as the patient leaves the bed
http://www.medicalexpo.com/medical-manufacturer/bed-alert-sy...

Hospitals are actively searching for ways to alert the caregiver before the patient leaves the bed, thus avoiding harm altogether
https://www.ecnmag.com/article/2014/01/preventing-patient-fa...
Peer comment(s):
agree Herbmione Granger : I think it's the German version of "make sure this one stays in bed" :)
11 days
Thank you :)
neutral Michael Martin, MA : Great contributions to the discussion but don't you have to add another word or two to show that the patient is not supposed to be leaving his or her bed?
12 days
Am I missing something? :)
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+1
8 hrs

restless patients unable to remain in bed

Delirium - causes, functioning, effects, paranoia, withdrawal, examples ...
www.minddisorders.com › Br-Del
Diese Seite übersetzen
Just as the ingestion of certain drugs may cause delirium in some patients, the ... the patient may become agitated and restless, unable to remain in bed, and feel a strong ... An elderly woman had to be subdued while attempting to flee from the
Peer comment(s):
agree Dr Sophie Louisa Bennett : I agree with 'restless' - not only confined to night.
5 days
neutral Michael Martin, MA : Yes, but the German term does not specify whether patient is unwilling or unable
12 days
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8 hrs

frequently out of bed

Not always a negative thing but the context will make this clear.

"If you are frequently out of bed owing to disturbed sleep or sleeplessness, then this could be an indication for you to change your bed." https://www.lineacasa.com.au/european-electric-beds
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8 hrs

age-related insomnia

“Bettflüchtig” is short for the colloquial expression “senile Bettflucht

"The German language has invented the term “senile Bettflucht” (literally, senile bed evacuation) to describe the difficulty that elderly individuals have in sleeping at night, and the early hour at which they rise. Indeed, one in four aged persons reports regular use of a prescribed sleep medication."
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3184982/

"Bettflucht im Alter
Auch senile Bettflucht; umgangssprachlicher Begriff für das Verlangen von älteren Menschen, nachts aufzustehen, weil sie nicht länger müde sind."
http://www.dasschlafmagazin.de/en/service/schlaflexikon.html...

Suggested translations:
"age-related sleep disturbance"/age-related insomnia
Melatonin treatment for age-related insomnia. - NCBI - NIH
https://www.ncbi.nlm.nih.gov/pubmed/11600532


Peer comment(s):
agree Dr Sophie Louisa Bennett : Is it only confined to night-time activity though? I would expect a patient - possibly bedridden - to "keep getting out of bed" or at least trying.
5 days
yes, in my experience it is the term used for night-time wandering ( esp. for dementia patients)
disagree Stuart and Aida Nelson : I am very sorry but I have to disagree. See discussion :)
11 days
"...kommt es relativ häufig vor, dass sie irgendwann einmal bettflüchtig werden. Das heißt, sie verlassen nachts das Bett weil sie glauben, irgend etwas dringend erledigen zu müssen." https://www.pflege-durch-angehoerige.de/sturzprophyla
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5 days

wandering

They do that not only at night but also in the daytime. It is also described as "Weglauftendenz".

https://en.wikipedia.org/wiki/Dementia

Please see symptoms.



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Note added at 7 Tage (2018-09-18 15:54:42 GMT)
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"One of the biggest concerns of caregivers who tend to people with cognitive problems is how to prevent wandering.

Wandering is a risk associated with many conditions, such as autism spectrum disorder, Down syndrome, and dementia (which can result from Alzheimer’s disease, stroke, head injuries, and Parkinson’s disease).

Whatever the condition, the anxiety for caregivers is the same. It can become overwhelming. You may jump out of bed at every creak in the night, worried that your mom has walked out of the house. You may no longer take your son with autism to the mall, because losing sight of him for even a split second is so terrifying. You may not live with the loved one, so you may need a tracking service that will alert you when he has left his home unattended."

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Note added at 7 Tage (2018-09-18 15:55:14 GMT)
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https://www.webmd.com/brain/10-ways-to-prevent-wandering#1

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Note added at 9 Tage (2018-09-21 06:16:09 GMT)
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oder auch "wandering behaviour"
Reference:

https://en.wikipedia.org/wiki/Dementia

https://www.alz.org/help-support/caregiving/stages-behaviors/wandering

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