Psych CASC / OSCE · Consultation-liaison psychiatry
Explaining delirium and the care plan to a family member — CASC communication station
MRCPsych/FRANZCP-style station: explain delirium in plain language, outline medical and non-drug care, limit inappropriate sedatives, and address capacity/finances carefully.
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Station brief
Format. Communication station, approximately 7–10 minutes after reading time. You are the psychiatry registrar on the medical ward. The patient is receiving antibiotics for pneumonia and is being nursed with close observation. [1]
Candidate instructions. Explain delirium in plain language, link it to the pneumonia and hospital factors, describe the care plan (treat infection, review medicines, reorientation, avoid unnecessary sedatives), answer questions about "madness" and dementia, and carefully address financial capacity — do not facilitate opportunistic property transfer while she is delirious. [1][2][3]
References3ShowHide
- [1]Marcantonio ER Delirium in Hospitalized Older Adults N Engl J Med, 2017.PMID 29020579
- [2]Inouye SK, Bogardus ST Jr, Charpentier PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients N Engl J Med, 1999.PMID 10053175
- [3]Oh ES, Fong TG, Hshieh TT, et al. Delirium in Older Persons: Advances in Diagnosis and Treatment JAMA, 2017.PMID 28973626