University of Miami Leonard M. Miller School of Medicine
This self-learning web module will teach learners to administer, score and interpret the Confusion Assessment Method.
By the end of this product, learners will be able to administer, score and interpret the CAM.
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:
- Introduction: CAM is a simple, reliable test that has been validated in several populations.
- 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.
- Step 1. Acute Change and Fluctuating Course
- Step 2. Inattention
- Step 3. Disorganized Thinking
- Step 4 Altered Level of Consciousness
- Scoring CAM: A brief explanation is provided on how to score the CAM in order to determine whether delirium is present.
- 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.
- 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.
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