GERIATRICS, HOSPITAL MEDICINE
Curriculum – Geriatrics Hospice and Palliative Care
GERIATRICS, HOSPITAL MEDICINE, PSYCHIATRY
Confusion assessment method (CAM) for the diagnosis of delirium The diagnosis of delirium requires the presence of features 1 AND 2 plus either 3 OR 4. Feature Assessment 1. Acute onset and fluctuating course Usually obtained from a family member or nurse and shown by...
GERIATRICS, HOSPITAL MEDICINE, Pharmacy and Therapeutics
Basically using the newer antipsychotics. Olanzapine (Zyprexa) Comes as: PO tablets, Rapid disintegrating tablets, IM Starting: 2.5 mg PO QD Daily: 5-10 mg/day Risperidone (Risperdal) PO tabs and syrup, Rapidly disintegrating tablet (for those who can ’t swallow)...
GERIATRICS, HOSPITAL MEDICINE, MNEMONICS
How do you distinguish between delirium and dementia? Mnemonic: CONSCIOUS Delirium Dementia Consciousness Altered level of consciousness (ALOC). Either decreased (“Clouded” ) or hyper alert Alert (normal) -i.e. not altered. Onset Acute or sub-acute...
GERIATRICS, HOSPITAL MEDICINE
Physician Orders for Life-Sustaining Treatment (POLST): This form is used for DNAR orders. See California version of form here: http://capolst.org/; Direct link to PDF here. Hospice Eligibility Card by Physicians Ross & Sanchez-Reilly, 2008 LCD-Local Coverage...
