Lorraine Poulos

11 Delirium Being alert for changes in wellness 1 2 3 4 Know your client’s health baselines: • Has your client shown changes in behaviours? • Have they been more confused, sleepy or drowsy? • Check care plan for notes about usual behaviours Health Assessment: • Check medications: are there missed or missing medications? • Any recent falls or mobility changes? • Any reports of dizzy spells? • Is there a new wound or skin redness or swelling? • Change in eating or drinking habits? • Any reports of bladder irritation, diarrhoea, or constipation? • Recent changes to sleep pattern Observations: • Changes in mood or anxiety levels • Changed breathing pattern • Increased toilet trips or odorous urine • Changes in bowel patterns Document in the Client Journal: • Document changes or concerns Guide for consumers, carers and workers