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CAM ICU Worksheet
Feature 1: Acute Onset or Fluctuating Course
Is the pt different from his/her baseline mental status?
OR
Has the patient had any fluctuation in mental status in the past 24 hours
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How to fill out cam-icu worksheet

How to fill out the CAM-ICU worksheet:
01
First, gather all necessary information and materials. This may include the patient's medical history, current medications, vital signs, and any relevant test results.
02
Start by filling out the patient's basic demographic information on the worksheet. This typically includes their name, age, gender, and date of admission.
03
Continue by documenting the patient's level of consciousness or sedation. Use the provided assessment tool to determine if the patient is alert, responsive to voice, responsive to physical stimulus, or unresponsive.
04
Assess the patient for any acute onset or fluctuating changes in mental status. Look for signs of sudden confusion, disorientation, or fluctuations in attention.
05
Evaluate the patient for any inattention. This can be determined by asking the patient to perform tasks such as repeating a series of numbers or identifying and pointing to specific objects.
06
Check for any disorganized thinking by asking the patient to describe a simple object or to follow a set of instructions.
07
Assess the patient for any altered level of consciousness or awareness. This can include signs of hyperactivity or hypoactivity.
08
Finally, document any additional clinical features that may suggest delirium, such as sleep disturbances, hallucinations, or psychomotor agitation.
Who needs the CAM-ICU worksheet:
01
Healthcare professionals who work in an intensive care unit (ICU) setting may need to use the CAM-ICU worksheet. This includes doctors, nurses, and other healthcare providers involved in the care of critically ill patients.
02
The CAM-ICU worksheet is particularly useful for assessing patients who are at a higher risk of developing delirium, such as those on mechanical ventilation, those with sepsis or other systemic infections, or those with multiple comorbidities.
03
The worksheet can also be utilized by researchers or quality improvement teams who are studying or monitoring delirium prevalence and outcomes in the ICU.
In conclusion, the CAM-ICU worksheet is a valuable tool for assessing and monitoring delirium in critically ill patients. By following the step-by-step process of filling out the worksheet and understanding who may benefit from its use, healthcare professionals can better detect and manage delirium in the ICU setting.
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