Review Video 
Too often assumptions are made that behaviors such as agitation, confusion, inattention or lethargy, are simply a normal part of aging—or normal consequence of dementia. These assumptions result in behaviors being ignored or managed rather than investigated to determine etiology. In reality, these behaviors can signal a delirium that, left untreated, may result in a downward spiral from which many patients may not fully recover—or will require temporary or permanent placement in longterm care facilities. When delirium is superimposed on an existing dementia, it can be even more difficult to detect.
This video guides viewers through the utilization of two tools found in the Try This series: the Confusion Assessment Method (CAM) and Assessing and Managing Delirium in Older Adults with Dementia. In this five chapter program, two patients are presented and assessed for delirium using the CAM: one with delirium and one with a delirium superimposed on an underlying dementia. Once identified, further assessment and treatment of the underlying etiology and safe management of care is shown using the Delirium Superimposed on Dementia Algorithm. This video organizes information in chaptered formats for viewers interested in specific aspects of the program.
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
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Lorraine C. Mion is director of nursing research and geriatric nursing at MetroHealth Medical Center in Cleveland, OH. and has no significant ties, financial or otherwise, to any company that might have an interest in the publication of this educational activity.
Christine M. Waszynski is a geriatric NP, Division of Geriatric Medicine, Hartford Hospital in Hartford, CT. and has no significant ties, financial or otherwise, to any company that might have an interest in the publication of this educational activity.