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927 Clinical Tools

BODE Index (Palliative context)CAM-S (Confusion Assessment Method - Severity)CPOT (Critical-Care Pain Observation Tool)Death Rattle Scoring (Victoria)Distress Thermometer Edmonton Symptom Assessment System (ESAS-r)FAST Scale (Dementia)IPOS (Integrated Palliative Outcome Scale)Memorial Symptom Assessment Scale (MSAS)Menten Score Morphine Equivalent Daily Dose (MEDD)Nursing Delirium Screening Scale (Nu-DESC)Opioid Risk Tool (ORT)PAINAD Scale Palliative Performance Scale (PPSv2)Palliative Prognostic (PaP) Score Palliative Prognostic Index (PPI)Respiratory Distress Observation Scale (RDOS)Richmond Agitation-Sedation Scale (RASS-PAL)Seattle Heart Failure Model (SHFM)e-PaP Score

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CAM-S (Confusion Assessment Method - Severity)

CAM-S: Confusion Assessment Method - Severity quantifies delirium severity.

Acute Onset (0-4)

How acutely did symptoms begin?

Inattention (0-4)

Difficulty focusing or sustaining attention

Disorganized Thinking (0-4)

Presence of disorganized or incoherent thinking

Altered Consciousness (0-4)

Hyperactive, hypoactive, or fluctuating

Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Quantification of delirium severity in palliative populations

Prediction of functional decline and mortality

Monitoring delirium trajectory over time

Guiding intensity of delirium management

Section 2

Formula & Logic

Scale Purpose

Measures severity of delirium (conditional on positive CAM screen) rather than presence/absence alone; ranges from mild to severe delirium.

Section 3

Pearls/Pitfalls

Key Advantages

Captures delirium severity spectrum

Prognostic significance; correlates with outcomes

Guides escalation of delirium interventions

Last Comprehensive Review: 2026

Related Palliative Care Tools

Distress Thermometer

Memorial Symptom Assessment Scale

Morphine Equivalent Daily Dose

Opioid Risk Tool

Respiratory Distress Observation Scale

Death Rattle Scoring

Nursing Delirium Screening Scale

Richmond Agitation-Sedation Scale

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