Patient’s Story 

You are Rose Rosenborg, an adult social worker. You were contacted this morning by one of Mr. David Wimpey’s neighbours, who expressed concern about his wellbeing.

Willingly give the below information

They noted that his cat appeared malnourished and he had not been seen walking his dogs for over a week. Suspecting that he may be struggling, the neighbour reported this to adult social services.

The neighbour, who is a nurse, entered Mr. Wimpey’s home and found him on the floor, heavily intoxicated. 

She recorded his vital signs: blood pressure was 90/58 mmHg, pulse 109 bpm, and oxygen saturation 96% on air. Although she wanted to call an ambulance, he refused. Due to her concerns about potential self-neglect, she escalated the matter to social services.

When you arrived at his home, you found him lying on the floor surrounded by empty vodka bottles. He smelled strongly of alcohol. Although he was conscious and able to respond to questions, he was drowsy, confused, and appeared to be confabulating (filling in memory gaps with fabricated details).

Only volunteer the following if directly asked:
You observed that his hands were shaking. He was conscious but somewhat confused, sweating, and complained that his heart felt like it was racing.

You are particularly worried about his physical health. Hospital letters were scattered at the entrance of his flat, and he mentioned he hadn’t attended any recent appointments because he didn’t want to leave his pets unattended.