dementia Flashcards
definition
gradual and progressive decline in memory and other cognitive functions causing impairment in activities of daily living
cognitive deficits/ symp of dementia:5A
Amnesia-impaired ability to register and retain new info and/or retain new info and / recall previously learned info
Apraxia-impaired ability to carry out previously learned motor activities like dressing,bathing,driving
Agnosia-inability to recognise obj (visual agnosia) and familiar faces (prosopagnosia)
Aphasia-
inability to understand speech (wernicke’s aphasia)
inability to express speech (broca’s aphasia)
name obj (nominal aphasia)
reading (alexia)
writing(agraphia)
Advanced brain functions impaired
frontal lobe dysfunction-impaired executive functioning:plan,organize,sequence,execute new task
impaired abstract reasoning,judgement,personality change,mood instability,poor attention and concentration,impaired social cognition
elicit amnesia
elicit apraxia
elicit aphasia
elicit agnosia
elicit advanced brain func and frontal lobe func affected
identify possible causes for dementia symptoms
comorbid psychiatric disturbances:5D
Detachment and disinterest (apathy)
Depression
Delusion and hallucination
Disturbed behaviour (aggression,agitation)
Delirium
diagnosis
amnesia with 1 or more other A symptoms
-multiple cognitive deficits should interfere with activities of daily living
-MMSE (MINI-MENTAL STATE EXAMINATION)
dementia vs delirium
causes of dementia
desc alzheimers disease
desc vascular dementia
disc lewy body dementia