16th February 2025

An 82-year-old man with known brain metastases who has had stable disease over the past 4 months

An 82-year-old man with known brain metastases who has had stable disease over the past 4 months and has been on 6 mg dexamethasone presents with worsening confusion for the last 24 hours. He has been unsteady on his feet since he presented to hospital 4 months ago, but is now more confused, which has caused him to have falls due to climbing out of bed without assistance. What is the most appropriate next course of action?

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