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Physical Assessment

General Observations

Patient answered greeting when approached. He is sitting in a chair with no evidence of agitation or distress. Mr Thomas is now eating a full diet, opens bowels daily and urine output is in keeping with fluid intake. His mouth is moist and mucosa intact. The IV access is removed.

Height: 168cms

Weight: 75kgs

Temperature: 36.7

Respirations: 18 even

Cognitive Testing

MMSE – 25/30 – may indicate resolution of delirium
KICA – 35/39 –Improvement in KICA score supports diagnosis of delirium. Mrs Thomas does not think Mr Thomas is quite back to baseline, but is improving day by day.