Dementia Flashcards

1
Q

What is considered as old age according to WHO?

A

65 years old !

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2
Q

what tasks can people struggle with as they begin to age?

A
  • mobility
  • dexterity
  • communication
  • introduction of medical conditions
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3
Q

what do older people value?

A
  • company and relationships
  • time
  • a desire to contribute to society
  • someone listening
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4
Q

what is dementia?

A

A syndrome that causes a progressive deterioration in cognitive function beyond what might be expected from normal aging

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5
Q

what does dementia have an effect on??

A
  • memory
  • thinking
  • orientation
  • comprehension
  • calculation
  • learning capacity
  • language
  • judgement
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6
Q

What is dementia characterised by?

A
  • amnesia (especially for recent events)
  • inability to concentrate
  • disorientation in time, place or person
  • intellectual impairment
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7
Q

what will patients with dementia often have problems with?

A
  • day to day memory
  • concentration, planning or organisation
  • language
  • visuospacial skills
  • orientation
  • making decisions
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8
Q

In dementia patients, what commonly accompanies the impairment in cognitive function?

A

Deterioration in:
- emotional control
- social behaviour
- motivation

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9
Q

What is the most common type of dementia?

A

Alzheimer’s (60%)

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10
Q

What occurs in patients with alzheimer’s?

A

Reduction size of the cortex, sever in the hippocampus area
- plaques deposits in spaces between nerve cells
- tangles build up inside cells

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11
Q

What are the distinctive features of alzheimer’s?

A
  • aphasia
  • communication difficulties
  • easily muddled
  • mood swings
  • withdrawn
  • loss of confidence
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12
Q

What are lifestyle risk factors for the development of alzheimer’s?

A
  • smoking
  • hypertension
  • low folate
  • high blood cholesterol
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13
Q

what gender is more likely to develop alzheimer’s?

A

women

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14
Q

What genetic abnormalities can make patients more likely to develop alzheimer’s?

A

Abnormalities on chromosome 1, 14 or 21

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15
Q

What is vascular dementia?

A

Caused by a reduced blood flow to the brain, which damages & eventually kills the brain cells

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16
Q

Why can vascular dementia occur?

A
  • small vessel disease in brain
  • a single large stroke
  • lots of mini-strokes
  • high blood pressure & diabetes
17
Q

what are some distinctive features of vascular dementia?

A
  • memory problem of sudden onset
  • visuospatial difficulties
  • anxiety
  • delusions
  • seizures
18
Q

What are different types of dementia?

A
  • alzheimer’s
  • vascular dementia
  • dementia with lewy bodies
  • frontotemporal dementia
19
Q

what are the early stage symptoms of dementia?

A
  • loss of short term memory
  • confusion, poor judgment, unwilling to make decisions
  • anxiety, agitation or distress
  • inability to manage everyday tasks
  • communication problems
20
Q

How is dementia diagnosed?

A
  • screened to eliminate treatable causes
  • neurological examination and detailed cognitive testing (MMSE)
21
Q

what is MMSE?

A

Mini-mental state examination

22
Q

what are the pros of MMSEs?

A
  • well known
  • easy to administer
  • samples range of cognitive functions
  • test-re-test and inter rater availability
23
Q

How is dementia treated?

A
  • counselling
  • aspirin & reducing cardiac risks
  • NSAIDs may slow progression
  • vitamin E and Ginko Biloba may slow progression
24
Q

what drug treatment may be used in dementia patients?

A
  • donepezil
  • galantamine
  • rivastigmine
25
Q

How can care homes be made more dementia-friendly?

A
  • walls, floors, skirting boards & doors all different colours provides good visual contrast
  • labels on drawers etc
  • position personal pictures & items with personal relevance