look it up in your little book for dummies and find out where they're not that outlying story is likely to cause confusion oradour the symptom that you're saying and if it is try to involve the nurses to me it's it somewhat easier to involve the nurses for the call the physician most of times when i call the position they don't really hear that my phone call has been fully welcomed is out well said uh... so i try to have all the nurses to call the physician i found that to be fifty if you can more efficacious for me and see what can be done about reversing this lab result to see if that will wrists restore the patient to the levels that they were before so physical exam lab tests and if those both proved negative medications new medications what has this patient been started on over the last two or three days are really nothing i mean we did start a month's annexin lor tab yesterday good same day so yeah they were really nervous because all the pain the hat the problem with delirium is a patients can have it into gets interpreted by everyone else has dementia so by the time you cleared of your delirium you're already locked away on it locked unit someplace the delirium players use a hat i get here and once you're there the ought to be coming off of really pretty low you know there's really an expectation with older adults if they're going to get worse and i then that they're going to get better and improve you know some of my facilities have continuum of care we have independent living we have a system living we have no single and now we're building a new senior apartments which will probably be a feeder source for other programs you know i don't have a problem with continuum of care except i'd like to see it go the other way too with a deteriorating going to a nursing home then they get stronger and go back to assisted living backed independent 