Psychiatrymiddle twist
You are the intern covering an orthopaedic ward at 11 pm on the third night after a 78-year-old woman's hip hemiarthroplasty. The nurse says she has not slept, keeps trying to climb out of bed, and asks you to chart temazepam. She is fully attentive and gives a clear account: she cannot get comfortable because of hip pain, which she rates 7 out of 10 on movement. Her only analgesia is regular paracetamol. She has passed urine, and her observations are normal. Which one of the following should be done first?