Waszynski Christine M
Division of Geriatric Medicine, Hartford Hospital, Hartford, CT, USA.
Am J Nurs. 2007 Dec;107(12):50-9; quiz 59-60. doi: 10.1097/01.NAJ.0000301029.87489.35.
For patients and their loved ones, delirium can be a frightening experience. A fluctuating mental status is important to identify because it often signals a need for additional treatment. The Confusion Assessment Method (CAM) diagnostic algorithm enables nurses to assess for delirium by identifying the four features of the disorder that distinguish it from other forms of cognitive impairment. It can be completed in five minutes and is easily incorporated into ongoing assessments of hospitalized patients. (This screening tool is included in the series Try This: Best Practices in Nursing Care to Older Adults, from the Hartford Institute for Geriatric Nursing at New York University's College of Nursing.) For a free online video demonstrating the use of this tool, go to http://links.lww.com/A209.
对于患者及其亲人来说,谵妄可能是一段可怕的经历。识别精神状态波动很重要,因为这通常表明需要额外的治疗。谵妄评估方法(CAM)诊断算法使护士能够通过识别该病症区别于其他形式认知障碍的四个特征来评估谵妄。该评估可在五分钟内完成,并且很容易纳入对住院患者的持续评估中。(此筛查工具包含在纽约大学护理学院哈特福德老年护理研究所的《试试这个:老年护理最佳实践》系列中。)如需观看演示该工具使用方法的免费在线视频,请访问http://links.lww.com/A209。