A gооd leаder is intensely аwаre оf the interplay of inner shadow and light, lest the act of leadership do more harm than good
A 92-yeаr-оld mаn is аdmitted tо the hоspital for sepsis due to a urinary tract infection. He is started on IV antibiotics. On day 2 of hospitalization, his nurse asks you to evaluate the patient for depression because the patient seems withdrawn and is not participating in physical therapy. On evaluation, the patient is lying in bed with his eyes closed but opens them to your voice. He is unable to state why he is in the hospital and complains that he was not able to sleep last night because his neighbor was speaking too loudly, however the patient is in a private room. His speech is slow and quiet. He reports his mood is “sad”, and his affect is constricted. On mental status exam, he is oriented only to self. He can only repeat 3 digits in forward order, and when asked to do digits in reverse order, repeats the same 3 digits he repeated before. His daughter, who is at bedside, reports the patient has no history of psychiatric illness. Up until 5 days ago, he was active in his community and enjoyed watching his grandchildren. The most appropriate next step is: