3D-CAM Assessment for Delirium



Feature 1: Acute Change / Fluctuating Course

 • Assessment questions: Self report of confusion OR disorientation OR hallucinations

 • Observed fluctuations in: consciousness OR attention OR speech

Feature 2: Inattention

 • Assessment questions incorrect: Digit Span 3 backwards OR 4 backwards OR days of week backwards OR months of year backwards

 • Observed: Trouble keeping track of interview or inappropriately distracted

Feature 3: Disorganized Thinking

 • Assessment questions incorrect: Orientation to year, day of week, type of place

 • Observed: Flow of ideas unclear/illogical, conversation rambling/off target or abnormally sparse

Feature 4: Altered Level of Consciousness

 • Observed: Patient sleepy, stuporous, comatose and/or hypervigilant



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