Going Down Time…Deeper Still by John Overdurf
DESCRIPTION
Overview:
Life-threatening causes of AMS: Preparing for intervention
Airway problems leading to symptoms of hypoxia and CNS
Comprehensive disability assessment: GCS or AVPU
Quick toe evaluation
Find a cause that can be fixed quickly
History and body … Ask the right questions
Diagnostic workup
Coma and change in consciousness: brainstem and cerebral hemisphere
A predictive model of risk of delirium in hospitalized elderly patients
Intensive Care Delirium Scan Checklist
Confusion evaluation method
AACN Practice Alert
Breakdown: delirium, dementia, psychosis
Common conditions that cause delirium
Drugs-adverse effects and interactions
Central agency
Sedative hypnotic
Anticonvulsant
Painkiller
GI agent
Antiemetic
Antibiotics
Psychotropic drugs
Heart medicine
OTC meds
steroid
Drug-withdrawal syndrome
UTI
pneumonia
Electrolyte disorder
Endocrine crisis: hyperthyroidism, hypothyroidism, adrenal gland, diabetes, Wilson disease
Korsakov syndrome
Temporary global amnesia
Stirring pain
10 life-threatening conditions that cause delirium
Hypoxia
Hypoglycemia
Encephalopathy: hypertension and Wernig
Drug overdose
Acute nerve: meningitis, SAH and stroke
CNS trauma
Sepsis
Delirium: Remember these possibilities.
Patients with delirium associated with structural changes
Subdural hematoma
Brain tumor
Normal pressure hydrocephalus
stroke
Infectious Diseases and Sepsis: Time Bomb
Don’t Miss: Meningitis, Encephalitis
Psychosis: To Madness
Major depressive disorder
PHQ-9 screening device
Postpartum depression
bipolar
schizophrenia
schizophrenia
Delusion, illusion, hallucination
Positive and negative clinical manifestations
Pharmacology and other treatments
Personality disorder
schizophrenia
Global amnesia cases
Dementia: Work up
history
Mini mental
Sweet 16 cognitive assessment tool
Radiation diagnosis workup
Delirium and dementia
Alzheimer precision inspection
Levy body
Chronic traumatic encephalopathy
Intervention for common problems
Amnesia and confusion
Decrease in concentration
Hallucination
agitation
Sleeping disorder
Cannot run ADL
Expanding the Care Window: Current Research
Explanation:
Diagnostic challenges: possible involvement of one or more physical systems
Eliminate life-saving interventions to prevent or treat delirium
Head to the toe and diagnostic workup to identify the cause
Find out the latest EBP for treating dementia
Beware of common illnesses and drugs that cause AMS
How about a delirium patient with psychosis?
Watch out for healthcare professionals! You play an important role in identifying and helping resolve problems that affect patients with altered mental status. A patient who treats a change in mental status may be the life you save.
Delirium … Dementia … Psychosis
When faced with a patient whose mental status has changed, you may have realized what you were saying “what is going on”. It’s time to stop, listen, see, and act. In this seminar, you will analyze your altered mental status (AMS) to identify problems and guide you through problem solving. AMS research is like a combination of med-surg and neuropsychiatry courses, because all physical systems need to be examined when assessing potential causes of AMS.
Patients show changes in mental status in different situations every day …. ED, ICU, medical / surgery, geriatrics, psychiatry, rehabilitation, long-term care. The list continues! Connecting dots to identify problems can save a patient’s life. Provide new assessment tools and strategies to change the course of patients experiencing changes in mental status.
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Course Features
- Lectures 0
- Quizzes 0
- Duration Lifetime access
- Skill level All levels
- Language English
- Students 150
- Assessments Yes
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