Challenging case non-english speaking patient with dementia
It's difficult to take a history from a cognitive challenged patient. But what if the patient also has dementia and is not willing to listen to your advice ! Here I am going to talk about one such patient who posed a significantly challenging situation due to his cognitive impairment and language barrier
Top Tips
Don't give up or feel frustrated
Call a family member and allow them to be with patient during your assessment
Call an interpreter in person, if no luck with a family member
Offer treats, food, sandwiches, water
If planning CT scan and X-rays in dementia patient consider mild sedation
Even if you don't find anything wrong, admit patient for any concerns that you or family may have but just cannot point what? Talk to the admitting consultant directly
Make sure these patients are whisked quickly to wards. Emergency Department is a stressful environment
Rationalise medications to what is absolutely necessary
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