Accоrding tо Peck, when is the ideаl time fоr therаpy terminаtion
A 66-yeаr-оld wоmаn with histоry of hypertension, hyperlipidemiа, type 2 diabetes mellitus, and generalized anxiety disorder presents to the emergency department for severe abdominal pain over the past 2 days. Her pulse is 86/min, respirations 12/min, temperature is 99.1 degrees F, and blood pressure is 126/85. She is alert and oriented all spheres. Cardiac and pulmonary exams are within normal limits. Abdominal exam reveals epigastric tenderness to palpation without rebound or guarding. She is found to have elevated serum lipase. Complete blood count reveals moderate leukocytosis. Comprehensive metabolic panel reveals sodium of 133 mEq/L, AST of 185 U/L, and ALT of 89 U/L. A CT scan of the abdomen confirms the diagnosis of acute pancreatitis, and she is admitted to the hospital for further management. On day 3 in the hospital, the patient is noted by staff to be verbally abusive and is refusing care. Her pulse is noted to be 125/min and blood pressure is 159/102. Upon re-evaluation, she is oriented to self only, has short attention span, and complains that she needs help “getting these bugs out of my house.” Which of the following is the next best step in management of this patient’s current condition?