| RPT |
|.|.|Nursing Delirium Screening Scale - (NUDESC) |
Maximum total score is 10. Scores greater than/equal to 2 are considered|
postive.||
Questions and Answers| |
1. DISORIENTATION. Verbal or behavioral manifestation of not being
oriented|
to time or place or misperceiving persons in the environment.|
<*Answer_7772*>||
| Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>|
2. INAPPROPRIATE BEHAVIOR. Behavior inappropriate to place and/or for the|
person; e.g., pulling at tubes or dressings, attempting to get out of bed|
when it is contraindicated, and the like.|
<*Answer_7773*>||
3. INAPPROPRIATE COMMUNICATION. Behavior inappropriate to place and/or for the|
person; e.g., incoherence, non-communicativeness, nonsensical or|
unintelligible speech.|
<*Answer_7774*>||
4. ILLUSIONS/HALLUCINATIONS. Seeing or hearing things that are not there;|
distortions of visual objects.|
Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>|
<*Answer_7775*>||
5. PSYCHOMOTOR RETARDATION. Delayed responsiveness; few or no spontaneous |
actions/words; e.g., when the patient is prodded, reaction is deferred |
and/or the patient is unarousable.|
<*Answer_7776*>| |
Information contained in this note is based on a self-report assessment and|
is not sufficient to use alone for diagnostic purposes. Assessment results |
should be verified for accuracy and used in conjunction with other diagnostic|
activities.||
SSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
$~
| Gender: <.Patient_Gender.>| |
NuDESC score indicates a <*Answer_7771*> screen for delirium.| |
Total Score = <-TOTAL SCORE->| |
|
