doc4mindia
Forum Guru
Topics: 134
Posts: 243
|
75 yr old man with a 3 yr history of progressive cognitive impairment due to, dementia, Alzheimer’s type, has had nocturnal disorientation for 2 weeks. He lives at home with his wife. He is otherwise healthy and takes no meds. Physical examination normal. He is disoriented to time, place. Has poor short term memory. Unable to do simple arithmetic and has a poor understanding of general information. Most appropriate initial step in the management?
1] Increase in home night time lighting
2] Prescription for chloral hydrate
3] Prescription for diazepam
3] Prescription for haloperidol
4] Use of night time mechanical restraints
|
| alice8
Forum Guru
Topics: 37
Posts: 643
|
1] Increase in home night time lighting :?:
___________________
Dream on 'til your dream comes true.
|
| doc4mindia
Forum Guru
Topics: 134
Posts: 243
|
For nocturnal disorientation,increasing lighting to minimize patients restlessness and confusion at night is correct
|
|
| |
| | | |
