Dementia Flashcards
Treating a 76-yr old with dementia. The pt presents with confusion. Pts daughter says she would like you to provide suggestions to improve her QOL. You suggest a therapy that would include orientation information. This would include providing the pt with info about time, person, and place. You say this may improve understanding and awareness of the environment. You suggest this info should be provided to the pt at fixed times throughout the day, however you say there is no guarentee this technique will work. This treatment is an example of…
A. Reality orientation (RO)
B. Fast mapping therapy
C. Simulated presence therapy (SPT)
D. Cognitive stimulation therapy (CST)
A. Reality orientation
Several studies have demonstrated that RO has imrpoved cognitive function for those with dementia. RO may include helping individuals retain awareness of time, place, and person. For ex, clinician may talk with pt about their environment, who they are with, the day of the week, or who is conversing with them
Vernon is 71 and recently diagnosed with dementia after family recognized his troubles with STM. Wife says he gets confused when listening to stories and when he tried to retell story he misunderstands who was doing what in the story.
What type of indirect therapy can you teach his family to practice to increase his understanding when listening to stories?
A. ask yes/no questions
B. replace pronouns with propernouns
C. Increase number of prepositions in sentence
D. use difficult vocab
B. replace pronouns with proppernouns
It is common for pts with dementia to use filler words or produce empty speech. Pronouns are typically used incorrectly or inappropriately, which leads to a lack of understanding for communication partners.
Proper nouns can be easier fot pt to recall and increase the level of understanding for the listener
Vernon the 71 yr old with dementias wife wants to be apart of every treatment session so she can stay up to date on his plan of care and follow through with therapy activities at home. What additional treatment may be necessary to help vernon and judy through this time of change?
A. Coaching
B. psychological therapy
C. Education
D. counseling
D. counseling
Cognitive disorders can severely influence the personal wellbeing. With so many responsibilities, its important that caregivers maintain a healthy mentality to successfully provide for their loved ones. Counseling can be beneficial for caregivers to preserve self-care routines and a healthy mindset both emotionally and socially
Vernon the 71 year old with dementia case study. Because vernons wife wishes to feel highly involved in the treatment process, what should you do to help judy feel the most involved and the most knowledgable about his treatment?
A. provide judy with educational resources and give her cognitive homework for vernon to complete based on activities done in the days session
B. provide judy with contacts to a support group
C. provide judy with educational resources
D. show judy how to help vernon use his strategies learned in therapy
A. provide judy with educational resources and give her cognitive homework for vernon to complete based on activities done in the days session
The use of cognitive homework assignments (memory books) are an effective tool that improves memory and conversational skills. The clinician teaches caregiver to use materials at home and written cues to carry over skills taught in therapy.
What is a righting reflex?
It adjusts the body when it is altered out of its upright position
This altered reflex can be seen when person attempts to turn. It include pt not being capable of pushing or standing with eyes shut and feet together
You receive a referral to assess Beth, who is a 76-year-old resident in a nursing home. The certified nursing assistants who work with her on a daily basis tell you that Beth has been experiencing changes in behavior. During group activities, she makes inappropriate comments and appears impulsive and distractible. The certified nursing assistants also note that she has decreased energy and motivation. You notice she is having mild problems with language as well. Which of the following forms of dementia is Beth displaying?
frontotemporal dementia
What is a common type of degenerative dementia in the elderly. Patients present with deficits in memory, loss of consciousness, and hallucinations. Patients will have a poor response to antipsychotic medications and may have repeated falls.
Lewy Body dementia
