The 7th Meeting of the Delirium Project: Choosing a Delirium Screening Scale!

I invited John, one of our neuropsychologists, to our meeting on April 27, 2011. His task was to explain the role of neuropsychological tests such as subtests from the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). As you well know, if you read my blog, my hobby-horse has been the innovative strategy suggested by Beglinger et al about adding RBANS subtests […]

Delirium Screening Scales Pounding Down the Home Stretch: The Delirium Observation Screening Scale and the Nursing Delirium Screening Scale Nose to Nose?

Today I’ve got an ambitious post because our Delirium Early Detection and Prevention Project committee has an ambitious project. Ever since the Neufeld Study, we’ve been scrambling to come up with an acceptable replacement for the Confusion Assessment Method-Intensive Care Unit (CAM-ICU) screen we were planning to use on our proposed general medical unit pilot […]

Delirium Recognition and Management Video and Commentary

Geriatric Nursing Resources for Care of Older Adults :: Videos#player_container. Delirium: The under-recognized medical emergency from Hartford Institute – NYU on Vimeo. This is an excellent video about delirium. It’s about an hour long so adjust your schedule accordingly. It describes the use of the Confusion Assessment Method (CAM). Just because I’m posting this video on […]

The 6th Meeting of the Delirium Prevention Project and the Saga of the Delirium Screening Scale Poll Continues—Vote Before it Changes Again!

I declare the delirium screening scale poll has gone through more changes than I can shake a stick at. First there was a write-in candidate for, of all things, the Single Question in Delirium (SQiD)! This is essentially a succinct form of gathering collateral information from a family member (or perhaps a nurse) and is […]

Out in the Weeds in Delirium Early Detection and Prevention: Part II

The goal is to detect delirium early and prevent it. What’s the best way to do that? Certainly we’d want to remember the risk factors for delirium, although the worst are unmodifiable and include age 65 and over and pre-existing cognitive impairment. The main multicomponent non-pharmacologic strategies, adapted from Inouye’s Hospital Elder Life Program (HELP) […]