Elderly dementia pt not excessively sleeping prior to going to a snf but now is. reasons? had surgery for broken knee cap. on pain killers.

Discuss w/attending: Chat w/attending physician & express your concerns about change in status. Review medications looking for ones that show up on Beers list (https://www.scanhealthplan.com/media/1743/printablebeerspocketcard.pdf) - excess opioids can cause confusion & sedation. Review labs. Since knee caps don't typically break spontaneously but as result of trauma, consider repeat head CT for subdural hematoma