A 79 year old woman in residential aged care becomes acutely confused and agitated overnight. She has a history of dementia but was previously stable....

Question

A 79 year old woman in residential aged care becomes acutely confused and agitated overnight. She has a history of dementia but was previously stable. There is no focal neurological deficit. Which of the following is the most appropriate initial approach?

Accepted Answer

Screen for delirium using a structured tool and assess for acute precipitating factors

Answer

Increase her regular benzodiazepine dose

Answer

Assume this is progression of dementia and observe

Answer

Start long term antipsychotic medication immediately

Answer

Arrange urgent MRI brain in all cases

au-racgp MCQ (SBA): Delirium causes and assessment

A 79 year old woman in residential aged care becomes acutely confused and agitated overnight. She has a history of dementia but was previously stable. There is no focal neurological deficit. Which of the following is the most appropriate initial approach?