Optimise pain control

Consider starting empirical paracetamol

Treat the most likley source of infection if there are signs or investigations in keeping with infection

Consider:

• Chest

• Biliary

• Urine

• Viral

• Gut

Encourage sitting out

Ask PT to see

Start food chart

Refer to dietician

Consider NG?

Start bowel chart

Prescribe laxatives

Prescribe oral fluids if required

Consider IV fluids

Consider a CT head, especially if on anticoagulants

Consider stopping (or weaning) medications, especially:

• Opiates

• Tricyclics (eg amitryptyline)

• Sedatives

Consider 1:1

Orientate and reassure the patient

Involve family

Ensure has glasses and working hearing aids

Stimulating activities – dementia specialist nurse can help