SAQ 845 – Geriatrics – unidentified confused older person and capacity

An 80-year-old woman is brought to your ED by police after being found wandering in the street. She is confused and disoriented.

Her vital signs are shown below. Her GCS is 14 because she is confused.

Observation	Value
HR	92/min
BP	165/100 mmHg
RR	20/min
SpO2	95% on room air
GCS	14 (confused)

State and justify three key investigations that should be performed early in the ED.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Justification</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

While police attempt to identify her, she refuses treatment and tries to leave. List three principles of care that are important in this situation.

(Marked out of 3.0)

/ 3

State three factors you would consider when deciding whether she can leave the ED.

(Marked out of 3.0)

/ 3

She remains agitated after haloperidol 0.5 mg orally. Complete the table with a specific approach and its limitation for each ongoing agitation scenario.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Scenario</th> <th>Specific approach</th> <th>Limitation</th> </tr> </thead> <tbody> <tr> <td>To facilitate CT brain</td> <td></td> <td></td> </tr> <tr> <td>Agitation overnight in ED</td> <td></td> <td></td> </tr> <tr> <td>Ongoing agitation on transfer to the ward</td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 18

Percentage: 0%