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Word Count: 710
Mr Springfield suffers currently from recent memory problems and confusion which according to his wife have been increasing slowly in severity over the past year or so Mr Springfield wanders from his home now more frequently than ever especially during the late afternoon He gets lost easily Mrs Springfield has been spending more time watching out for her husband because of his increased wandering She has not yet sought support from any outside agencies The presenting problem is that two days ago while Mr Springfield was out wandering the downtown core area he was hit by a car as he was crossing the street He struck his head quite hard on the pavement He was not wearing his hearing aid at the time An ambulance took him to the Victoria Hospital in Halifax where he was seen in the Emergency Department by the attending emergency care physician Mr Springfield was admitted to an acute care medical ward for a 24-hour observation period with multiple bruises and a mild concussion A CT scan was performed to determine the extent of cerebral pathology if any as a result of his head injury Nursing staff reported that Mr Springfield was behaving strangely upon admission This was dismissed as being concussion-related His wife was contacted based on personal information that the nursing admitting staff found in his wallet She arrived shortly after he was admitted to the acute care medical floor While on the ward overnight Mr Springfield showed confusion and engaged in inappropriate behaviour wandering the halls aimlessly repeatedly searching through the drawers and closets of other in-patients urinating in a garbage can climbing into the wrong bed etc When asked by the nursing staff about his behaviours eg What are you searching for Mr Springfield insisted that he wanted to go home but could not find his way there He accused the nurses of keeping him against his will and kept repeating that he wanted to go
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