32 Delerium Observation Screening (DOS) Scale
Scoring:
- 0 = Never
- 1 = Sometimes or Always
Observations:
- Dozes off during conversation or activities
- Is easily distracted by stimuli from the environment
- Does not finish question or answer
- Gives answers that do not fit the question
- Reacts slowly to instructions
- Thinks is somewhere else
- Picking, disorderly, restless
- Pulls IV tubing, feeding tubes, catheters etc
- Easily or suddenly emotional
- Sees/hears things which are not there
Scoring:
- 1 = Never
- 0 = Sometimes or Always
Observations:
- Maintains attention to conversation or action
- Knows which part of the day it is
- Remembers recent events
Less than 3/13 = not delirious
3/13 or greater = probably delirious