Reference no: EM133911710

Scenario

72 hours after admission, Mr Bakas remains in hospital and his ability to breathe becomes easier, his temperature is within normal ranges, and he is coughing up less sputum.

Despite this he continues to find it difficult to sleep overnight, and the night nurse's handover, he has been wide awake, becoming restless and incontinent of urine. Day staff report he is napping throughout the day, especially whilst sitting out of bed and, his wife Helena, reports her husband is confused about his whereabouts.

Nursing staff report Mr Bakas is mumbling in Greek, and his wife and daughter confirm he is not providing them appropriate responses to their questions.

Based on this new information in Part 2 of case study, Mr Bakas' condition is suggestive of which medical condition? Briefly describe this medical condition

Questions

1. Based on this new information in Part 2 of case study, Mr Bakas' condition is suggestive of which medical condition? Briefly describe this medical condition.

2. A range of factors affect an older person's risk for developing delirium in hospital. Based on the case study, identify 11 factors that may have triggered Mr Bakas' delirium.

3. Delirium can often be prevented and can be treated and managed. As clinicians we must listen to the families of our patients when they tell us the person seems confused. Review the case study and supply 2 areas of information to support this statement.

4. During an acute and distressing episode of confusion the night nurse has applied bedrails to Mr Bakas' bed to prevent him from injuring himself.

5. Bedrails are a type of physical restraint. In the context of Quality of care principles 2014, identify 4 principles that must be followed for use of any restraint.