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The bCAM utilizes the CAM diagnostic algorithm. The 4 core features rated with 7 items include acute onset or fluctuating course, inattention, altered level of consciousness, and disorganized thinking. 3 of the 4 features must be present for bCAM to be considered positive (1 and 2, and either 3 or 4), according to the original CAM algorithm.
The FOUR Score is a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness.It was developed by Dr. Eelco F.M. Wijdicks and colleagues in Neurocritical care at the Mayo Clinic in Rochester, Minnesota.
The Blantyre Coma Scale is a modification of the Pediatric Glasgow Coma Scale, designed to assess malarial coma in children. It was designed by doctors Terrie Taylor and Malcolm Molyneux in 1987, and named for the Malawian city of Blantyre , site of the Blantyre Malaria Project.
It is classically a nursing home condition but can occur in all ages. The diagnosis is usually discovered when a chemistry screen performed because of obtundation reveals an extremely high blood sugar level (often above 1800 mg/dl (100 mM)) and dehydration. The treatment consists of insulin and gradual rehydration with intravenous fluids.
[3] In some emergency medical services protocols, "Alert" can be subdivided into a scale of 1 to 4, in which 1, 2, 3 and 4 correspond to certain attributes, such as time, person, place, and event. For example, a fully alert patient might be considered "alert and oriented x 4" if they could correctly identify the time, their name, their location ...
An early warning system (EWS), sometimes called a rapid response system or track-and-trigger chart, is a clinical tool used in healthcare to anticipate patient deterioration by measuring the cumulative variation in observations, most often being patient vital signs and level of consciousness. [1]
Central stimuli should always be used when attempting to assess if the patient is localising to pain (i.e. moving their arms to the site where the pain is being applied), [3] however it has been suggested that central stimuli are less suitable for the assessment of eye opening, compared to peripheral stimuli, as they can cause grimacing. [4]
A problem-based nursing diagnosis presents a problem response present at time of assessment. Risk diagnoses represent vulnerabilities to potential problems, and health promotion diagnoses identify areas which can be enhanced to improve health. Whereas a medical diagnosis identifies a disorder, a nursing diagnosis identifies the unique ways in ...