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Confusion or Cognitive Disturbance

Questions?

  • Is this a new symptom?
  • Is it getting worse & when did it start?
  • Is it constant?
  • Has there been a recent change in medication?
  • Is it associated with any other symptom? If yes, please see specific symptom.

Grade 1 (Amber)

  • Mild disorientation not interfering with normal activity.
  • Slight decrease in level of alertness.

Advice

Contact the Acute Oncology Helpline immediately:

(Mon-Fri 9-5): 07831 147653
Out of hours: 0208 672 1255 ask for the oncology out of hours service

Grade 2 (Red)

Moderate disorientation and/or cognitive disability limiting normal activity.

Advice

Contact the Acute Oncology Helpline immediately:

(Mon-Fri 9-5): 07831 147653
Out of hours: 0208 672 1255 ask for the oncology out of hours service

Grade 3 (Red)

  • Severe cognitive disability and/or confusion
  • Cognitive impairment or confusion severely limiting activity/ function
  • Altered level of consciousness or loss of consciousness

Advice

999 – URGENT referral to the Emergency Department