Every once in a while, I scan over Dr. Roger Kathol’s web site in order to get inspiration, Cartesian Solutions – Home Page. Roger is one of my former teachers when I was a resident psychiatrist and I always enjoy seeing him at the annual Academy of Psychosomatic Medicine meetings. His vision for complexity-based integrated […]
If the CAM-ICU and Other Delirium Screeners are Insensitive and Impractical, What are the Implications of the Neufeld Study?
Those of you who read my blog from 3/27/2011 are now aware of the newly published study that tends to cast doubt on the sensitivity of the Confusion Assessment Method-Intensive Care Unit (CAM-ICU) in identifying delirium in non-critically ill patients. The CAM-ICU is a popular choice for nurses to use in screening for delirium, largely […]
I just received my copy of the latest issue of Psychosomatics and noticed an article about the evaluation of two delirium screening tools for use by nurses, the Confusion Assessment Method-Intensive Care Unit (CAM-ICU) and the Intensive Care Delirium Screening Checklist (ICDSC). The conclusion has implications for our delirium prevention program: This study suggests that […]
There are a couple of questions on a proposed survey from one of our delirium prevention committee members for nurses about delirium that raise eyebrows: “The regular use of a brief, nurse-administered screening tool for delirium would help physicians better care for patients.” “When delirium is identified in patient, physicians often…. (check all that apply) […]
One of the frequently cited major risk factors for delirium cited in delirium treatment and prevention guidelines is “severe medical illness”. A member of our committed did some digging into the origin of this in the medical literature. It turns out that validated rating scales outside of ICU populations are a little difficult to find. […]