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The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R).
The 4AT has the most published diagnostic test accuracy data of any delirium tool, with 31 published studies involving >6000 patients. [5] It has been evaluated in multiple areas of practice including in the emergency department (ED), medical, surgical, community and palliative care settings.
The diagnosis of hepatic encephalopathy is a clinical one, once other causes for confusion or coma have been excluded; no test fully diagnoses or excludes it. Serum ammonia levels are elevated in 90% of people, but not all hyperammonaemia (high ammonia levels in the blood) is associated with encephalopathy.
Nursing diagnoses foster the nurse's independent practice (e.g., patient comfort or relief) compared to dependent interventions driven by physician's orders (e.g., medication administration). [1] Nursing diagnoses are developed based on data obtained during the nursing assessment. A problem-based nursing diagnosis presents a problem response ...
Delirium occurs in 11–51% of older adults after surgery, in 81% of those in the ICU, and in 20–22% of individuals in nursing homes or post-acute care settings. [3] Among those requiring critical care, delirium is a risk factor for death within the next year. [3] [13]
Delirium tremens was also given an alternate medical definition since at least the 1840s, being known as mania a potu, which translates to 'mania from drink'. [28] The Belgian beer "Delirium Tremens," introduced in 1988, is a direct reference and also uses a pink elephant as its logo to highlight one of the symptoms of delirium tremens. [29] [30]
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delirium tremens: D/T: due to DTA: descending thoracic aorta: DTaP: diphtheria–tetanus–acellular pertussis (combined vaccination) DTP: diphtheria-tetanus-pertussis (combined vaccination) DTR: deep tendon reflex: DTs: delirium tremens: DU: duodenal ulcer (see peptic ulcer) DUB: dysfunctional uterine bleeding: DVT: deep vein thrombosis: D/W ...