Confusion Assessment Method (CAM)

Confusion Assessment Method (CAM)

Confusion Assessment Method (CAM) Purpose: Provide initial and ongoing screening of patients for identification of signs and symptoms of delirium. Initiate interventions based on CAM screening and symptoms presented. When is CAM tool used? All

patients age 65 and older Q shift Any patient with onset of acute confusion. CAM Screening Components: CAM screens for the presence of four

clinical features of delirium (does not identify severity) Acute onset and Fluctuating Course Inattention

Disorganized Thinking Altered Level of Consciousness Acute Onset and Fluctuating Course Is there evidence of an acute change in mental status? Worsening memory, language impairments, disorientation, perceptual

disturbances usually over hours to days? May require information from family member, caretaker, or nurse who is familiar with patients baseline. Did the abnormal behavior come and go or increase or decrease in severity? Inattention Did patient have difficulty focusing

attention, for example being easily distractible, or having difficulty keeping track of what was being said? Symptoms of Inattention: Must frequently repeat questions because attention wanders- not due to hearing loss. Unable to gain pt attention or make prolonged eye contact. Pt may look at you for a moment and stare off into space; does not respond to your questions.

Disorganized Thinking Was the patients thinking disorganized or incoherent, such as rambling or irrelevant conversations, unclear or illogical flow of ideas, or unpredictable switching from subject to subject? Example: You ask patient if they are having any pain and the patient states that he needs to go to the mailbox to pick up his mail.

Altered Level of Consciousness: Alert (normal) Vigilant (hyperalert) Lethargic (drowsy, easily aroused)

Stupor (difficult to arouse) Coma (unarousable) A positive screen for Delirium includes: Scoring: 1 + 2 + 3 plus either 4 and/or 5 1. Acute Onset plus 2. Fluctuating Course plus 3. Inattention plus Either 4. Disorganizing Thinking and/or

5. Altered Level of consciousness Interventions: Interventions for patients who have delirium are very simple, basic, geriatric nursing practices. May be used proactively for any patients who are at risk for becoming confused. Sleep CAM Interventions Enhancement

-adhere to schedule Activity: -no wake at night -Chair for meals -avoid day naps -Dangle legs -reduce noise -Ambulate 3x day -avoid sedatives -ROM 2X/Day -Warm milk -D/C tethers,

-no caffeine -Avoid restraints -relaxing music -Tasks -message hand/foot -essentials oils : CAM Interventions: Cognitive impairment/disorientation:

Keep day/night orientation (window shades open) Clock/calendar in room Reorient often to person/place/time Therapeutic activities/communication Facilitate visits from friends/family Consistent staff members Avoid transferring rooms/units CAM Interventions: Visual and Hearing:

Glasses worn or other visual aid Hearing aid or pocket talker Specialty phone PATIENT AND FAMILY EDUCATION DOCUMENT Document Found InfoNet: Krames on Demand: Custom Documents Delirium

n Patient and Family Educatio Questions, contact: Nora McPherson, RN, GCNS-BC Jill Tusing MS, RN-BC

Recently Viewed Presentations

  • Présentation PowerPoint - UOttawa Education

    Présentation PowerPoint - UOttawa Education

    • Corporate uOttawa footer including the grey/steel blue stripe and logo, with the exception of the URL which can be customized to a specific URL by following these simple steps: On the PowerPoint View tab, in the Master Views group,...
  • Snímek 1 - gyza.cz

    Snímek 1 - gyza.cz

    Student objasní východiska pro názorové změny mezi sókratovským a posókratovským obdobím antické filozofie. Charakterizuje názory stoiků, vyjmenuje jejich nejvýznamnější představitele, dokáže vysvětlit pojmy ataraxie, apathea.
  • Go and Tell the Story! - ABWE

    Go and Tell the Story! - ABWE

    Come along and we'll sing a song about God's Big Story. ... Go and Tell the Story! Words: Gil Thomas; Jim Ruff. Music: Gil Thomas and Seth Mitchell ... Let loud hosannas ring to the King. Everybody . sing to...
  • Metodo circuitale: componenti e leggi di Kirchhoff

    Metodo circuitale: componenti e leggi di Kirchhoff

    Metodo circuitale: componenti e leggi di Kirchhoff Capitolo 1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *...
  • CCS Research Institute

    CCS Research Institute

    Peter Mortimer. Dan Osborn. Alan Pittman . J. Lakshmi Ratnam. Laura Southgate. Kate Tatton-Brown . J. Author: Juan Carlos Kaski Created Date: 10/21/2013 12:49:54 Title: CCS Research Institute Last modified by: Dorothy Bennett Company:
  • Electron Spin Resonance Spectroscopy ESR Spectroscopy  Electron Spin

    Electron Spin Resonance Spectroscopy ESR Spectroscopy Electron Spin

    The splitting patterns are named similar to those in NMR: 2 lines = doublet 3 lines = triplet 4 lines = quartet 5 lines = quintet 6 lines = sextet 7 lines = septet An example of this can be...
  • SAT Vocabulary List - Worth County School District

    SAT Vocabulary List - Worth County School District

    ) extremely hungry; filled with hunger that cannot be satisfied . 22. scuttle (v) to sink a ship by creating a hole or holes in the ship beneath the water line; also to destroy or wreck . 23. thearchy (n)...
  • Evaluation of TB project

    Evaluation of TB project

    Written by Shelley Monk and Sophie Shipp, teachers at St.Ivo School, Cambridgeshire This involved one group of 30 Year 9 students. All students had 4 preparation lessons culminating in the mock world health summit (7/12/07) Students completed an evaluation sheet...