![]() ![]() ![]() Psychosis. Delusions, hallucinations, or disordered speech that may occur with grossly disorganized or catatonic behavior.Note: ICD-10-CM considers “sundowning” to be a delirium however, the underlying neurocognitive disorder should be ascertained and documented. Delirium. A disturbance in attention and awareness that develops over a short period, represents a change in baseline, tends to fluctuate, and is associated with cognitive disturbances that cannot be explained by a preexisting or evolving neurocognitive disorder and is a direct physiological consequence of another medical condition, substance intoxication or withdrawal, toxin exposure, or other multiple etiologies.In addressing altered mental states, we must embrace definitions in Diagnostic and Statistical Manual, 5th Edition (DSM-5), available at , and standard neurology texts (such as Adams and Victor Principles of Neurology, 10th Edition, available at ), and document our patient’s conditions based on these definitions in our notes followed by the suspected underlying brain pathology or pathophysiology. In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and their underlying causes remains an ongoing challenge for physicians and their facilities.Įven the esteemed New England Journal of Medicine states that, “‘Altered mental status,’ a nonspecific term that is frequently used to describe alterations in alertness, cognition, or behavior, is commonly encountered in the emergency setting.” If you have a subscription or access through your medical library, review the discussion at. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |