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The Confusion Assessment Method (CAM)

From The Hartford Institute for Geriatric Nursing, New York University, College of NursingBest Practices in Nursing Care to Older Adultsgeneral Assessment seriesIssue Number 13, Revised 2012 Editor-in-Chief: Sherry A. Greenberg, PhD(c) MSN, GNP-BC New York University College of NursingThe Confusion Assessment Method (CAM)By: Christine M. Waszynski, MSN, APRN, BC, Hartford HospitalWHY: Delirium is present in 10%-31% of older medical inpatients upon hospital admission and 11%-42% of older adults develop delirium during hospitalization (Siddiqi, House, & Holmes, 2006; Tullmann, Fletcher, & Foreman, 2012).

Predisposing risk factors for delirium include older age, dementia, severe illness, multiple co-morbidities, alcoholism, vision impairment, hearing impairment, and a history of delirium. Precipitating risk factors include

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