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Altered Mental Status -Connecting the Dots of Delirium, Dementia and Psychosis by Joyce Campbell,
Salepage link: At HERE. Archive:

Faculty:: Joyce Campbell
Duration:: 6 Hours 12 Minutes
Format:: Audio and Video
Copyright:: Oct 11, 2017

Description

Diagnostic challenges: Potential for involvement of one or more body systems
Take away life-saving interventions to prevent or treat delirium
Head to toe and diagnostic workup to identify cause
Find out the latest EBP for treating dementia
Be alert for common diseases and drugs causing AMS
What about the mentally ill patient with delirium?

Attention Health Care Professionals!! You play a vital role in identifying and assisting with resolution of problems affecting patients with altered mental status. The patient that you treat for altered mental status may be the life you save.

Delirium… Dementia… Psychosis

When facing a patient with altered mental status, no doubt you have caught yourself saying, “What is going on?” It is time to STOP, LISTEN, LOOK and ACT. This seminar dissects altered mental status (AMS), to identify the problem and lead the way to problem resolution. The study of AMS is like taking a combination med-surg and neuropsychiatric course, as one must look at all body systems when evaluating potential causes of AMS.

Every day, patients present with altered mental status in a variety of settings….ED, ICU, med/surg, geriatric, psych units, rehab, long-term care. The list goes on! Connecting the dots and identifying the problem may be life saving for the patient. You will leave with new assessment tools and strategies to alter the course for your patient experiencing an altered mental status condition.

Handouts

Outline

Life-Threatening Causes of AMS: Prepare to Intervene

Airway problems leading to hypoxia and CNS symptoms
Gross assessment of disability: GCS or AVPU
Rapid head to toe assessment
Look for rapidly fixable causes
History and physical… Asking the right questions
Diagnostic work-up
Coma and altered level of consciousness: Brain stem and cerebral hemispheres
Predictive model for the risk of delirium in hospitalized older patients
Intensive care delirium scanning checklist
Confusion Assessment Method
AACN Practice Alert
Break down: Delirium, dementia and psychosis

Common Conditions Causing Delirium

Medications – Adverse effects and interactions
- Central acting agents
- Sedative hypnotics
- Anticonvulsants
- Analgesics
- GI agents
- Antinauseants
- Antibiotics
- Psychotropic meds
- Cardiac meds
- OTC meds
- Steroids

Medications – withdrawal syndromes
UTI
Pneumonia
Electrolyte disorders
Endocrine crisis: Hyper/hypothyroid, adrenal, diabetic, Wilson’s disease
Korsakoff syndrome
Transient global amnesia
Pain agitation

10 Life-Threatening Conditions Causing Delirium

Hypoxia
Hypoglycemia
Encephalopathy: Hypertensive and Werniche’s
Drug overdose
Acute neuro: Meningitis, SAH and seizures
CNS trauma
Sepsis

Delirium: Don’t Forget These Possibilities:

The patient with delirium related to structural changes
Subdural hematoma
Brain tumor
Normal pressure hydrocephalus
Stroke
Infectious disease and SEPSIS: The ticking time bomb
Not to be missed: Meningitis, encephalitis

Psychosis: Into Madness

Major depressive disorder
PHQ-9 screening instrument
Post-partum depression
Bipolar
Schizophrenia
Schizoaffective
Delusions, illusions, hallucinations
Positive and negative clinical manifestations
Pharmacology and other treatments
Personality Disorders
Schizotypal Disorder
A case of global amnesia

Dementia: The Work-Up

Interventions for the Common Problems

Expanding the Window of Care: Current Research

Faculty

Joyce Campbell, MSN, CCRN, SCRN, FNP-BC Related seminars and products: 4

Joyce Campbell, MSN, CCRN, SCRN, FNP-BC, has been involved in the nursing field for 35 years. For over 25 years, she taught in an associate degree nursing program where her primary focus was the theory and clinical instruction of neuroscience nursing. In addition to teaching, she has been employed by Comprehensive Health System in Chattanooga, Tennessee for the past 30 years. At Erlanger, she has adopted many roles, including neurosurgical and trauma critical care staff nurse, educator and nurse practitioner. Currently, she serves on the neuroservice line committee and provides stroke education to staff and patients. Erlanger Southeast Regional Stroke Center, an accredited Primary Stroke Center, houses a leading-edge stroke care facility serving over 2000 stroke patients annually.

Through her work at Erlanger, Joyce is able to experience, first hand, the latest innovative strategies for extending the window of treatment for stroke patients. She holds a BSN from East Tennessee State University, an MSN from the University of Tennessee at Knoxville, and completed post-graduate studies at the University of Alabama at Birmingham. Joyce is an active member of the American Association of Critical Care Nurses, the American Association of Neuroscience Nurses, American Association of Nurse Practitioners, and the Chattanooga Association of Nurses in Advanced Practice, where she has served as president and is a member of the educational committee.

Speaker Disclosures:

Financial: Joyce Campbell has an employment relationship with Erlanger Southeast Regional Stroke Center. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Joyce Campbell is a member of the educational committee for the Chattanooga Association of Nurses in Advanced Practice.

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