UB-CAM_version-2评估单模版表.docxVIP

Ultra-BriefCAM[UB-CAM]UB-2/3D-CAMVersion2

Instructions:Administeritemsinorderspecified.Directquestionsofpatientsareshowninitalics.

?Apositivesignfordeliriumisanyincorrect,dontknow,non-response,ornon-sensicalresponse.

?CAMfeatures1-4areindicatedwithF1,F2,F3,F4,respectively.

Severelethargyorseverealteredlevelofconsciousness

Check

Severelethargyorseverealteredlevelofconsciousness(noorminimalresponsetovoice/touch).Ifpresent,terminate

1

?

assessmentandratings.PatientisconsideredDELIRIOUS.Ifnotpresent,proceedtoUB-2Screener.

UB-2Screener

Checkif

sign

positive

2Askbothquestions

Pleasetellmethedayoftheweek(F3)

?

?

Pleasetellmemonthsoftheyearbackwards,sayDecemberasyourfirstmonth(F2)

Checkpoint:

-Ifneithersignispositive/checked,STOP:patientisNOTDELIRIOUS

-Ifatleastonesignispositive/checked,proceedtonextsection(3)andfollowasdirected

3D-CAMAlgorithm:Part1-PatientAssessment

3AssessDisorganizedThinking(Feature3/F3).Stop,andgotoSection4,afterthefirstpositivesign(error)ofDisorganizedCheckif

sign

positive

Thinking.Carry-forwarderrorsfromtheUB2Screener:

Carryforward:Wasthepatientunabletocorrectlyidentifythedayoftheweek?(F3,UB2)

Pleasetellmetheyearweareinrightnow(F3)

?

?

Pleasetellmewhattypeofplaceisthis[hospital,rehab,home,etc.](F3)

AssessAttention(Feature2/F2).Stop,andgotoSection5,afterthefirstpositivesign(error)ofInattention.

Carry-forwarderrorsfromtheUB2Screener:

?

Checkif

sign

4

positive

Carryforward:Wasthepatientunabletocorrectlynamethemonthsoftheyearbackwards(UB2)

Pleasetellmethedaysoftheweekbackwards,saySaturdayasyourfirstday(F2)

Repeatthesenumbersinbackwardsorder:7-5-1(F2)

?

?

?

?

Repeatthesenumbersinbackwardsorder:8-2-4-3(F2)

5AssessAcutechangeorFluctuation(Feature1/F1).Stop,andgotoSection6,after