Ann with green labels

You are working in emergency and you are asked to see a 55 year old woman (Ann) brought in by her brother. He has come into town on business and just arrived at her house to take her out for a planned dinner. He has only spoken to her on the phone over the last 18 months. She retired as a school teacher almost two years ago.

Today he was concerned because she appeared disheveled, sweaty, with shaking hands and appeared somewhat confused. She had forgotten he was coming for a visit and was reluctant to leave the house. She keeps mumbling about green labels. Triage notes list her vitals:

Afebrile HR 95  BP 152/94  RR 12 Sat 97% Room air