{5C22544A–7EE6–4342–B048–85BDC9FD1C3A} Problem Yes? Next step Was there a recent medication change (started, stopped, or dose adjusted) ? □ Evaluate for benzodiazepine, tricyclic antidepressants (TCA) , anticholinergic medications, and other psychoactive agents. Review medications with a geriatrician or psychiatrist. Does your patient have urinary retention? □ Check for recent opioid use. Bladder examination (ultrasound), insert catheter, look for UTI (and urine samples). If there is infection start the patient on early antibiotic therapy. Is your patient constipated? □ Review the patient‘s chart. Examine the bowel and give a laxative if required or requested. Did the patient sustain a (another) fall? (also ask the nurses) □ Look for bruises or marks from a recent fall ; consider a CT scan of the head. Are there signs of an acute cardiac problems/pulmonary embolism? □ Give oxygen 2L, ECG, cardiac enzymes, arterial blood gas analysis; if positive: refer to a cardiologist.