Chapter 5: Delirium Research Questions: Assessment of Delirium

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Chapter 5: Delirium Research Questions: Assessment of Delirium

Table 1a gives examples of various tools that can be used in the assessment of delirium. Explore the advantages and disadvantages of each category of assessment instruments, and view samples of these tools by clicking on the name.

Table 1a: Assessment instruments for cognitive impairment and delirium
Instruments that can be administered and rated by a minimally trained observer	Instruments that require administration and rating by a more highly trained observer
Cognitive impairment screening tools Click to see advantages/disadvantages Mini Mental State Examination (Folstein et al., 1975) Cognitive Capacity Screening Examination (Jacobs et al., 1977) Short Portable Mental Status Questionnaire (Wolber et al., 1984)	Delirium diagnostic instruments Click to see advantages/disadvantages ICD-10 (World Health Organization (WHO), 1992) DSM-IV (American Psychiatric Association (APA), 1994) Confusion Assessment Method (Inouye et al., 1990) Delirium Symptom Interview (Albert et al., 1992)
Psychomotor skill tests Click to see advantages/disadvantages Trail Making Test (Reitan, 1958) Hand-Held Tachistoscope (Pauker et al., 1978) Clock Drawing (Sunderland et al., 1989)	Numerical rating scales Click to see advantages/disadvantages Delirium Rating Scale (Trzepacz et al., 1988) Saskatoon Delirium Checklist (Miller et al., 1988) Memorial Delirium Assessment Scale (Breitbart et al., 1997)

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