SCREENING TOOLS:
SOCIO-DEMOGRAPHIC SHEET:
Patient’s socio-demographic data will contain identification data (name, age, sex, address, contact no) and socio-economic data (occupation, marital status). It will be collected in the case record form (Appendix 1) by simple questionnaires.
CLINICAL DATA SHEET:
Patient’s clinical details will be recorded in case record form (Appendix 1) in respect to clinical examination details, laboratory investigation reports (hematological, biochemical and radiological data) and treatment details. This data will be collected from the patient’s clinical records and treatment chart.
RASS:
Level of consciousness was assessed with the use of the Richmond Agitation-Sedation Scale (RASS), on which scores range …show more content…
6 RASS score between: +1 and +4, hyperactive delirium; 0 and -3, hypoactive delirium; with both positive and negative scores at 0 and 3 hours, mixed type. 6
CAM-ICU:
The CAM-ICU (Appendix 2) is a rapid, structured screening tool, a modified version of the CAM for use in ICU patients (e.g. critically ill patients on or off the mechanical ventilation). 4, 26 It was specifically developed for use in non-verbal (i.e. mechanically ventilated) patients. 22
Feature 1: Acute change or fluctuating course of mental status
And
Feature 2: …show more content…
It consists of 11 items which requires 5-10 minutes for administering upon patients. Tested items include orientation, registration (repetition), attention and calculation (serial events), recall, language (object naming, repetition, comprehension, reading and writing, a three-step item, and a graphic copy of a geometric design). The maximum score is 30 points. Several studies suggested that patient scoring below 24 is cognitively impaired. Even some studies have shown that patient with clinically diagnosed delirium will have MMSE scores 15 or a total score of >18 is indicative of delirium; higher scores indicate higher severity of delirium. 22, 28-29 The DRS-R-98 total score distinguishes delirium from dementia, schizophrenia, depression, and other medical illness during blind rating, with sensitivity ranging from 91% to 100%, and specificity ranging from 85% to 100%, depending upon the cut-off score chosen. 22,
SOCIO-DEMOGRAPHIC SHEET:
Patient’s socio-demographic data will contain identification data (name, age, sex, address, contact no) and socio-economic data (occupation, marital status). It will be collected in the case record form (Appendix 1) by simple questionnaires.
CLINICAL DATA SHEET:
Patient’s clinical details will be recorded in case record form (Appendix 1) in respect to clinical examination details, laboratory investigation reports (hematological, biochemical and radiological data) and treatment details. This data will be collected from the patient’s clinical records and treatment chart.
RASS:
Level of consciousness was assessed with the use of the Richmond Agitation-Sedation Scale (RASS), on which scores range …show more content…
6 RASS score between: +1 and +4, hyperactive delirium; 0 and -3, hypoactive delirium; with both positive and negative scores at 0 and 3 hours, mixed type. 6
CAM-ICU:
The CAM-ICU (Appendix 2) is a rapid, structured screening tool, a modified version of the CAM for use in ICU patients (e.g. critically ill patients on or off the mechanical ventilation). 4, 26 It was specifically developed for use in non-verbal (i.e. mechanically ventilated) patients. 22
Feature 1: Acute change or fluctuating course of mental status
And
Feature 2: …show more content…
It consists of 11 items which requires 5-10 minutes for administering upon patients. Tested items include orientation, registration (repetition), attention and calculation (serial events), recall, language (object naming, repetition, comprehension, reading and writing, a three-step item, and a graphic copy of a geometric design). The maximum score is 30 points. Several studies suggested that patient scoring below 24 is cognitively impaired. Even some studies have shown that patient with clinically diagnosed delirium will have MMSE scores 15 or a total score of >18 is indicative of delirium; higher scores indicate higher severity of delirium. 22, 28-29 The DRS-R-98 total score distinguishes delirium from dementia, schizophrenia, depression, and other medical illness during blind rating, with sensitivity ranging from 91% to 100%, and specificity ranging from 85% to 100%, depending upon the cut-off score chosen. 22,