Caring For People With Dementia, C9; P-LQ, WB Flashcards

W2, 9/4-9

1
Q

For persons who experience Sundowning, it is best if they ____ __ the lights to avoid over-stimulation.

A

turn on

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2
Q

For persons who experience __________, it is best if they turn on the lights to avoid over-stimulation.

A

Sundowning

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3
Q

__________ would be used to describe when a Patient with Dementia repeats the same thing over & over.

A

Perseveration

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4
Q

Perseveration

A

(a Patient) repeating something over & over

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5
Q

Expressive Aphasia

A

difficulty finding correct words

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6
Q

Someone with Expressive Aphasia would have difficulty _________ their thoughts verbally due to difficultly finding corrects words.

A

expressing

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7
Q

________ Dementia is caused when the brain is deprived of oxygen/nutrients.

A

Vascular

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8
Q

Vascular Dementia occurs when ______ is deprived of ______/______

A

brain, oxygen/nutrients

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9
Q

Vascular Dementia occurs when . . .

A

brain’s deprived of oxygen/nutrients

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10
Q

A person with Delirium may die if the ________ cause is not identified & _______.

A

underlying, treated

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11
Q

As a person’s Dementia worsens, they lose the ability to __________ ___________.

A

communicate effectively

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12
Q

As one’s ________ worsens, s/he looses the ability to communicate effectively.

A

Dementia

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13
Q

______ language & ________ may become a way for a person with worsened Dementia to express him/herself.

A

Body, behaviors

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14
Q

Alzheimer disease & Vascular Dementia are _____________ & __________.

A

irreversible, incurable

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15
Q

___________ stresses importance of person’s reality when caring for Patient with Dementia.

A

Validation

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16
Q

Validation

A

stresses importance of person’s reality when caring for Patient with Dementia

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17
Q

Many ____-____ ____ _________ use pet therapy to help calm persons with Dementia.

A

L-TCF

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18
Q

Many L-TCF use ____ _______ to help calm persons with Dementia.

A

pet therapy

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19
Q

Many L-TCF use pet therapy to help calm persons with _________.

A

Dementia

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20
Q

What action would the NA take when using Reminiscence therapy in Patients with Dementia?

A

ask Patient about his/er life growing up

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21
Q

Delirium

A

symptom of underlying disorder

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22
Q

Dementia

A

permanent/progressive mental functions loss

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23
Q

Dementia is caused by damage to the _______ [organ].

A

brain

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24
Q

A person with Dementia may have ________ problems, especially _______-_____ memory.

A

memory, short-term

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25
A person with __________ Dementia may act in socially inappropriate ways.
Frontotemporal
26
A person with Frontotemportal Dementia may act in ______ __________ ways.
socially inappropriate
27
A person with Dementia _____ able to make responsible decisions.
isn't
28
A person with Dementia isn't able to make _________ decisions.
responsible
29
Dementia usually has a ___________ onset.
gradual
30
Dementia has _ stages.
3
31
3 Dementia Stages:
Early Middle Late
32
______ Stage Dementia: person begins experiencing memory loss.
Early
33
ESD: person begins experiencing __________ _____.
memory loss
34
In ESD, person is _______ of memory loss.
aware
35
In _____ Stage Dementia, person is aware of memory loss.
Early
36
In _________ Stage Dementia, person begins to have difficulty communicating; using/understand words, or both.
Middle
37
In MSD, person begins to have difficulty __________; using/understand words, or both.
communicating
38
In ________ Stage Dementia, person begins to have difficulty recognizing the familiar.
Middle
39
In Middle Stage Dementia, person begins to have difficulty ___________ the familiar.
recognizing
40
In MSD, person begins to have difficulty remembering _______ of a task.
steps
41
In _______ Stage Dementia, person begins to have difficulty remembering steps of a task.
Middle
42
In _______ Stage Dementia, person begins to behave differently.
Middle
43
In MSD, person begins to _______ differently.
behave
44
In MSD, person begins to experience ____________.
incontinence
45
In ________ Stage Dementia, person begins to experience incontinence.
Middle
46
In LSD, person loses ability to walk & sit __________.
independently
47
In ____ Stage Dementia, person loses ability to walk & sit independantly.
Late
48
A person with _____ Stage Dementia eventually becomes bedridden.
Late
49
Person with LSD can no long _____, ______, or ______. | all start with "s"
speak, swallow, smile
50
Person with _____ Stage Dementia can no long speak, swallow, or smile.
Late
51
Person with LSD become totally _________ of urine & feces
incontinent
52
Person with _____ Stage Dementia becomes totally incontinent of urine & feces.
Late
53
____________ Disease is the most common cause of Dementia.
Alzheimer
54
Lewy Body Disease is caused by abnormal protein deposits in brain areas responsible for __________/___________.
thinking/moving
55
__________ _______is caused by abnormal protein deposits in brain areas responsible for thinking/moving.
Lewy Body Disease
56
Lewy Body Disease is caused by abnormal _________ deposits in brain areas responsible for thinking/moving.
protein
57
________ ___________: mental function loss due to brain tissue death from oxygen/nutrition lack.
Vascular Dementia
58
Vascular Dementia: mental __________ _____ due to brain tissue death from oxygen/nutrition lack.
function loss
59
Vascular Dementia: mental function loss due to brain tissue death from _________/______ lack.
oxygen/nutrition
60
Alzheimer Diseased people may have abnormal Plagues & Tangles in brain part that affects ______.
memory
61
________ __________ people may have abnormal Plagues & Tangles in brain part that affects memory.
Alzheimer Diseased
62
Alzheimer Diseased people may have abnormal ______ & ______ in brain part that affects memory.
Plagues, Tangles
63
Frontotemporal Dementia people may show _________ changes & have ________ challenges.
personality, language
64
__________ __________ people may show personality changes & have language challenges.
Frontotemporal Dementia
65
4 of the most common Dementia causes:
ADisease LBD VD FD
66
_____ Lobe is responsible for personality & behavior.
Frontal
67
Frontal Lobe is responsible for ___________ & _________.
personality, behavior
68
AD is the most ______ form of Dementia
common
69
_________ __________ is the most common form of Dementia.
Alzheimer Disease
70
AD accounts for >__% of Dementia cases.
60
71
AD usually occurs in people >__.
65
72
Agnosia
difficulty recognizing input from senses
73
______ means difficulty recognizing input from senses.
Agnosia
74
______ means difficulty remembering.
Amnesia
75
Amnesia
difficulty remembering
76
______ means difficulty using language.
Aphasia
77
Aphasia
difficulty using language
78
_______ means difficulty coordinating steps to a task.
Apraxia
79
Apraxia
difficulty coordinating steps to a task
80
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
81
Wandering
straying away from home
82
___________ is straying away from home.
Wandering
83
Pacing
walking back & forth
84
___________ is walking back & forth.
Pacing
85
Repetition/Perseveration
doing the same thing over & over again
86
____________/____________ is doing the same thing over & over again.
Repetition/Perseveration
87
Rummaging
searching through drawers or closets
88
____________ is searching through drawers or closets.
Rummaging
89
Delusions
false beliefs
90
__________ are false beliefs.
Delusions
91
Hallucinations
seeing, hearing, tasting, or smelling something that's not really there
92
________________ are seeing, hearing, tasting, or smelling something that's not really there.
Hallucinations
93
Agitation
becoming very upset or excited
94
___________ is becoming very upset or excited.
Agitation
95
Catastrophic Reaction
overreacting to something that'd cause a healthy person minimal to no stress
96
___________ ___________ is overreacting to something that'd cause a healthy person minimal to no stress.
Catastrophic Reaction
97
Sundowning
worsening of a person’s behavioral symptoms in the late afternoon and evening, as the sun goes down
98
_________________ is worsening of a person’s behavioral symptoms in the late afternoon and evening, as the sun goes down.
Sundowning
99
Inappropriate Sexual Behavior
attempting to have sexual intercourse with another resident or masturbating in a public area
100
________________ _________ __________ is attempting to have sexual intercourse with another resident or masturbating in a public area.
Inappropriate Sexual Behavior
101
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
102
Reality Therapy is useful for people with ________.
Delirium
103
_________ Therapy is useful for people with Delirium.
Reality
104
Validation Therapy stresses the importance of . . .
acknowledging the person’s reality.
105
__________ Therapy stresses the importance of acknowledging the person’s reality.
Validation
106
Reality orientation ___ an effective technique to use with a person with Dementia.
isn't
107
For Delusion, ________ the conversation.
redirect
108
For _________, redirect the conversation.
Delusions
109
For ____________, times of quiet & rest during the day might help reduce fatigue.
Sundowning
110
For Sundowning, periods of ______ & _____ during day might help reduce fatigue.
quiet, rest
111
For Sundowning, turning lights __ earlier in the evening might help.
on
112
For _____________, reassure the person & gently redirect his/er attention.
Hallucinations
113
For Hallucinations, _______ the person & gently redirect his/er __________.
reassure, attention
114
For ____________ ____________ ___________, gently but firmly lead the person back to his/er room & redirect his/er attention by introducing another activity.
Inappropriate Sexual Behavior
115
For Inappropriate Sexual Behavior, gently but firmly lead the person back to his/er ____ & _______ his/er attention by introducing another activity.
room, redirect
116
For ___________, if the facility has a fenced-in garden, suggest a walk.
Wandering
117
For Wandering, if the facility has a fenced-in garden, suggest a ____.
walk
118
For __________, show the person a special box filled with personal items.
Rummaging
119
For Rummaging, show the person a special ___ filled with _______ items.
box, personal
120
For __________/_________, distract the person by offering to take him/er on a walk or getting him/er involved in an activity.
Repetition/Perseveration
121
For Repetition/Perseveration, _______ the person by offering to take him/er on a walk or getting him/er involved in an activity.
distract
122
For ________, move the person to a quieter area, offer a snack, or take him/er to the restroom.
Pacing
123
For Pacing, move the person to a ________ area, offer a ______, or take him/er to the ____________.
quieter, snack, restroom
124
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
125
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
126
4 different therapy types to helpmeet emotional needs of Dementia P/R:
Reminiscence Activity Music Pet
127
Reminiscence Therapy
person with dementia is encouraged to remember & share experiences from their past with others
128
_________ Therapy is encouraging a person with Dementia to remember & share experiences from their past with others.
Reminiscence
129
Activity Therapy
exercise their minds
130
4 Activity Therapy types:
Social Creative Intellectual Physical
131
Music Therapy
listening to enjoyable music
132
Pet Therapy
being with trained animals
133
When asking a person with Dementia to do something, use _____ words & _____ sentences.
short
134
Help the person with _________ to feel secure & loved by showing affection (kind words, a gentle touch) & smiling.
Dementia
135
Helping a Dementia P/R to maintain his/er __________ is important.
independence/Autonomy
136
Dementia P/R respond best to a _____/__________ environment.
calm/structured
137
Dementia P/R can benefit from _______ cues, like a "stop" sign or a calendar.
visual
138
Many behaviors __________ P/R display can be very frustrating.
Dementia