DEMENTIA Flashcards

1
Q

Types of Dementia

A

Alzheimer’s Disease, Multi-infarcts (CVA), Parkinson’s Disease (Lewy Body Dementia), Huntington’s Disease, Korsakoff’s Syndrome (Alcohol Abuse)

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2
Q

Reversible Types of Dementia

A
  • Depression
  • Metabolic Imbalance
  • Hypothyroidism
  • Medication
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3
Q

Statistics for Alzheimer’s Disease

A
  • 1 in 10 Americans has a family member with AD
  • 1 in 10 individuals older than 65 is affected by AD
  • Nearly half of individuals older than age 85 has AD
  • AD is the most common form of dementia (50-70%)
  • AD can last 3 to 20 years, with avg of 8 years from DX to Death
  • incidence are expected to double every 20 years
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4
Q

Problems that are created with dementia

A
  • Functional Problems
  • Behavioral Problems
  • Neurological Problems
  • Caregiver Problems - especially stree
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5
Q

Types of (LTM) Long Term Memory

A
  • Episodic Memory
  • Semantic Memory
  • Declarative Memory
  • Prospective Memory
  • Procedural Memory
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6
Q

Episodic Memory

A

for personal episodes or events that have a contextual reference, often can trigger with stories, pictures and smells

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7
Q

Semantic Memory

A

for memory of facts difficult to tap into unless about info used extensively in daily life. Maybe categories of knowledge.

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8
Q

Declarative Memory

A

for general knowledge, not often preserved (Who was the first president?)

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9
Q

Prospective Memory

A

memory used to tell us what to do, figuring out what to do based on experience. Should I cross the street if light is red? Though impaired, may be amenable to adaptive strategies and cues.

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10
Q

Procedural Memory

A

memory for knowing how to do something, e.g, ride a bike, bake cookies - even though not done for many years. If we know person’s history, may be able to tap into this. Find activities that don’t require new learning.

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11
Q

Which type of memory stays with the individual with dementia stays the longest?

A

*Procedural

the shortest - episodic / recall

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12
Q

Ways to prevent dementia

A
  • active and invested in meaningful activities
  • proper nutrition and exercise
  • participation in socialization activities
  • cognitive exercise*
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13
Q

-What are the typical interventions for dementia?

A
  • Behavior Management
  • Environmental Modifications
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14
Q

What are the seven stages of Alzheimer’s Disease?

A

Stage 1 - No Impairment
Stage 2 - Very Mild Decline (Sapphire)
Stage 3 - Mild Decline (Diamond)
Stage 4 - Moderate Decline (Emerald)
Stage 5 -Moderately Severe Decline (Amber)
Stage 6 - Severe Decline (Ruby)
Stage 7 - Very Severely Decline (Pearl)

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15
Q

Stage 1 - and OT Interventions

A

NO IMPAIRMENT - no objective/subjective functional decline
- begins to notice some memory problems

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16
Q

Stage 2 - and OT Interventions

A

VERY MILD DECLINE ( Sapphire)
- some difficulties recalling names and word finding
- diffculty finding objects
- forgets train of thought
- subjective complaints of memory loss

17
Q

Stage 3 - and OT Interventions

A

MILD DECLINE (Diamond) - problems noted in more demanding social and occupational settings
- problems noted with remembering important appointments
- problems traveling to unfamiliar locations - gets lost

18
Q

Stage 4 - and OT Interventions

A

MODERATE DECLINE (Emerald)
- deficits in performance of complex task like IADLs
- decreased knowledge of recent events
- inability to perform high level mental calculations
- decrease memory for personal information and socially withdrawn

19
Q

Stage 5 - and OT Interventions

A

MODERATELY SEVERE DECLINE ( Amber)
- deficits in choosing appropriate attire
- assistance required with community functioning
- personality changes beginning to be noted

20
Q

Stage 6 - and OT Interventions

A

SEVERE DECLINE (Ruby)
- occasionally forgets own name
- needs extensive help with ADLs
- decrease memory of personal information
- dysfunctional sleep/wake cycle, hallucinations, compulsions, repetitive behaviors

21
Q

Stage 7 - and OT Interventions

A

VERY SEVERLY DECLINE (Pearl)
- Mutism, dysphagia, and muscle rigidity
- individuals do not respond to environment
- inability to control movement
- requires feeding assistance

22
Q

What is the positive physical approach?

A
  1. Approach from the FRONT to avoid autonomic response
  2. Walk SLOW (1 second, 1 step)
  3. Stand to the side - use SUPPORTIVE STANCE
  4. Crouch LOW
  5. Offer your HAND
  6. Call them by NAME
23
Q

Way to intervene behavioral problems

A
  • Rescue Strategy
  • Prevent
  • Environmental Strategies to enable meaningful activity
  • Hand under Hand (Hand over Hand)
  • Mirroring
  • Chaining
24
Q

Types and use of cues to assist with dementia care

A
  • Verbal
  • Visual
  • Touch/Tactile Cues
25
Q

reason for reminiscence and examples of ways to facilitate this with patients

A
26
Q

Teaching/Learning Method for Dementia

A
  • Forward/Backward Chaining
  • Repetition and Routine
  • Mirroring
  • Bridging
  • Hand under Hand
  • Cues - Verbal, Tactile, Visual
27
Q

Assessments for dementia and considerations for performing evaluations

A
  • KTA Kitchen Task Assessment
  • FBP Functional Behavior Profile
  • ACS Activity Card Sort
  • ACL Allen’s Cognitive Test
  • MMSE Mini Mental Status Exam
  • MoCA Montreal Cognitive Assessment
  • ADL Evaluation
  • Memory and Behavioral Problem Checklist
28
Q

Senior Gems related to ACL and Dementia Stages

A
  • Level 1 Automatic Actions Stage 7 Pearl
  • Level 2 Postural Actions Stage 6 Ruby
  • Level 3 Manual Actions Stage 5 Amber
  • Level 4 Goal-Directed Actions Stage 4 Emerald
  • Level 5 Exploratory Actions Stage 3 Diamond
  • Level 6 Planned Actions Stage 1-2 Sapphire