Delirium/Dementia Collateral

Question 1

Collateral Hx - Introduction

Answer 1

Ask patients name
How do you know the patient?
Is it alright if I ask XYZ about whats been going on with you?

Question 2

Collateral Hx - HPC

Answer 2

When did you start to notice your mums confusion?

Has it been getting slowly worse? Has it been stepwise? Does it fluctuate?

Have you noticed anything provoking the confusion?

Question 3

Collateral Hx - Associated symptoms

Answer 3

Have you noticed low mood?

Any hallucinations?

Have you noticed any change in behaviour? Aggression? Wandering? Calling out?

Have you noticed any change in sleeping pattern? Waking in the night or earlier than normal?

Any difficulty dressing herself?
Any difficulty trying to communicate?
Any difficulty recognising people?

Question 4

Collateral Hx - PMH

Answer 4

Parkinsons?
Stroke?
Diabetes?
Head injury?
Recent infection?
Any psychiatric condition?

Question 5

Collateral Hx - Drug Hx

Answer 5

Any new medications?
Any allergies?

Blood Pressure medications
Diabetes medications

Sinamet?
Donepezil? Memantine?

Question 6

Collateral Hx - Family Hx

Answer 6

Any history of:
Dementia?
Stroke?
Depression?

Question 7

Collateral Hx - Social Hx

Answer 7

Who’s at home with you?
Any carers, family or friends come to help?

Are you able to cook for yourself?
Who does cooking, shopping and cleaning?

Are you still driving?

Risk:
Wandering, leaving gas on?
Aggressive? Abusive?

Question 8

Elder Abuse Assessment

Answer 8

1. Do you feel safe where you live?
2. Has anyone limited your daily activities?
3. Has someone talked to you in a threatening way?
4. Has someone forced you to give them money or sign strange papers?
5. Has anyone touched you without your consent or hit you?
6. Has anyone made you do something you haven’t wanted to do?