3D-CAM Assessment for Delirium Feature 1: Acute Change / Fluctuating Course • Assessment questions: Self report of confusion OR disorientation OR hallucinations • Observed fluctuations in: consciousness OR attention OR speech Feature 2: Inattention • Assessment questions incorrect: Digit Span 3 backwards OR 4 backwards OR days of week backwards OR months of year backwards • Observed: Trouble keeping track of interview or inappropriately distracted Feature 3: Disorganized Thinking • Assessment questions incorrect: Orientation to year, day of week, type of place • Observed: Flow of ideas unclear/illogical, conversation rambling/off target or abnormally sparse Feature 4: Altered Level of Consciousness • Observed: Patient sleepy, stuporous, comatose and/or hypervigilant #3DCAM #Confusion #Assessment #Method #Delirium #diagnosis
