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welcome to the instructional video on the confusion assessment method my name is Susan Heisey and Iamp;#39;m from the hospital Elder Life program the first thing to consider is there a evidence of an acute change in mental status if yes does their normal behavior fluctuate during the day does the patient have difficulty focusing attention is the patientamp;#39;s thinking disorganized or incoherent what is the patientamp;#39;s level of consciousness a patient screens positive for delirium if there is a new or worsening change in mental status and inattention plus either disorganized thinking or altered level of consciousness letamp;#39;s take a look at an example here we have a 58 year old male that was admitted for pneumonia a family member says the patient has a decrease in appetite and has been sleeping a lot over the past two days and is acting strange good morning mr. mrs. Johnson yes good morning hi I am Jessica Iamp;#39;m gonna be your nurse today how you feeling tod