3 stations / 23 steps/ 7 script lines
Geriatrics
Mind, mobility, medications, multi-complexity, and what matters most. The Confusion Assessment Method below can be covered and recalled feature by feature.
0 of 23 steps
5 Ms
The 5 Ms
- Mind“What is the current mental status, and what is the underlying mental status?”
- Mobility“Are there any issues with gait or balance? Can we put falls prevention in place?”
- Medications“Are there any recommendations for rationalizing the medication list?”
- Multi-complexity: the whole picture of multiple comorbidities and the bio-psycho-social situation.
- Matters most“Is the plan consistent with what this patient considers a meaningful health outcome? Are we matching their care preferences?”
Confusion Assessment Method
Delirium is suspected with features 1 and 2 plus either 3 or 4.
| Row | What to ask or observe |
|---|---|
| 1. Acute onset and fluctuating course | Acute change from baseline that comes and goes or varies in severity through the day; ask family or nursing |
| 2. Inattention | Difficulty focusing, easily distracted, losing track; months or days backward, digit span, serial sevens, vigilance tapping |
| 3. Disorganized thinking | Rambling or irrelevant conversation, illogical flow, unpredictable switching |
| 4. Altered level of consciousness | Anything other than alert: vigilant, lethargic, stuporous, comatose |
Demonstration videos are embedded from their creators’ own YouTube channels (Geeky Medics and Stanford Medicine 25) and remain theirs; each frame credits the channel and links out to it.