Chapter 20 Flashcards

1
Q

Alzheimer’s

Define: Alheimer’s

A

A type ofdementiathat causesproblemswith memory, thinking and behavior. Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks.

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2
Q

Alzheimer’s

What is the most common type of Dementia?

A

Alzheimer’s.

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3
Q

Alzheimer’s

List three non-modifiable risk factors associated with Alzheimer’s

A

Age
Increased likelihood of AD, particularly if older than age 85 years.
Family history
Either genetic or environmental. Risk increases when more than one in the family has had AD.
Genetic
Scientists have so far identified one Alzheimer risk gene called apolipoprotein E-e4 (APOE-e4).
Alzheimer deterministic gene: Found in a very small percentage of persons worldwide (5%).

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4
Q

Alzheimer’s

List three modifiable risk factors associated with Alzheimer’s

A
  • Preventing any form of head injury.
  • Controlling high blood pressure, heart disease, stroke, diabetes, and high cholesterol.
  • Keeping weight within recommended guidelines.
  • Avoiding tobacco and excess alcohol.
  • Staying socially connected.
  • Exercising both the body and mind.
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5
Q

Alzheimer’s

Identify fove of the ten signs of Alzheimer’s

A
  • MEMORY LOSS THAT DISRUPTS DAILY LIFE
  • CHALLENGES IN PLANNING OR SOLVING PROBLEMS
  • DIFFICULTY COMPLETING FAMILIAR TASKS
  • CONFUSION WITH TIME OR PLACE
  • TROUBLE UNDERSTANDING VISUAL IMAGES AND SPATIAL RELATIONSHIPS
  • NEW PROBLEMS WITH WORDS IN SPEAKING OR WRITING
  • MISPLACING THINGS AND LOSING THE ABILITY TO RETRACE STEPS
  • DECREASED OR POOR JUDGMENT
  • WITHDRAWAL FROM WORK OR SOCIAL ACTIVITIES
  • CHANGES IN MOOD OR PERSONALITY
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6
Q

Alzheimer’s

Define: Personhood

A

The “I am” within each of us.

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7
Q

Alzheimer’s

Identify 3 of the seven indicators of personhood and well-being for individuals with dementia.

A
  • Assertion of desire or will.
  • Ability to experience and express a range of emotions.
  • Initiation of social contact.
  • Self-respect.
  • Humor.
  • Creativity.
  • Self-expression.
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8
Q

Alzheimer’s

Idnetify three objectives for communication when working with an Alzheimer’s patient.

A
  • Improving socialization.
  • Maximizing quality of life.
  • Increasing involvement in a supportive community.
  • Understanding others.
  • Promoting safety and comfort.
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9
Q

Alzheimer’s

As Alzheimer’s progresses, what ability decreases resulting in an increased dependence on non-verbal communication, i.e., gestures and sounds?

A

Verbal abilities

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10
Q

Alzheimer’s

How does an OTP use “creative reality” when working with a patient with an Alzheimer’s diagnosis?

A
  • Focus on the emotions being expressed.
  • Respond appropriately by validating their feelings.
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11
Q

Alzheimer’s

What is the term used to describe the act of avoiding agitating patients by validating their feelings and redirecting their attentions?

A

Therapeutic Fibs

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12
Q

Alzheimer’s

What are some non-verbal cues should be avoided?

A
  • Avoid rushing.
  • Avoid looking at the clock.
  • Avoid sighing.
  • Avoid raising your voice.
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13
Q

Alzheimer’s behaviors

What is “pacing” an indicator of?

A

An inability to cope with others, escaping from a noise, or other environmental factors.

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14
Q

Alzheimer’s behaviors

What are “catastrophic reactions”?

A

Explosive responses to distress.

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15
Q

Alzheimer’s behaviors

What leads to “catastrophic reactions?”

A

They result from an inability to understand, interpret, and cope with real or imagined situations, people, the environment, or oneself. They often reflect physical problems such as dehydration, exhaustion, or fear.

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16
Q

Alzheimer’s behaviors

Identify three “typical” behaviors of a patient with Alzheimer’s.

A
  • Wandering
  • Pacing
  • Rummaging or redistribution of personal belongings
  • Combativeness and aggression
  • Repetitive motions