7.8.9

Question 1

What happens to the brain during the disease of dementia?

Answer 1

Permanent and progressive loss of functioning tissue in the brain.
There is no cure, and 5% of the older population will get dementia. There is normally a gradual onset.

Question 2

What happens during the stages of dementia?

Answer 2

1(You become aware of the changes and become stressed out and fearful)
2(You have difficulty communicating and understanding some words. as the stage becomes worse you will become incontinent**you recognize people without knowing names.)
3(Ability to walk, sit up straight, speak, leave bed, or eat stop)

Question 3

Is delirium long term or temporary?

Answer 3

Temporary state of confusion that will be resolved once the problem is (uti/infection are exs.)

Question 4

What is the most common cause of dementia?

Answer 4

Alzheimer’s disease. 60% of all cases are Alzheimer’s which is a progressive disease caused by things like genes, age and TBI. The onset is usually 65 & older.
Alzheimer’s- the brain shrinks and gets deposits of protein plaques and tangles the which causes nerve cells in the brain to deteriorate.

Question 5

Plaques and tangles

Answer 5

Protein deposits

Question 6

Vascular dementia

Answer 6

Blood vessels, supplying oxygen to the brain or damaged certain areas of the brain or deprived of oxygen and damaged. Men are more apt to this disease, and it comes on suddenly due to clots or a stroke.

Question 7

What will the population of elders be in 2030? (65+older)

Answer 7

At least 72 million.

Question 8

What is the percentage of people with chronic diseases?

Answer 8

80% percent of people over 65 have at least one chronic disease and over 50% have 2.

Question 9

Factors leading to long-term care admissions

Answer 9

Temporary acute illnesses (stroke, fracture, covid)
-continuous monitoring treatment
-need assistance with ADL’s

Question 10

How long are short term stay admissions?

Answer 10

3 months or less to get someone back to their new norm

Question 11

What causes someone to have to be put on extended stay admission?

Answer 11

A physical or mental disability makes it impossible for you to go home and care for yourself.
75% or more residents require at least 3 ADL’s

Question 12

What is the sandwich era?

Answer 12

The children become the caregivers

Question 13

What is true of changing family roles

Answer 13

There can be resentment and jealousy among the siblings.

Question 14

What happens with the young resident?

Answer 14

They experience anger, depression, and frustration due to loss of control. Allow choices in food, activities, and clothing!

Question 15

Quality of life- OBRA

Answer 15

**OBRA protects the residents rights to be free from abuse and makes sure they have activities to do.

Question 16

What are the 4 A’s of dementia?

Answer 16

Amnesia
Aphasia
Agnosia
Apraxia

Question 17

Amnesia

Answer 17

Memory loss

Question 18

Aphasia

Answer 18

Difficulty communicating starting in the middle stage

Question 19

Agnosia

Answer 19

Difficulty recognizing sensory input

Question 20

Apraxia

Answer 20

Difficulty coordinating steps for a task, like performing ADL’s.

Question 21

Could you have a dual diagnosis of apraxia and aphasia?

Answer 21

Yes

Question 22

What should you do for a resident when trying to deal with agitation?

Answer 22

Figure out what is going on with them.

Question 23

How do you manage difficult behaviors?

Answer 23

Behaviors are due to an unmet need or an existing health condition. In order to help you need to figure out the cause