Care of Older Adult Flashcards
Sensorium
the sensory apparatus or faculties considered as a whole - general survey - LOC - orientation - memory - judgement etc.
Montreal Cognitive Assessment
cognitive screening test designed to assist Health Professionals in the detection of mild cognitive impairment and Alzheimer’s disease
- detects even mild impairment
- detects dementia, delirium, and differentiating these from psych mental illness
Hamilton Depression Inventory
most widely used clinician-administered depression assessment scale
Abnormal Movements Scale
The AIMS is a 12-item clinician-rated scale to assess severity of dyskinesias (specifically, or facial movements and extremity and truncal movements) in patients taking neuroleptic medications.
MMSE
Mini Mental Status Examination
- 11 questions
- tests all areas of function
- max score of 30
- score <23 indicates cognitive impairment
- only takes 5-10 mins
5 Categories of Cognitive Function
- Orientation
- Registration
- Attention and Calculation
- Recall
- Language
Describe the Categorization of Memory
- Short Term (working memory)
- Recent (the last day)
- Long Term
a. Declaritive/Explicit
- conscious
b. Nondeclaritive/Implicit
- things you can show you know by doing
Which is lost first in Alzheimers?
Explicit
Categories of MMSE
- language
- visuospatial
- memory
- abstract thinking
Delirium
global deterioration in all aspect of mental functioning, including memory, general intellect, emotional attributes, and distinctive features of personality
Risk Factors of Delirium
- pre-existing cognitive impairment
- advanced age
- severity of comorbid medical condition
Long Term Effects of Delirium
- decreased functional abilities
- persistent cognitive deficits (could unmask depression)
- long term mortality increases
Diagnostic Criteria for Delirium
- acute onset and fluctuating course
- reduced ability to direct, focus, shift, and sustain attention
- disorganized thinking
- disturbance of consciousness
Supportive Measure Intervention for Delirium
- protect
- calm
- reassure
Environmental Interventions for Delirium
- decrease stimuli
- correct sensory impairments
- orientation cues (clocks, calendars etc.)
