How to try this: detecting delirium.
For patients and their loved ones, delirium can be a frightening experience. A fluctuating mental status is important to identify because it often signals a need for additional treatment. The Confusion Assessment Method (CAM) diagnostic algorithm enables nurses to assess for delirium by identifying the four features of the disorder that distinguish it from other forms of cognitive impairment. It can be completed in five minutes and is easily incorporated into ongoing assessments of hospitalized patients. (This screening tool is included in the series Try This: Best Practices in Nursing Care to Older Adults, from the Hartford Institute for Geriatric Nursing at New York University's College of Nursing.) For a free online video demonstrating the use of this tool, go to http://links.lww.com/A209.
Division of Geriatric Medicine, Hartford Hospital, Hartford, CT, USA. cwaszyn@harthosp.org
Christine M
CM
Waszynski
D000465:Algorithms; D000701:Analgesics, Opioid / Q000009:adverse effects*; D001308:Auditory Perceptual Disorders; D003221:Confusion; D003693:Delirium / Q000139:chemically induced / Q000175:diagnosis* / Q000451:nursing; D006801:Humans; D004091:Hydromorphone / Q000009:adverse effects*; D008297:Male; D008721:Methocarbamol / Q000009:adverse effects*; D009125:Muscle Relaxants, Central / Q000009:adverse effects; D011595:Psychomotor Agitation; D015203:Reproducibility of Results
D000701:Analgesics, Opioid; D009125:Muscle Relaxants, Central; D008721:Methocarbamol; D004091:Hydromorphone