Examinations

Question 1

What are the assessments for Delirium?

Answer 1

CAM

4AT

Question 2

What is involved in the CAM?

Answer 2

Patient must have - acute onset and fluctuating course, with inattention (either formally or informally measured), as well as one of - disorganised thinking and altered level of consciousness

Question 3

What is involved in the 4AT?

Answer 3

Acute onset and fluctuating course
Inattention
AMT-4 questions: Name, DOB, Birthplace, current year
Alertness

Question 4

What contributes to falls in the age-related category?

Answer 4

Reduced visual acuity and contrast senstivity
Reduced reaction time - hands and feet
Reduced vestibular function - increased dependence on visual fields
Reduced peripheral sensation - vibration, proprioception
Reduced muscle force

Question 5

What should you do in someone whom you suspect is at risk of malnutrition?

Answer 5

MUST score

Acute disease effect score - is this person at risk of malnutrition because of their disease?
Weight loss score
BMI score