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Frail, 84-year-old male admitted with influenza and pneumonia after presenting to the E.D. at 1000 this morning. States he lives alone. He reports a 4-day history of dry cough, progressing to a moist, productive cough with rusty-colored sputum, sudden onset of chills the previous evening, and malaise. He is being treated for hypertension. Admission weight 100 pounds. Chest x-ray revealed a lower-right lobar-type pneumonia without an effusion. He is horrified to find himself incontinent of urine and diarrhea. Temperature 101° F (38.3°C), P 88, R 20. BP 110/60. Oxygen saturation 95% before transfer to unit. Complains of tenderness in buttocks and requires assistance to move in bed.” 1. Recognize cues. What matters most? Which of the following cues are of concern?
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