alzeignmners Flashcards

1
Q

briefly explain what alzieghmers is

A

brain condition
=neuronal cell death(typically ach cells) shrkingae of grey matter
leading to ventricle enlargement

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2
Q

what regions of the brain are more affected by alziegmers

A

neo cortex
hippocampus
amygdala
basal forebrain cholinergic system

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3
Q

T or F: alz is characterized by stinking of white matter

A

false grey

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4
Q

alzeigmers is the death of what type of neurons

A

ach containing neurons

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5
Q

the death of ach contain neurones in alzeigmenrs leads to accumulation of waste products know as

A

beta amyloid

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6
Q

in old reserch: what was the link between beta amyloid and alzeigmers

A

AD pts had excitative deposition of beta amyloid

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7
Q

what is an excessive deposition of beta amyloid

A

accumulation of plaque made by beta amyglodal or neurofibril tangles in white matter

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8
Q

in old hypothesis, what was hypothesized to be killing the ach containing neurons

A

deposition of beta amyloid

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9
Q

true or false: new research still says that beta amyloid accumulation causes neural cell lost

A

no data may be wrong

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10
Q

what are the 2 main theories for the cause of alzeigmers

A

1) genes that produce apolipoprotein E (gets broken down and produces beta amyloid)

2) loss of cholinergic neurons

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11
Q

what are the main risk factors for alzeigmrns

A

1) high BP (vascular cognitive impairment risk)
=vascular risk factors occur in the presence of high amyloid in the brain

2) lead and aluminum exposure

3) age of incidence : 65-75/85

4) trisomi 21

5) genes: apolipoprotien E and chromo 21)

6_ more women (live longer)

7) life factors such as alcohol, head trauma, poor sleep cardiac

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12
Q

are men or women more affected by alziegmerns

A

women (live longer)

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13
Q

what are the genes that are a risk factor for alziegmers

A

chromosome 21
apoliportein E-4

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14
Q

what is the age incdince

A

65-75/85

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15
Q

does exposure to any substances put you at risk of alzeigmners

A

yes, lead and aluminim

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16
Q

what are some lifestyle factors that can increase risk of alzeigmerns

A

head trauma
cardiac
poor sleep
alcohol abuse

17
Q

explain the vascular risk associated with alzeigmners

A

high BP (leads to vascular cognitive impairments such as vascular dementia)

=risk factors occur in present of high amyloid in the brain

18
Q

vascular dementia/vascular risk factors occur in the presence of high levels of blank in the brain

19
Q

true or false: people with trisomies 21 have lower risk of alziegmenrs

A

false high

20
Q

what are the general symptoms assocaited with alzeigmenrs

A

memory loss (more ST than LT)
disorientation, aphasia, anomia acalculia (forgetting words, names, calculate numbers)

longer time for AFLS
mood and personality changes (depression/anxiety.aggression)

abnormal gait

EARLY STAGES: WANDERING

21
Q

what are the associated conditions with alzeigmners

A

falls, pneumonia, pressure sores infeciton

22
Q

why is ST memory more at risk for loss in alzeigmers thats LT

A

SH memory dissapears firs since of generation of hippocampus (can no longer consolidate to LT)

23
Q

what does aphasia, anomia and acalculia mean

A

forgetting words, names, numbers calculation)

24
Q

true or false: in the early stages, people with AD tend to do a lot of walking and wandering

25
what are the main functional impairments (early stages)
ADLs stop participating in leisure activitirs challenges with relationships due to memory loss wadering and getting lost
26
why may people with AD have challenges to their relationships
due to their memory loss
27
what are some of the functional impairments in the later stages
depedemtn for ADLs non verbal needs changes in sleep (sundowning) weight loss/decreased nutrition/dyphasia incontinence
28
true or false: people with AD often have to be transferred to a closed ward
yes to prevent wanderinga nd behaviour outruns
29
what is sundowning
reverse of sleep patter and increased symptoms at night)
30
what is the medication treatment for alzeihmers
cholinesterase inhibitors
31
what is the function of giving cholinesterase inhibitors to someone with AD
keep remaining Ach cells alive (blocking of the enzymes that break down Ach)
32
how can OT/PT help with AD
SIMPLE REPETIIVE ACTIONS (listen more, speak less) education adaptation of adals matining current functioning and help