Definitions
Exclusions
Levels of Delirium
Potpourri
What Feature is This?
100
Confusion Assessment Method
What is CAM?
100
The patient is RASS -4 or -5
What is the reason for not doing the CAM?
100
The patient has had an organic mental decline for many years and is not aware of her surroundings.
What is dementia?
100
I do the CAM; I must assess this before I rate the CAM.
When do I do the RASS score?
100
The patient has the same baseline mental state for 24hrs.
What is Feature 1?
200
Richmond Agitation Scale
What is RASS
200
Language barrier
What is not a contraindication to performing the CAM?
200
The patient is quiet and cooperative, but answers yes to all questions.
What is Hypoactive delirium?
200
With every change in caregiver & if I think the patient is different I must do this.
What is the frequency of doing the CAM scale?
200
The patient doesn't raise his fingers appropriately to the letter 'A'
What is Feature 2?
300
Every change in caregiver
What is the frequency of performing CAM assessment?
300
Neuromuscular blockades
What is the group of medications that contraindicates using the CAM scale?
300
The patient is agitated, does not answer questions appropriately and cannot follow directions
What is Hyperactive Delirium?
300
I don't do this because my patient has known dementia.
What is the reason for not doing the CAM score?
300
This feature determines if I need to do the CAM
What is Feature 3?
400
To assess for level of delirium
What is the rationale for doing a CAM Assessment?
400
The patient is on the Arctic Sun (ice machine)
What is the mechanical reason for not doing the CAM?
400
Staff are more receptive to hypoactive vs. hyperactive delirium.
What is the sign of a worsening prognosis?
400
My patient is sleeping so I don't awaken for an assessment.
What is a false reason for not doing the CAM?
400
I only need to do this feature if the patient is RASS 0
What is Feature 4?
500
Change in level of consciousness from baseline in the past 24 hours
What is Delirium?
500
Patient is DNR and CAM is not applicable.
What is end of life?
500
Patient is RASS 0 and answers Feature 1appropriately
What is this level?
500
This CAM has been researched and tested at Vanderbilt.
What is a validated tool?
500
My patient is on a neuromuscular blockade
What is Not Applicable?