SAQ 980 – Geriatrics – older adult with acute confusion and cognitive screening

An 85-year-old woman is brought to your ED by her daughter, who found her confused at home.

She has early dementia but lives independently. She has mild hypertension and hypercholesterolaemia but takes no regular medications. In ED she is confused and disoriented; HR 80 regular, BP 155/85 and afebrile.

During her ED stay she becomes increasingly agitated and aggressive towards nursing staff.

To assess cognition, one could use a Mini Mental State Examination or Six Item Screener. Detail the components of one of these tests.

(Marked out of 4.0)

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Define delirium and identify the key characteristics that differentiate delirium from dementia.

(Marked out of 4.0)

/ 4

Complete the table with one oral and one parenteral medication suitable for a behavioural emergency in a delirious elderly patient. Include cautions, particular indications or contraindications and adverse effects.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Route</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Medication</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Initial dose</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Explanatory notes</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Oral</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Parenteral</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Total Score: 0 / 14

Percentage: 0%