Residential aged care psychiatry — structured clinical viva

Working problem: aggression during personal care in RAC dementia — likely multifactorial (pain, approach, environment, possible delirium) with sedation and falls from current PRN antipsychotic use. Standing olanzapine 10 mg is excessive as an opening move in a frail older adult. Prioritise assessment, non-drug redesign of care, pain protocol, and only then consider lowest-dose short-term drug if residual severe risk, with deprescribing plan.[1][2][5]