| ARCHETYPE ID | openEHR-EHR-OBSERVATION.nudesc.v0 |
|---|---|
| Concept | NuDesc |
| Description | evaluates delirium based on observation of the following five features, as defined by the instrument: disorientation, inappropriate behaviour, inappropriate communication, illusions/hallucinations, and psychomotor retardation |
| Purpose | evaluate delirium |
| References | 1. Fast, Systematic, and Continuous Delirium Assessment in Hospitalized Patients: The Nursing Delirium Screening Scale Gaudreau, Jean-David et al. Journal of Pain and Symptom Management, Volume 29, Issue 4, 368 - 375. 2. Neufeld, K. J., Leoutsakos, J. S., Sieber, F. E., Joshi, D., Wanamaker, B. L., Rios-Robles, J., & Needham, D. M. (2013). Evaluation of two delirium screening tools for detecting post-operative delirium in the elderly. British journal of anaesthesia, 111(4), 612–618. https://doi.org/10.1093/bja/aet167 3. https://www.uksh.de/uksh_media/Dateien_Pflege/LOGGIA/Pocket_Cards/LOGGiA_Pocket_Card+_+Delir-p-432443.pdf 4. https://healthinnovationmanchester.com/wp-content/uploads/2018/10/Delirium-assessment-tool-NuDESC.pdf |
| Authors | Author name: Rony Ventura Organisation: UKSH Date originally authored: 2025-07-17 |
| Other Details Language | Author name: Rony Ventura Organisation: UKSH Date originally authored: 2025-07-17 |
| Other Details (Language Independent) |
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| Keywords | Delirium, ICU score,screening, monitoring, neuropsychological test |
| Lifecycle | in_development |
| UID | 7d12ec84-8888-4080-8e3d-6910b859f5ce |
| Language used | en |
| Citeable Identifier | 1246.145.2437 |
| Revision Number | 0.0.1-alpha |
| data | |
| Disorientation | Disorientation: Manifestation of disorientation to time or place through words or behavior
or failure to recognize surrounding people 0: Symptom not present 1: Symptom present 2: Severe symptom present |
| Inappropriate behavior | Inappropriate behavior: Inappropriate behavior towards the place and/or person: e.g., pulling on catheters or bandages, attempting to get out of bed even when contraindicated, etc. 0: Symptom not present 1: Symptom present 2: Severe symptom present |
| Inappropriate communication | Inappropriate communication: Inappropriate communication regarding location and/or person: e.g., incoherent or no communication, nonsensical or incomprehensible verbal utterances 0: Symptom not present 1: Symptom present 2: Severe symptom present |
| Illusions/Hallucinations | Illusions/Hallucinations: Seeing or hearing nonexistent objects, distortion of visual or acoustic impressions 0: Symptom not present 1: Symptom present 2: Severe symptom present |
| Psychomotor retardation | Psychomotor retardation: Slowed responsiveness, little or no spontaneous activity/expression,
e.g., when the patient is nudged, the response is delayed and/or the patient cannot be properly aroused 0: Symptom not present 1: Symptom present 2: Severe symptom present |
| Total score | Total score: The sum of the ordinal scores recorded for each of the five component responses. min: >=0; max: <=10 |
| Delirium | Delirium: 0: False [< 2] 1: True [>= 2] |
| events | |
| Any event | Any event: @ internal @ |
| Other contributors | Rony Ventura UKSH |
| Translators |