Headache, Confusion & Delirium [Case #1]

“An elderly lady has been brought to your department by her family who say she has been getting progressively more confused over the past week and they don’t feel she is safe at home anymore.”

Questions

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

1. What screening tool can you use in the ED to assess her mental state, and what does it consist of?

2. She is very agitated in the middle of majors, what steps can you take to manage this situation.

3. You now consider sedating her, how would you go about this?

4. What investigations would you perform to identify the source of her confusion?

5. Her family tell you she fell a week or so ago, what additional diagnosis must you consider?