10: Dementia Flashcards
Who is the major nurse researcher in humanistic approach to care for older adults?
Beverly Baldwin
What diagnostics are ordered in dementia (5)?
- CBC
- UA
- TSH
- Chemistry profile
- CT/MRI depending on speed of mental status change
_____ is effective when dealing with fearful patients.
Verbal assurance
T/F Reality orientation is not an effective strategy; patients often become more agitated.
True
Alzheimer’s Consensus Statement calls for research on _____ and promotion of function for those affected.
Caregiving
Initial differential between AD and other irreversible dementias is often done in consultation with _____.
Neurology
T/F Memantine (Namenda) studies show improvement in cognition, function, and ADLs as outcomes.
True
This medication is a cholinesterase inhibitor that forestalls symptoms of AD but doesn’t prevent progression.
Aricept (Donepezil). Less hepatotoxicity (than original Tarcine) with enhanced memory. Indicated for moderate to severe AD.
What side effects can occur with Aricept?
GI (n/v)
T/F SSRIs are used in dementia. Antipsychotics, however, are only used after consideration of nonpharm, SSRIs, and antianxiety agents.
True. Celexa is the most studied and is well tolerated.
This is a new cholinesterase inhibitor that targets glutamatergic neurotransmitter system and reduces glutamate, theoretically slowing neuron death.
Memantine (Namenda). Exerts neuroprotective effect. Sometimes used with Aricept to promote more function.
T/F Caregivers remaining calm is effective.
True
Behavioral issues that warrant assessment and intervention (4).
- Wandering
- Agitation and vocalizations
- Sexual inappropriateness d/t dysregulation
- Resistance to care (bathing, feeding)
Functional assessment in dementia includes what 4 things?
- Mood
- Affect
- Behavior
- ADLs and IADLs
Decreased use of haldol and thorazine in elders who have _____ available.
Music
