More than delirium

Staff from a nursing home request a GP visit for Victoria, a 76-year-old woman who has been drowsy over the past three days. She seems to be less active, eating and drinking less.


She is a new resident in the facility, having arrived one month ago. The staff are concerned about her. Up to a week ago, Victoria was active.

She has moderate dementia with behavioural problems and restlessness at night. Her night-time sedation was increased a week ago. Her daytime drowsiness is initially thought to be caused by the increased sedation. The sedation is ceased