I am mortified by the administrator’s response that this is “normal”. One of the most important things we can do for our elderly clients is to ensure that the care team is well-informed about their baseline. On so many occasions, aging/elderly patients have acute mental status changes that are chalked up to “normal aging” when a detailed workup would, as you have suggested with the UTI, reveal a source of acute delirium. I agree with Carolyn to insist on a physician evaluation (even if the NP is able to practice independently in your state). You can also request to speak to the Medical Director and/or file a complaint with the state agency that oversees SNFs in your state.
