for Clinical Accuracy:
Estimated time to complete:
Elderly patients frequently present in the Emergency Department with altered mental status. However, ED physicians fail to recognize delirium 70% of the time, which leads to poor patient outcomes. The case of Mrs. Jane Simon was developed to address this deficiency. Designed for upper level residents and attending faculty, the case assesses recognition of delirium, understanding of its multifactorial etiology, and appropriate nonpharmacologic and pharmacologic management in an elderly woman with hypoactive delirium.
At the conclusion of this virtual patient experience, the learner will be able to:
Distinguish hypoactive delirium in an older adult presenting to the emergency department with multiple co-morbidities.
Assess hypoactive delirium in the older adult by using the Confusion Assessment Method (CAM), including correctly delivering the CAM and scoring it.
Describe pharmacologic and non-pharmacologic tactics for managing an elderly patient with hypoactive delirium and multiple co-morbidities.
Date Submitted or Reviewed/Updated for Clinical Accuracy:
, , , and . CampER: Recognizing Delirium in the Emergency Department and the Case of Mrs. Jane Simon. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/200