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Post-fall delirium prevention — DGM MCQ

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ModerateFallsPost-fall delirium preventionDGM

A 92-year-old woman is admitted with a pubic ramus fracture after a fall. She is in pain, constipated and has poor hearing aid batteries. Cognition is usually intact according to her daughter. Current medicines include morphine solution, senna and amlodipine. What is the most appropriate management?

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Correct answer: D — Optimise pain, bowels, hydration and sensory aids

Older people admitted after falls are at high delirium risk, and prevention includes pain control, hydration, constipation management and sensory support. Frequent moves, fluid restriction, removing hearing aids and convenience catheterisation increase delirium or functional risk. Delirium prevention should be started before confusion develops.

Reference: NICE CG103; NICE NG249