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Delirium non-pharmacological management — DGM MCQ

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ModerateDeliriumDelirium non-pharmacological managementDGM

A 78-year-old man with delirium is distressed by visual hallucinations on the ward. He is not trying to leave, observations are stable and he is reassured by his daughter. Pain, hypoxia and infection have been addressed. What is the most appropriate management?

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Correct answer: D — Continue reassurance, orientation and family involvement

If the patient is distressed but settled with reassurance and is not at immediate risk, non-pharmacological management remains preferred. Antipsychotics are reserved for severe distress or risk after de-escalation and trigger management. Family presence can be a therapeutic intervention in delirium.

Reference: NICE CG103