Climbing over the bedrail

An 82-year-old admitted with a urine infection is found trying to leave the ward at three in the morning.

82-year-old womanWard 6, bed 8Fictitious educational patient

UTI, day 2 of treatmentHypertensionMild cognitive impairment per family

Day 2 · 03:05

The call

The nurse phones: Mrs. A is trying to climb over the bedrail, pulling at her cannula, and insisting she must collect her children from school. She was pleasantly confused yesterday but nothing like this. A sleeping tablet was given at 22:00 as charted.

Vitals

HR96BP142/82RR18SpO294%T37.4

Your first move from the doorway?

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