Ch 13 Neurocognitive Disorders Flashcards
disorders in which a clinically significant deficit in cognition or memory exists, representing a significant change from previous level of functioning
neurocognitive disorders
disturbance in level of awareness/ change in cognition
develops rapidly over short period
delirium
delirium symptoms
difficulty sustaining attention
extreme distractibility
disorganized thinking
speech that is rambling, irrelevant, pressure and incoherent
impaired reasoning ability and goal directions
delirium symptoms continued
disorientation to time and place impairment of recent memory misperception of environment disturbances in level of consciousness psychomotor fluctuates between agitation, restlessness, and vegetative emotional instability
autonomic manifestations of delirium
tachycardia, sweating, flushed face, dilated pupils, increased BP
what is the duration of delirium
brief and subsides completely on recovery from underlying determinant
predisposing factors of delirium
general medical condition (infection, stroke, electrolyte imbalance, head trauma, abscess, seizure) substance induced (intoxication or withdrawal)- anticholinergics, alcohol, toxins etc
impairment in cognitive functions of thinking, reasoning, memory, learning, and speaking
neurocognitive disorder
NCD can be classified as what
mild or major
mild NCD
mild cognitive impairment
major NCD
previously described in DSM as dementia
disorder ITSELF is the major sign of some organic brain disease, not directly related to another illness
primary NCD
example of primary NCD
Alzheimer’s
behavioral reaction to memory loss, fills memory gaps with events that did not occur
confabulation
caused or related to another disease or condition
secondary NCD
