SOLVED1104

CC: CONFUSION Past medical History An 86-year-old man has been in a residential home for 3 years since his wife died. He was unable to look after himself at home because of some osteoarthritis in the hips limiting his mobility. Apart from his reduced mobility, which has restricted him to a few steps and a rather irritable temper when he doesn’t get his own way, he has had no problems in residential care. However, he has become much more difficult over the last 36 h. He has accused the staff of assaulting him and stealing his money. He has been trying to get out of his bed and his chair, and this has resulted in a number of falls. On some occasions his speech has been difficult to understand. He has become incontinent of urine over the last 24 h. Prior to this he had only a rare occasion of incontinence. The covering AGACNP is called to see him and finds that he is rather sleepy. When aroused he seems frightened and verbally aggressive. He thinks that there is a conspiracy in the ward and that the staff are having secret meetings and planning to harm him. He is disorientated
SCIENCE
HEALTH SCIENCE
NURSING

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