Joyce Campbell – Altered Mental Status: Connecting the Dots of Delirium, Dementia and Psychosis
Joyce Campbell – Altered Mental Status: Connecting the Dots of Delirium, Dementia and Psychosis
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Description
- Faculty:
- Joyce Campbell
- Duration:
- 6 Hours 12 Minutes
- Format:
- Audio and Video
- Copyright:
- Oct 11, 2017
Description
Outline
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.
Faculty
Joyce Campbell, MSN, CCRN, SCRN, FNP-BC Related seminars and products: 4
Joyce Campbell is an FNP-BC. She has been in the nursing field for 35 years. She taught neuroscience nursing for over 25 years in an associate degree program. She has been employed by the Comprehensive Health System in Tennessee for 30 years. She is a nurse at Erlanger and has many roles. She provides stroke education to staff and patients. A leading-edge stroke care facility is housed at the Erlanger Southeast Regional Stroke Center.
Joyce is able to experience the latest innovative strategies for extending the window of treatment for stroke patients through her work at Erlanger. She has degrees from East Tennessee State University, the University of Tennessee at Knoxville, and the University of Alabama at Birmingham. Joyce is a member of several organizations, including the American Association of Critical Care Nurses, the American Association of Neuroscience Nurses, the American Association of Nurse Practitioners, and the Chattanooga Association of Nurses in Advanced Practice.
Speaker disclosures.
Joyce Campbell has an employment relationship with the Southeast Regional Stroke Center. She is paid by PESI, Inc.
Joyce Campbell is a member of the educational committee.
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