Scribd
Upload
26 views2 pages

Delirium Notes

Frailty is characterized by an increased number of deficits, making individuals more vulnerable to adverse health outcomes, and necessitating a different model of care. The Clinical Frailty Scale (CFS) helps assess a patient's level of function, while the 4AT screening test identifies delirium and cognitive impairment. Comprehensive Geriatric Assessment evaluates multiple aspects of an elderly patient's health, including cognitive and functional status, comorbidities, and social support.

Uploaded by

--
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
26 views2 pages

Delirium Notes

Frailty is characterized by an increased number of deficits, making individuals more vulnerable to adverse health outcomes, and necessitating a different model of care. The Clinical Frailty Scale (CFS) helps assess a patient's level of function, while the 4AT screening test identifies delirium and cognitive impairment. Comprehensive Geriatric Assessment evaluates multiple aspects of an elderly patient's health, including cognitive and functional status, comorbidities, and social support.

Uploaded by

--
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd

What is frailty

-increased number of deficits


-more vulnerable to adverses health outcome (functional decline and mortality)
-poor resolution of homeostasis events
-loss of reserve
-will require a different model of care

Clinical Frailty scale


-scale frailty
-quick and easy
-communicate their level of function

Score of 3- Independent
5- walking assistance, shelp cooking
7- need help with most things- meds, out of bed,

Mobility
5- walking aid, help 2 people and ZF and into chair

Comprehensive Geriatric Assessment


-delirium prevention and management
-CFS- assess risk

4AT-
Screening test for delirium and cognitive impairment

-alert, attentive, fluctuating state of consciousnessness and 4AMT


-AMT -age, DOB, current place and current year
-attentive- state months of the year backwards starting from December

Score of 0- unlikely cognitive impairment or delirium


Score of 1-3- possible cognitive impairmen
Score of 4 and above- likely delirium - increases rate of death 3

7- answer AMT4 wrong, degree of attention, but fluctuating acute change in


consciousness

Delirium mnenonics
-unrecognises pain

PINCH ME

Pain
Infection
Nutrition
Constipation
Hydration

Medications
Environment or electrolyte abnormalities

3 key assessments of an elderly patient


NEWS2
Clinical Frailty Score- screen for function
4AT -screen for brain

Reflections why we need a clinical frailty score?


1. Baseline function to help with goals of needs
2. Highlights that high CFS= higher risk of mortality
3. A more frail patient is likely to have greater physical health adverse outcome
from a samll insult of illness
4. Note that can have atypical and multiple medical problems in a frail patient
5. Need a comprehensive geriatric assessment

Comprehensive Geriatric Assessment


1. Cognitive status
2. Functional status
3. Comorbidity
4. Nutrition
5. Mood
6. Drug usage
7. Environment
8. Social/family support

You might also like