Up to 40% of delirium cases are ____.
What is preventable?
True of False: Delirium's hallmark symptoms are changes in attention and word salad.
What is False.
Changes in attention and awareness are the hallmark symptoms of delirium.
This type of cognitive change is caused by long-term degeneration of brain tissue.
What is Dementia?
This tool measures delirium severity.
What is the Delirium Severity Scale?
______ is one thing that can increase risk for delirium in older patients.
What is surgery/anesthesia, sedatives, psychoactive meds, dementia, vision impairment, advanced age, alcohol use, polypharmacy, use of restraints.
Delirium goes unrecognized by clinicians ____% of the time.
A. 40% B. 50% C. 70% D. 90%
What is 70%?
True or False: Delirium typically develops over a period of months to years.
Delirium develops over hours to a few days.
This type of cognitive change is caused by a medical condition, drugs/medications, or other combination of acute causes.
What is Delirium?
What is the Confusion Assessment Method?
True or false: There is no definitive laboratory test for delirium.
What is True?
This progressive condition increases the risk for delirium on hospital admission by 2-5 times.
What is Dementia?
Other than acute illness and infection, this is another common cause of delirium.
Mrs. Jones, 81, presents to her annual check-up. Her family has not noticed acute changes in her condition. Her MoCA last year was 16, and this year it is 14 (both moderately impaired). Her primary diagnosis is _______.
What is Dementia.
This is a tool that can be completed by informal caregivers and can alert them to the presence of delirium.
What does the acronym HELP stand for in relation to delirium?
Hospital Elder Life Program
Delirium contributes to up to $164 Billion in extra medical costs, increased usage of rehab and home health services, and higher rates of ________.
What is Institutionalization?
What is the History.
Mr. Smith has MCI (mild cognitive impairment) with a baseline MoCA score of 23 one month ago. Today he presented to the ED for erratic behavior, and his MoCA score is 8. What is the most likely to be diagnosed with?
What is Delirium?
This assessment tool has been adapted for multiple settings including ICU, emergency departments, and nursing homes.
What is the Confusion Assessment Method?
True or False: People with delirium should lay in bed until they recover.
What is False?
What is 6-month mortality
True or False: To diagnose delirium, there must be evidence from the history, exam, or lab work that connects the disturbance to another medical condition, substance, toxin, or multiple other etiologies.
What is True.
Delirium is always caused by something else.
Mr. Cook resides in a memory care unit. Yesterday, he began hallucinating, striking caregivers, and by evening settled into a stupor with impaired communication. His MoCA last year was 3 (severely impaired). Which diagnoses are most appropriate?
What is Dementia and Delirium?
What is 12?
A delirious patient may benefit from which therapeutic techniques?
What is reorientation, activity, mobilization, medication reductions, adequate sleep, adequate nutrition/hydration,