Below is a series of questions that providers need to ask their patients prior to surgery. M.E.D.I.A. refers to Memory, Episode, Drugs, Items and Aids.
The Key Questions:
(A positive response to items 1 through 3 (M.E.D.) indicate risk for adverse cognitive outcomes and should trigger a preoperative cognitive evaluation, while items 4 and 5 (I.A.) are designed to reduce delirium.)
Have you ever had a problem with your Memory or thinking ability after hospitalization or surgery before?
Have you ever had an Episode of confusion, or imagining things that were not real?
Are you taking Drugs to help your thinking or memory such as Namenda (memantine) or Aricept (donepezil)?
Are there personal Items, such as photos or a favorite music CD, that you can bring to remind you of home and family?
Do you have Aids, such as eyeglasses, hearing aids or dentures that you can bring to help you reorient after surgery?
Download this questionnaire [pdf]