3 Ds of geri Flashcards
1
Q
3 Ds
A
- dementia
- delirium
- depression
2
Q
def. dementia
A
progressive cog. impairment and deterioriation of function
3
Q
DSM def
A
sig. cog decline + 1 of issue in:
- complex attension
- mem
- lang
- executive funciton
interferes with funct
4
Q
def. mild cog. disorder
A
- mild cog. impairent
- noted by patient or others
- still able to function
5
Q
what is on workup for dementia
A
- hx and collaterals
- Phx exam -esp neuro
- CBC, lytes
- neuroimage
6
Q
def. alzheimers
A
- memory impairment
- at least one other cog. domain impaired
- parietal and temp. lobes first
- cholinergic dys., plaque, tangles
- gradual decline
7
Q
def. vascular
A
- complex attn./fronatl exec. dysfunciton
- timing around cerebral vasc. disease
- focal neuro signs
- stepwise deterioration
8
Q
def. lew bodies
A
- cog. impair
- fluctuations in cog. impairment
- spont. parkinsonism
- visual hallucinations
- ## falls
9
Q
Tx of dementia
A
- cholinesterase inhibs.
- increase at synapse
- slows down cog. impairment - memantizine - NMDA antagonist
10
Q
Tx of behav. and psych problems
A
- behavioural interventions
- pharma
antipsych, anti dep
11
Q
DSM def. of delirium (5)
A
- dist. in attention
- dist in awareness - disorientation
- devs quikly and fluctuates
- dist. in cog.
- due to med withdrawal or illness
12
Q
risk factors for delirium 8
A
- restraints
- sens impairment
- sleep dep
- severty of med condition
- dementia
- old age
- previous delirium
- male
13
Q
how to Tx delirum
A
tx underlying cause
14
Q
what is cog. impariment in depression
A
- depressed may present with some cog. impairment
- Tx can improve cog. to a degree
- late onset dep . may be dementia prodrome
15
Q
what is psychotic dementia
A
- break with reality
- poor respnse to Tx
- worse course and prog.
- higer suidcide and relapse rate
