DISSECTING ALTERED MENTAL STATUS: CHALLENGES OF CARE IN THE ED & ICU – JOYCE CAMPBELL
Whether in the ED or ICU, nurses have a daunting challenge of recognizing behavior which can essentially be due to a life-threatening condition. This seminar will assist you to identify this behavioral marker and explore the causative complexities of life- threatening conditions which present as altered mental status. You will leave better prepared to provide interventions to alleviate causative problems; thereby in many situations be able to prevent worsening of the patient’s condition and potentially save a life.
OBJECTIVES
- Identify the ABCs of the initial assessment and stabilization of life-threatening problems.
- Describe the clinical manifestations of the most common and serious causes of altered mental status.
- Differentiate between delirium, dementia and psychosis.
- Describe pertinent aspects of the history and physical exam.
- Outline immediate interventions for rapidly reversible causes of AMS.
- Discuss clinical practice guidelines for managing pain, agitation and delirium in the ICU.
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