22nd August 2024

A 70-year-old man is brought in by his wife because of an episode of confusion

A 70-year-old man is brought in by his wife because of an episode of confusion. He has a background of hypertension and chronic kidney disease stage 2. She reports that he was well in the morning and had been for his weekly swim in the sea. He drove home, however when he arrived home, he seemed confused. He asked a number of times what time it was and what he had been doing that day. He could not recall the name of his new grandchild and could not remember his breakfast or his swim. The patient’s wife reports that she could understand him but that he didn’t appear to be listening to what she said as she had to repeat herself several times. She brought him to hospital where the episode resolved after six hours. His observations, blood tests and CT head were normal. What is the most appropriate management plan?

Select the SINGLE most appropriate option from the list below. Select ONE option only.