Cognitive Decline and Depression Overview Flashcards
is depression a normal part of aging?
No
what is IMPACT
Improving Mood-Promoting Access to Collaborative Treatment
what is PEARLS
Program to Encourage Active Rewarding Lives for Seniors)
Goal with PEARLS
improve QOL & reduce depressive symptoms
ADRs with SSRIs
hyponatremia
serotonin syndrome
suicidal
what is discontinutation syndrome with SSRIs
Naseau HA dizzy lethargy flu-like symptoms
ADRs with TCAs
dry mouth
constipation
decreased urination/ retention
sedation
Are MAOIs used often?
No, due to fatal HTN crisis w/ tyramine foods
are benzos a good idea in the elderly
No
if a patient hasn’t tolerated 2 antidepressants peds and depression is severe what should be considered?
ECT
where they use the wrong noun/ word
paraphasias
common in someone with an issue of alcohol. Will fill in random words
confabulation
making up new words
neologisms
stoping in mid sentance
blocking
takes a while to get to the point
circumstantaility
patient repeating something over and over
perseveration
non-sequitur. w/ acclerated rate of speech/ anxiety
derailment
total non-sequitiur w/ decompensation leading to incoherence
flight of ideas
Decline in thinking, reasoning and independent function d/t abnormal microscopic deposits that damage brain cells
Considered 3rd most common cause of dementia after VaD & AD (10 - 25 % cases)
Lewy body disease (DLB)
Under what number is mild on a MMSE
24
Under what is moderate on a MMSE
12
