Confusion can be a life threatening condition that is often missed by the nurses, thus it occurs in the same range as pain, fever or infections. Aim: The aim of this study was to describe the phenomenon of confusion among elderly patients, in order to establish a wider understanding of the patient's nursing needs. Method: Literature study based on scientific material. Results: The result showed the patient's ability to recollect and reconstruct episodes of confusion. During the confusion the stories contained a wide variety of experiences, such as threat, fear, suspicion, chaos and order, unreal experiences, a need to escape and a bad sleep. Afterwards the patient's told that they experienced a sense of shame and guilt, abasement, fear, relief and a will to understand what had happened to them. They also felt a need to talk about what they had gone through. These experiences of confusion among elderly patients showed the importance of education and awareness among the nursing staff. The nursing strategies depended in which ground the nurses´ folkway by the elder patient was settled in. When the nurse establishes relation, brings and puts across enough knowledge, beholds, observes and evaluates, informs, explains, communicates and creates a encouraging inner and outer environment, she gives an opportunity for the patients recovery.