These slides were delivered by Dr Martin Glasser, Senior Registrar in Care of Older People ,

Royal Free Hospital, as Dr Basit was not able to attend

Dr Glasser talked about the Confusion assessment method, which requires identification of Acute

onset and fluctuating course, Inattention and then either disorganised thinking or altered level of

consciousness see http://www.guysandstthomas.nhs.uk/resources/our-services/acute-medicine-gi-

surgery/elderly-care/cam-diagnostic-algorithm.pdf He suggested a triage screening may be done by

asking a patient to recite the months of the year in backwards order. This requires attention and

organised thinking. It has been shown that younger people who develop delirium (eg post trauma or

infection) are more likely to develop dementia in later life. However the cause is not known (ie the

trauma/infection or predisposition)

Mini mental state examination (30 question) and Addenbrookes cognitive examination (100

questions)

An easy to read review of dementia can be found here https://www.mayoclinic.org/diseases-

conditions/dementia/symptoms-causes/syc-20352013 and delirium here

https://www.mayoclinic.org/diseases-conditions/delirium/basics/definition/CON-20033982