Caring For People With Dementia, C9; P-LQ, WB Flashcards
W2, 9/4-9
For persons who experience Sundowning, it is best if they ____ __ the lights to avoid over-stimulation.
turn on
For persons who experience __________, it is best if they turn on the lights to avoid over-stimulation.
Sundowning
__________ would be used to describe when a Patient with Dementia repeats the same thing over & over.
Perseveration
Perseveration
(a Patient) repeating something over & over
Expressive Aphasia
difficulty finding correct words
Someone with Expressive Aphasia would have difficulty _________ their thoughts verbally due to difficultly finding corrects words.
expressing
________ Dementia is caused when the brain is deprived of oxygen/nutrients.
Vascular
Vascular Dementia occurs when ______ is deprived of ______/______
brain, oxygen/nutrients
Vascular Dementia occurs when . . .
brain’s deprived of oxygen/nutrients
A person with Delirium may die if the ________ cause is not identified & _______.
underlying, treated
As a person’s Dementia worsens, they lose the ability to __________ ___________.
communicate effectively
As one’s ________ worsens, s/he looses the ability to communicate effectively.
Dementia
______ language & ________ may become a way for a person with worsened Dementia to express him/herself.
Body, behaviors
Alzheimer disease & Vascular Dementia are _____________ & __________.
irreversible, incurable
___________ stresses importance of person’s reality when caring for Patient with Dementia.
Validation
Validation
stresses importance of person’s reality when caring for Patient with Dementia
Many ____-____ ____ _________ use pet therapy to help calm persons with Dementia.
L-TCF
Many L-TCF use ____ _______ to help calm persons with Dementia.
pet therapy
Many L-TCF use pet therapy to help calm persons with _________.
Dementia
What action would the NA take when using Reminiscence therapy in Patients with Dementia?
ask Patient about his/er life growing up
Delirium
symptom of underlying disorder
Dementia
permanent/progressive mental functions loss
Dementia is caused by damage to the _______ [organ].
brain
A person with Dementia may have ________ problems, especially _______-_____ memory.
memory, short-term
A person with __________ Dementia may act in socially inappropriate ways.
Frontotemporal
A person with Frontotemportal Dementia may act in ______ __________ ways.
socially inappropriate
A person with Dementia _____ able to make responsible decisions.
isn’t
A person with Dementia isn’t able to make _________ decisions.
responsible
Dementia usually has a ___________ onset.
gradual
Dementia has _ stages.
3
3 Dementia Stages:
Early
Middle
Late
______ Stage Dementia: person begins experiencing memory loss.
Early
ESD: person begins experiencing __________ _____.
memory loss
In ESD, person is _______ of memory loss.
aware
In _____ Stage Dementia, person is aware of memory loss.
Early
In _________ Stage Dementia, person begins to have difficulty communicating; using/understand words, or both.
Middle
In MSD, person begins to have difficulty __________; using/understand words, or both.
communicating
In ________ Stage Dementia, person begins to have difficulty recognizing the familiar.
Middle
In Middle Stage Dementia, person begins to have difficulty ___________ the familiar.
recognizing
In MSD, person begins to have difficulty remembering _______ of a task.
steps
In _______ Stage Dementia, person begins to have difficulty remembering steps of a task.
Middle
In _______ Stage Dementia, person begins to behave differently.
Middle
In MSD, person begins to _______ differently.
behave
In MSD, person begins to experience ____________.
incontinence
In ________ Stage Dementia, person begins to experience incontinence.
Middle
In LSD, person loses ability to walk & sit __________.
independently
In ____ Stage Dementia, person loses ability to walk & sit independantly.
Late
A person with _____ Stage Dementia eventually becomes bedridden.
Late
Person with LSD can no long _____, ______, or ______.
all start with “s”
speak, swallow, smile
Person with _____ Stage Dementia can no long speak, swallow, or smile.
Late
Person with LSD become totally _________ of urine & feces
incontinent
Person with _____ Stage Dementia becomes totally incontinent of urine & feces.
Late
____________ Disease is the most common cause of Dementia.
Alzheimer
Lewy Body Disease is caused by abnormal protein deposits in brain areas responsible for __________/___________.
thinking/moving
__________ _______is caused by abnormal protein deposits in brain areas responsible for thinking/moving.
Lewy Body Disease
Lewy Body Disease is caused by abnormal _________ deposits in brain areas responsible for thinking/moving.
protein
________ ___________: mental function loss due to brain tissue death from oxygen/nutrition lack.
Vascular Dementia
Vascular Dementia: mental __________ _____ due to brain tissue death from oxygen/nutrition lack.
function loss
Vascular Dementia: mental function loss due to brain tissue death from _________/______ lack.
oxygen/nutrition
Alzheimer Diseased people may have abnormal Plagues & Tangles in brain part that affects ______.
memory
________ __________ people may have abnormal Plagues & Tangles in brain part that affects memory.
Alzheimer Diseased
Alzheimer Diseased people may have abnormal ______ & ______ in brain part that affects memory.
Plagues, Tangles
Frontotemporal Dementia people may show _________ changes & have ________ challenges.
personality, language
__________ __________ people may show personality changes & have language challenges.
Frontotemporal Dementia
4 of the most common Dementia causes:
ADisease
LBD
VD
FD
_____ Lobe is responsible for personality & behavior.
Frontal
Frontal Lobe is responsible for ___________ & _________.
personality, behavior
AD is the most ______ form of Dementia
common
_________ __________ is the most common form of Dementia.
Alzheimer Disease
AD accounts for >__% of Dementia cases.
60
AD usually occurs in people >__.
65
Agnosia
difficulty recognizing input from senses
______ means difficulty recognizing input from senses.
Agnosia
______ means difficulty remembering.
Amnesia
Amnesia
difficulty remembering
______ means difficulty using language.
Aphasia
Aphasia
difficulty using language
_______ means difficulty coordinating steps to a task.
Apraxia
Apraxia
difficulty coordinating steps to a task
8 conditions that put a person at risk for developing VD:
MI history
Hypertension
DM
Peripheral Vascular Disease
TIA
Obesity
Smoking
High blood cholesterol levels
Wandering
straying away from home
___________ is straying away from home.
Wandering
Pacing
walking back & forth
___________ is walking back & forth.
Pacing
Repetition/Perseveration
doing the same thing over & over again
____________/____________ is doing the same thing over & over again.
Repetition/Perseveration
Rummaging
searching through drawers or closets
____________ is searching through drawers or closets.
Rummaging
Delusions
false beliefs
__________ are false beliefs.
Delusions
Hallucinations
seeing, hearing, tasting, or smelling something that’s not really there
________________ are seeing, hearing, tasting, or smelling something that’s not really there.
Hallucinations
Agitation
becoming very upset or excited
___________ is becoming very upset or excited.
Agitation
Catastrophic Reaction
overreacting to something that’d cause a healthy person minimal to no stress
___________ ___________ is overreacting to something that’d cause a healthy person minimal to no stress.
Catastrophic Reaction
Sundowning
worsening of a person’s behavioral symptoms in the late afternoon and evening, as the sun goes down
_________________ is worsening of a person’s behavioral symptoms in the late afternoon and evening, as the sun goes down.
Sundowning
Inappropriate Sexual Behavior
attempting to have sexual intercourse with another resident or masturbating in a public area
________________ _________ __________ is attempting to have sexual intercourse with another resident or masturbating in a public area.
Inappropriate Sexual Behavior
A resident who tends to ________ may also wear a bracelet or an anklet that will set off an alarm if the resident tries to leave the facility through a doorway that leads to an _______ area.
Wander, unsafe
Reality Therapy is useful for people with ________.
Delirium
_________ Therapy is useful for people with Delirium.
Reality
Validation Therapy stresses the importance of . . .
acknowledging the person’s reality.
__________ Therapy stresses the importance of acknowledging the person’s reality.
Validation
Reality orientation ___ an effective technique to use with a person with Dementia.
isn’t
For Delusion, ________ the conversation.
redirect
For _________, redirect the conversation.
Delusions
For ____________, times of quiet & rest during the day might help reduce fatigue.
Sundowning
For Sundowning, periods of ______ & _____ during day might help reduce fatigue.
quiet, rest
For Sundowning, turning lights __ earlier in the evening might help.
on
For _____________, reassure the person & gently redirect his/er attention.
Hallucinations
For Hallucinations, _______ the person & gently redirect his/er __________.
reassure, attention
For ____________ ____________ ___________, gently but firmly lead the person back to his/er room & redirect his/er attention by introducing another activity.
Inappropriate Sexual Behavior
For Inappropriate Sexual Behavior, gently but firmly lead the person back to his/er ____ & _______ his/er attention by introducing another activity.
room, redirect
For ___________, if the facility has a fenced-in garden, suggest a walk.
Wandering
For Wandering, if the facility has a fenced-in garden, suggest a ____.
walk
For __________, show the person a special box filled with personal items.
Rummaging
For Rummaging, show the person a special ___ filled with _______ items.
box, personal
For __________/_________, distract the person by offering to take him/er on a walk or getting him/er involved in an activity.
Repetition/Perseveration
For Repetition/Perseveration, _______ the person by offering to take him/er on a walk or getting him/er involved in an activity.
distract
For ________, move the person to a quieter area, offer a snack, or take him/er to the restroom.
Pacing
For Pacing, move the person to a ________ area, offer a ______, or take him/er to the ____________.
quieter, snack, restroom
5 things to do to help tasks go more smoothly when working with Dementia P/R:
- speak clearly/calmly
- remind what step is next
- gesticulate while speaking
- plan for procedure in advance
- keep regular schedule
5 things to do to help tasks go more smoothly when working with Dementia P/R:
- speak ______/_____
- remind what ____ is next
- __________ while speaking
- plan for procedure in ________
- keep _________ schedule
- clearly/calmly
- step
- gesticulate
- advance
- regular
4 different therapy types to helpmeet emotional needs of Dementia P/R:
Reminiscence
Activity
Music
Pet
Reminiscence Therapy
person with dementia is encouraged to remember & share experiences from their past with others
_________ Therapy is encouraging a person with Dementia to remember & share experiences from their past with others.
Reminiscence
Activity Therapy
exercise their minds
4 Activity Therapy types:
Social
Creative
Intellectual
Physical
Music Therapy
listening to enjoyable music
Pet Therapy
being with trained animals
When asking a person with Dementia to do something, use _____ words & _____ sentences.
short
Help the person with _________ to feel secure & loved by showing affection (kind words, a gentle touch) & smiling.
Dementia
Helping a Dementia P/R to maintain his/er __________ is important.
independence/Autonomy
Dementia P/R respond best to a _____/__________ environment.
calm/structured
Dementia P/R can benefit from _______ cues, like a “stop” sign or a calendar.
visual
Many behaviors __________ P/R display can be very frustrating.
Dementia