Delirium and Confusion Describe what happened? Rate it on a scale of 10. When did this start? Fluctuations, frequency and episodes Have they had anything like this before? What where they doing when it happened? Can they think of anything that might have caused this? Did anything in their life change? How has it been impacting on their life? Does anything make it worse? Does anything make it better? Differentiate between hyperactive and hypoactive delirium Hyperactive: Agitations Delusions Hallucinations Wandering Aggregation Hypoactive: Lethargy Slowness with everyday tasks Excessive sleeping Inattention Other associated features and causes (CHIMPS PHONED) Constipation Hypoxia Infection -> UTI, pneumonia etc. Metabolic disturbances Pain Sleeplessness Hypothermia Pyrexia Organ dysfunction -> hepatic or renal impairments. Nutrition Environmental changes Drugs Over the counter Illicit Alcohol smoking Stroke Medications Prescription Non-prescription Past medical history Allergies and vaccinations Surgical history Family history Social history Smoking Alcohol Recreational drugs Diet Exercise