Which screening tool is commonly used to assess delirium in older adults?

Which screening tool is commonly used to assess delirium in older adults?

• A. Confusion Assessment Method (CAM)
• B. Mini-Cog
• C. Geriatric Depression Scale
• D. Functional Reach Test

Answer: (A)

Delirium screening in older adults hinges on recognizing an abrupt change in attention and awareness that fluctuates over time. The Confusion Assessment Method is designed exactly for this, using a brief algorithm to determine if delirium is present by confirming acute onset and inattention plus either disorganized thinking or altered level of consciousness. When these features are present, delirium is identified quickly, which is essential for timely management and prevention of complications. The tool is valued because it can be administered relatively fast after focused training, and it has strong validation in hospitalized and long-term care settings with older patients. The other tools listed serve different purposes: Mini-Cog screens for cognitive impairment or dementia, the Geriatric Depression Scale screens for depressive symptoms, and the Functional Reach Test assesses balance and fall risk. So, the Confusion Assessment Method is the most appropriate and commonly used delirium screening tool in older adults.

Delirium screening in older adults hinges on recognizing an abrupt change in attention and awareness that fluctuates over time. The Confusion Assessment Method is designed exactly for this, using a brief algorithm to determine if delirium is present by confirming acute onset and inattention plus either disorganized thinking or altered level of consciousness. When these features are present, delirium is identified quickly, which is essential for timely management and prevention of complications. The tool is valued because it can be administered relatively fast after focused training, and it has strong validation in hospitalized and long-term care settings with older patients. The other tools listed serve different purposes: Mini-Cog screens for cognitive impairment or dementia, the Geriatric Depression Scale screens for depressive symptoms, and the Functional Reach Test assesses balance and fall risk. So, the Confusion Assessment Method is the most appropriate and commonly used delirium screening tool in older adults.