Cam assessment worksheet 2026

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  1. Click ‘Get Form’ to open the cam assessment worksheet in the editor.
  2. Begin by entering the evaluator's name and the date at the top of the form. This information is crucial for record-keeping.
  3. In Box 1, assess acute onset and fluctuating course. Answer questions a) and b) by selecting 'Yes' or 'No' based on your observations of the patient's mental status changes throughout the day.
  4. Next, evaluate Inattention by answering whether the patient had difficulty focusing attention. Mark your response accordingly.
  5. Proceed to Disorganized Thinking. Indicate if the patient’s thoughts were disorganized or incoherent by checking 'Yes' or 'No'.
  6. In Box 2, rate the patient's level of consciousness using the provided options from Alert to Coma. Make sure to select one that best describes their state.
  7. Finally, review your selections. If Inattention and at least one other item in Box 1 are checked along with one item in Box 2, a diagnosis of delirium may be suggested.

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The CAM demonstrated sensitivities from 94100%, specificities from 9095%, positive predictive accuracy of 91 94%, negative predictive accuracy of 90100%, interrater reliability ranging from .
The Confusion Assessment Method (CAM) is used to detect delirium, quickly and accurately, in people at risk for dementia. (1) Although the CAM does not diagnose dementia, it is appropriate to use the tool with preexisting cognitive, emotional, psychiatric, or neurologic conditions.
The CAM instrument assesses the presence, severity, and fluctuation of 9 delirium features: acute onset, inattention, disorganized thinking, altered level of consciousness, disorientation, memory impairment, perceptual disturbances, psychomotor agitation or retardation, and altered sleep-wake cycle.
The Confusion Assessment Method (CAM) Diagnostic Algorithm Feature 1: Acute Onset or Fluctuating Course. This feature is usually obtained from a family member or nurse and is shown by positive responses to the following questions: Is there evidence of an acute change in mental status from the patients baseline?
Scoring the CAM-S: Rate each symptom of delirium listed in the CAM as absent (0), mild (1), marked (2). Acute onset or fluctuation is rated as absent (0) or present (1). Add these scores into a composite. Higher scores indicate more severe delirium.

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