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* 1. An 83yo female with Medicare FFS with atrial fibrillation on anticoagulation presents to the ED after a fall.  She is unable to provide consistent history, but denies any complaints; per her son, she lives alone and has been increasingly struggling to perform iADLs, but she seems acutely worse over the last week or so. She fell, and EMS reported that the house was in a state of squalor. She is hemodynamically stable, and a trauma survey (performed because of a fall on anticoagulation) did not reveal any musculoskeletal injuries.  Her urinalysis showed 5-10 WBCs per LPF and bacteria, but nitrites were negative. Hospitalization is requested, because family cannot care for her.  As it is Friday evening, you expect that she will be in hospital for several days.
What status is appropriate?

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* 2. The following day, the urine culture is no growth and no other abnormalities have presented.  The patient is cooperative and pleasant but not oriented to place, time, or situation.  Nurses are concerned about her gait stability.  No post-hospitalization services have been arranged and thus she will stay in hospital and cross a second midnight. 

What is the appropriate status?

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* 3. On Sunday, the patient becomes agitated and not redirectable; she strikes at staff and requires sedation.

Does this merit change to inpatient status?

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