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Delirium prevention — DGM MCQ

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EasyDeliriumDelirium preventionDGM

A 90-year-old man is admitted with cellulitis and is at high risk of delirium. He has mild dementia, hearing impairment and dehydration. He is calm and orientated at present. Current medicines include furosemide and ramipril. What is the most appropriate management?

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Correct answer: D — Provide orientation, hydration, sensory aids and sleep support

Delirium prevention should address modifiable risks such as dehydration, disorientation, sensory impairment and sleep disruption. Prophylactic antipsychotics are not routine prevention, a dark isolated room worsens disorientation, catheterisation increases harm, and familiar visitors can help orientation. Prevention is a structured ward intervention rather than a drug prescription.

Reference: NICE CG103