[Download Now] Altered Mental Status: Connecting the Dots of Delirium, Dementia and Psychosis – Joyce Campbell

There is a sale page on thepesi.com.

The archive can be found at https://archive.fo.tmjtP.

• Diagnostic challenges: Potential for involvement of one or more body systems
• Take away life-saving interventions to prevent or treat delirium
• Head to toe and diagnostic workup to identify cause
• Find out the latest EBP for treating dementia
• Be alert for common diseases and drugs causing AMS
• What about the mentally ill patient with delirium?

Health care professionals! You help with the resolution of problems affecting patients with altered mental status. If you treat a patient with altered mental status, you may save their life.

Dementia… Psychosis… Delirium…

You have probably caught yourself saying, What is going on? when facing a patient with altered mental status. It’s time to stop, listen, look and act. The seminar looks at altered mental status to identify the problem and lead the way to problem resolution. One must look at all body systems when evaluating potential causes of AMS, as taking a combination med-surg and neuroscience course is similar to the study of AMS.

Patients with altered mental status are present in a variety of settings. The list goes on. Identifying the problem may save a patient’s life. You will leave with new assessment tools and strategies to alter the course for your patient.

1. Recognize the “red flags” indicating potentially fatal outcomes.
2. Explain interventions to rapidly reverse the causes of AMS.
3. Differentiate between delirium, dementia and psychosis.
4. Identify the underlying causes of AMS.
5. Select between new tools for assessment and evaluation.
6. List the best diagnostic options to differentiate among possible causes.
7. Develop a treatment plan for the most common causes of AMS.
8. Analyze practice guidelines for prevention and management of pain, agitation and delirium.

Prepare to Intervene life threatening causes of AMS.

• Airway problems leading to hypoxia and CNS symptoms
• Gross assessment of disability: GCS or AVPU
• Rapid head to toe assessment
• Look for rapidly fixable causes
• History and physical… Asking the right questions
• Diagnostic work-up
• Coma and altered level of consciousness: Brain stem and cerebral hemispheres
• Predictive model for the risk of delirium in hospitalized older patients
• Intensive care delirium scanning checklist
• Confusion Assessment Method
• AACN Practice Alert
• Break down: Delirium, dementia and psychosis

Delirium can be caused by common conditions.

• Medications – Adverse effects and interactions
  • Central acting agents
  • Sedative hypnotics
  • Anticonvulsants
  • Analgesics
  • GI agents
  • Antinauseants
  • Antibiotics
  • Psychotropic meds
  • Cardiac meds
  • OTC meds
  • Steroids

• Medications – withdrawal syndromes
• UTI
• Pneumonia
• Electrolyte disorders
• Endocrine crisis: Hyper/hypothyroid, adrenal, diabetic, Wilson’s disease
• Korsakoff syndrome
• Transient global amnesia
• Pain agitation

There are 10 life threatening conditions.

• Hypoxia
• Hypoglycemia
• Encephalopathy: Hypertensive and Werniche’s
• Drug overdose
• Acute neuro: Meningitis, SAH and seizures
• CNS trauma
• Sepsis

Delirium: Don’t forget the possibilities.

• The patient with delirium related to structural changes
• Subdural hematoma
• Brain tumor
• Normal pressure hydrocephalus
• Stroke
• Infectious disease and SEPSIS: The ticking time bomb
• Not to be missed: Meningitis, encephalitis

Psychosis: Into Madness.

• Major depressive disorder
• PHQ-9 screening instrument
• Post-partum depression
• Bipolar
• Schizophrenia
• Schizoaffective
• Delusions, illusions, hallucinations
• Positive and negative clinical manifestations
• Pharmacology and other treatments
• Personality Disorders
• Schizotypal Disorder
• A case of global amnesia

The work-up of dementia.

• History
• Mini mental
• Sweet 16 Cognitive assessment tool
• Radiological diagnostic work-up
• Delirium plus dementia
• Alzheimer work-up
• Lewy body
• Chronic traumatic encephalopathy

There are interventions for the common problems.

• Memory loss and confusion
• Reduced concentration
• Hallucinations
• Agitation
• Sleep disturbance
• Inability to carry out ADLs

Current research on expanding the window of care.

Altered Mental Status: connecting the Dots of Delirium, Dementia and Psychosis is a review. Altered Mental Status: connecting the Dots of Delirium, Dementia and Psychosis is a Joyce Campbell download. Altered Mental Status: connecting the Dots of Delirium, Dementia and Psychosis has a discount.