A member asked:

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.

A doctor has provided 1 answer
Dr. Alvin Lin answered

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

Answered 7/1/2015

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