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it is very hard to identify delirium it can be challenging to identify delirium in a person with underlying dementia and we really rely in that case on getting a history from a reliable reporter such as a family member or a nurse in a nursing home about a change in mental status a change in their cognition or their behavior or their um usual physical health so for instance if theyamp;#39;re eating less or if theyamp;#39;re not able to do self-care and they were able to before those are all very docHub changes to identify um our group has been trying to focus on some rapid screens that might be helpful to distinguish a delirium from a dementia and what we found is that that some sustained attention tasks can be quite helpful because itamp;#39;s been well described that sustained attention is kind of pathanemonic of a delirium whereas with dementia it tends to stay intact until you get to the more advanced stages but I always have to pause and give a caveat there that of course t