Physical assessment of Mr Thomas may be difficult depending on his level of agitation, although attention at the bedside to the following factors is often helpful:
- Level of consciousness
- Hydration
- Observations – temperature, oxygen saturations, urine dipstick
- Search for infection: lungs, urine, abdomen, skin
- Evidence of alcohol abuse or withdrawal (eg tremor)
- Cognitive function using a standardised screening tool
- Neurological examination (including assessment of speech) - note comprehensive examination may not be possible due to altered mental state.
- Rectal examination – if impaction suspected (again, may not be possible.)
- Residual urine by bladder scan
