Delirium Care Pathways

Glossary

Glossary

Page last updated: 07 November 2011

ADL

Activities of Daily Living.
AMTAbbreviated Mental Test - a 10 question test used to rapidly assess elderly patients for dementia. A score of six or less suggests delirium or dementia, although further and more formal tests are necessary to confirm the diagnosis.
ATSIAboriginal and Torres Strait Islander.
CALDCulturally and linguistically diverse.
Cognitive FunctionThe mental process of knowing, thinking, learning, reasoning, judging and remembering.
Cognitive Function Assessment ToolA recognised and approved formal process for evaluating cognitive function and diagnosing impairment of cognitive function.
Cognitive ImpairmentReduction in mental functioning and ability to carry out tasks that require thinking, planning, and memory.
Co-morbidityThe coexistence of two or more medical disorders or disease processes.
CAMConfusion Assessment Method. CAM was specifically designed for use with older people, to improve the identification and recognition of delirium. It provides a standardised method to enable non-psychiatric clinicians to detect delirium quickly in high-risk settings.
CAMICUConfusion Assessment Method Intensive Care Unit - is a modified version of the CAM for use in intensive care. It incorporates non-verbal, objective assessment instruments. CAMICU is a delirium assessment instrument for use by nurses and physicians, and uses standardized non-verbal assessments for mechanically ventilated and non-ventilated ICU patients. The features and descriptions of delirium are the same as the CAM.
DeliriumDisturbance of consciousness, attention, cognition and perception that develops over a short period of time (usually hours or days) and tends to fluctuate during the course of the day.
DRSDelirium Rating Scale - a diagnostic tool consists of 10 items with a total score range of 0-40. It is based on the DSM-III-R criteria for delirium and covers perceptual disturbance, temporal onset, psychomotor behaviour, sleep wake disturbance, labile mood and variability of symptoms.
DSIDelirium Symptom Interview - a diagnostic tool using an interview protocol for assessing the seven symptom domains delineated by the DSM-III criteria for delirium. It is composed of 33 questions that address the domains of: disorientation; disturbance of sleep; perceptual disturbance; incoherent speech; level of psychomotor activity; general behaviour observations.
DementiaA progressive decline in cognitive function that affects memory, judgement, attention, language and problem solving.
HCOASCHealth Care of Older Australians Standing Committee, a subcommittee of the Australian Health Ministers' Advisory Council (AHMAC) Health Policy Priorities Principal Committee (HPPPC).
HypoglycaemiaAn abnormal decrease in the blood sugar level.
HypotensionAn abnormal decrease in the blood pressure.
HypoxiaA pathological condition in which the body as a whole or a region of the body is deprived of an adequate oxygen supply.
MMSEMini Mental State Examination - a 30 question test, administered in 10 minutes, and used to screen for cognitive impairment. It samples various functions including arithmetic, memory and orientation.
Pharmacological ManagementTreatment of a disorder or disease using drug therapy.
Poole's AlgorithmA map or model, in the form of a flow sheet, created by Julia Poole, for providing general guidelines for the management of disturbed behaviour in older people.
Psychoactive DrugsA medical, drug or chemical substance that affects the mind, mood or other mental processes.