Delirium Scenario

You are working as a Paramedic and are called to a 91-year-old male with acute onset confusion. He is currently in respite accommodation after a long hospital admission. The carers have visited this morning and found the patient in bed, confused, and unable to communicate effectively. He is prone to UTI’s and the carers are concerned he is exhibiting similar symptoms. On arrival, you find him in a similar confused presentation, he is very lethargic, and you are unable to gain any patient history.