A 91-year-old woman in hospital has delirium and repeatedly tries to climb over the cot sides. She has faecal impaction, pain from osteoarthritis and

Question

A 91-year-old woman in hospital has delirium and repeatedly tries to climb over the cot sides. She has faecal impaction, pain from osteoarthritis and poor vision. Staff propose sedating medication because she is at risk of falling. What is the most appropriate management?

Accepted Answer

Remove modifiable triggers and use enhanced observation before sedatives

Answer

Delay mobilisation until delirium resolves

Answer

Stop analgesia to reduce constipation

Answer

Keep cot sides up and reduce observations

Answer

Start long-term lorazepam for night-time agitation

Delirium falls risk management — DGM MCQ

A 91-year-old woman in hospital has delirium and repeatedly tries to climb over the cot sides. She has faecal impaction, pain from osteoarthritis and poor vision. Staff propose sedating medication because she is at risk of falling. What is the most appropriate management?