The Portal of Geriatrics Online Education

Miami VA GRECC; Florida Teaching Nursing Home Program

The Interactive Confusion Assessment Method (iCAM)

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
1
Abstract: 

This self-learning web module will teach learners to administer, score and interpret the Confusion Assessment Method.

Educational objectives: 

By the end of this product, learners will be able to administer, score and interpret the CAM.

Additional information/Special implementation requirements or guidelines: 

This product was developed through the joint efforts of University of Miami Miller School of Medicine and its affiliated VA Medical Center, Mount Sinai School of Medicine and the Harvard School of Medicine. The Interactive Confusion Assessment Method (iCAM) has been adapted with permission from: Inouye SK et. al, Clarifying Confusion: The Confusion Assessment Method: A New Method for Detecting Delirium. Ann Intern Med. 1990; 113:941-8.

The web module consists of the following components:

  1. Introduction: CAM is a simple, reliable test that has been validated in several populations.
  2. Using the CAM: Because the test can be administered and scored in a few minutes during clinical care, it represents a minimal burden on hospital staff. The CAM algorithm follows 4 steps in determining whether a patient is likely to have delirium. These steps are briefly outlined below and in more detail in the accompanying form titled "CAM shortened version worksheet", which can also be used to record the results.
  3. CAM Steps:
    • Step 1. Acute Change and Fluctuating Course
    • Step 2. Inattention
    • Step 3. Disorganized Thinking
    • Step 4 Altered Level of Consciousness
  4. Scoring CAM: A brief explanation is provided on how to score the CAM in order to determine whether delirium is present.
  5. Interpretation: Using the CAM is just the first step in the assessment of patients who are confused or at high risk of becoming delirious. After scoring the CAM you must interpret the results in light of the patient's H&P examinations as well as any other conditions diagnosed with this patient.
  6. Practice Case: Learners have the chance to apply the knowledge acquired to a case. After reviewing the video and browsing the patient's virtual chart, learners will be able to score the CAM and decide whether the patient is delirious.
  7. Glossary
  8. References
  9. Credits

You will need Adobe Flash Player to view this module. Download it for free at http://get.adobe.com/flashplayer/ .

Publications from, presentations from, and/or citations to this product: 

Inouye SK et. al, Clarifying Confusion: The Confusion Assessment Method: A New Method for Detecting Delirium. Ann Intern Med. 1990; 113:941-8.

Date posted: 
Wed, 01/27/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/23/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . The Interactive Confusion Assessment Method (iCAM). POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/281
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