36 Dementia Flashcards
Define dementia
Syndrome caused by diseases in the BRAIN
What syndrome is NORMAL aging?
AAMI - Age-Associated Memory Impairment
= RECALL takes longer (esp. NAMES)
= Putting a TIME to memory is harder
Name major types of dementia
Alzheimer's Vascular dementia Parkinson's DLB- Dementia with LEWY bodies Frontotemporal dementia Mixed dementia
What is the PATHOLOGY of Alzheimers
Plaques + Tangles accumulate to kill brain cells
Where does Alzheimers START in the brain?
Hippocampus (memories)
SPREADS around brain
Prevalence projection of dementia in NZ
2008 = ~40k 2026 = ~74k 2050 = ~147k
Name FACTORS that affects risk of dementia
AGE Gender Ethnicity Genetic Cardiovascular Enviro
How does AGE affect dementia risk?
DOUBLES every 5 years = AGE-related disease
How does GENDER affect dementia risk
WOMEN more likely to get ALZHEIMERS
MEN more likely to get VASCULAR
How does ENVIRO affect dementia risk
Loneliness
Lacking STIMULATION
2 classes of TREATMENTS for dementia
Lifestyle
Medications
What LIFESTYLE factors can be used to treat dementia
Diet - OMEGA 4, low cholesterol, Ginkgo
Exercise
Stop smoking
Cognitive stimulation
Name 4 MEDICATIONS for dementia
Aricept, Exelon, Reminuyl
Aspirin
How does ASPIRIN help dementia
BLOOD THINNING slows progression
List 5 CARE approaches (RRVSH)
Reality orientation - time, seasons Reminiscence - lifetime Validation - autobiographical memories Stimulation - exercise, dogs, snozelen, children History of the patient