
Jane Reid
13.1K posts

Jane Reid
@janerahpl
Healthcare consultant/ AHP Passionate about improving outcomes for patients. My view not employers



Why do we give older people drugs that make their mental functioning worse? Ms Davies, 80, came in with pneumonia. Within a day she was lethargic, not eating, barely responding. The team put it down to the infection. The term 'delirium' was never mentioned. But somebody had also started her on a benzodiazepine overnight for "mild anxiety." Nobody connected the two. On the ward round I noticed her responsiveness kept shifting - partly alert one moment, not responding the next. Both the drowsiness and the fluctuation suggested delirium. Screening test positive. We stopped the benzodiazepine, and continued the treatment for the pneumonia with antibiotics, fluids, and oxygen. The next day she later she was sitting up in her chair eating. She was able to participate in physiotherapy. The lesson here isn't complicated. If you start a sedative in an older person and they get more confused, stop the sedative. Don't add another drug on top. Check your prescribing before you check anything else. #delirium #medicationsafety

a system failure and part of the... ... quiet evidence of a system that has allowed one group of patients to become invisible. myemail.constantcontact.com/Invisible.html…












