Screening for Delirium, Dementia and Depression in Older Adults
Screening for Delirium, Dementia and Depression in Older Adults
Screening for Delirium, Dementia and Depression in Older Adults
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<strong>Screen<strong>in</strong>g</strong> <strong>for</strong> <strong>Delirium</strong>, <strong>Dementia</strong> <strong>and</strong> <strong>Depression</strong> <strong>in</strong> <strong>Older</strong> <strong>Adults</strong>Altered sleep-wake cycle9. Did the client have evidence of disturbance of the sleep-wake cycle, such as excessivedaytime sleep<strong>in</strong>ess with <strong>in</strong>somnia at night?SCORINGTo have a positive CAM result, the client must have:1. Presence of acute onset <strong>and</strong> fluctuat<strong>in</strong>g course74AND2. InattentionAND EITHER3. Disorganized th<strong>in</strong>k<strong>in</strong>gOR4. Altered level of consciousnessRepr<strong>in</strong>ted with permission.Inouye, S. K., van Dyck, C. H., Alessi, C. A., Balk<strong>in</strong>, S., Siegal, A. P., & Horwitz, R. I. (1990). Clarify<strong>in</strong>g confusion:The confusion assessment method. A new method <strong>for</strong> detection of delirium. Annals of Internal Medic<strong>in</strong>e, 113(12), 941-948.
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