36 Dementia Flashcards

1
Q

Define dementia

A

Syndrome caused by diseases in the BRAIN

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2
Q

What syndrome is NORMAL aging?

A

AAMI - Age-Associated Memory Impairment
= RECALL takes longer (esp. NAMES)
= Putting a TIME to memory is harder

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3
Q

Name major types of dementia

A
Alzheimer's
Vascular dementia
Parkinson's
DLB- Dementia with LEWY bodies
Frontotemporal dementia
Mixed dementia
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4
Q

What is the PATHOLOGY of Alzheimers

A

Plaques + Tangles accumulate to kill brain cells

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5
Q

Where does Alzheimers START in the brain?

A

Hippocampus (memories)

SPREADS around brain

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6
Q

Prevalence projection of dementia in NZ

A
2008 = ~40k
2026 = ~74k
2050 = ~147k
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7
Q

Name FACTORS that affects risk of dementia

A
AGE
Gender
Ethnicity
Genetic
Cardiovascular
Enviro
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8
Q

How does AGE affect dementia risk?

A

DOUBLES every 5 years = AGE-related disease

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9
Q

How does GENDER affect dementia risk

A

WOMEN more likely to get ALZHEIMERS

MEN more likely to get VASCULAR

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10
Q

How does ENVIRO affect dementia risk

A

Loneliness

Lacking STIMULATION

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11
Q

2 classes of TREATMENTS for dementia

A

Lifestyle

Medications

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12
Q

What LIFESTYLE factors can be used to treat dementia

A

Diet - OMEGA 4, low cholesterol, Ginkgo
Exercise
Stop smoking
Cognitive stimulation

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13
Q

Name 4 MEDICATIONS for dementia

A

Aricept, Exelon, Reminuyl

Aspirin

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14
Q

How does ASPIRIN help dementia

A

BLOOD THINNING slows progression

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15
Q

List 5 CARE approaches (RRVSH)

A
Reality orientation - time, seasons
Reminiscence - lifetime
Validation - autobiographical memories
Stimulation - exercise, dogs, snozelen, children
History of the patient
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16
Q

Explain aspects of PERSON-centered care

A

View dementia as a DISABILITY, not disease
EQUALITY in care settings
ENCOURAGING and working WITH skills
Redefine “challenging behavior” as expression of a meaningful message
Maintaining SOCIAL TIES

17
Q

Name the parts of the 5-part model

A
Biology
Enviro
Carer
Person
= BEHAVIOR
18
Q

Aspects of the BIOLOGY

A

Sensory changes
Physical changes
Chronic PAINS

19
Q

Aspects of the ENVIRO

A

Architecture
Interior decor
Layout
(STIMULI needed)

20
Q

Aspects of the CARER

A

Care practices
Attitudes
Relationships

21
Q

Aspects of the PERSON

A

Life history
Personality
Beliefs
Habits & needs