Dementia Flashcards
Vascular dementia
Series of small strokes leading to focal lesions on the brain and neurotransmitter disruption
Clinical features of vascular dementia
Cognitive decline with less severe memory impairment than AD
Gait disturbance
Abrupt or stepwise decline
Frontotemporal dementia clinical features
Progressive aphasia
Corticobasal syndrome
Similar to AD or Parkinson’s
Immediate distinct onset
Dementia with Lewy bodies clinical features
Progressive deficits in attention, executive functioning, memory, cognition, visual hallucinations, Parkinson’s symptoms, autonomic dysfunction, falls, rapid eye movement
Early stage dementia
ADLs intact
Memory loss in IADLs
Communication impairment
Clings to routine
Middle stage dementia
Impairment in all areas of occupation
Confusion!
Late stage dementia
All areas of occupation are lost
Dependent in all ADLs
No longer ambulate
Communication is lost
Claudia Allens cognitive Disability Theory
Level 6
Client is independent
Disability is absent
Claudia Allens cognitive Disability Theory
Level 5
Exploratory actions
Can follow four to five step process
Dressing, eating, grooming without assistance
Standby or supervision for cognitive assist
Claudia Allens cognitive Disability Theory
Level 4
Minimum cognitive assist
Understands cause and effect
No longer problem solve
Can follow 2 to 3 step activities
Attention directed to visual and tactile cues
Eat independently
Need 24 hr supervision
Claudia Allens cognitive Disability Theory
Level 3
Manual actions
Moderate cognitive assist
One step familiar action oriented activities
Need routine
Cannot learn new behaviors
Claudia Allens cognitive Disability Theory
Level 2
Postural actions
Max cognitive assist
Thinking highly disorganized
Can imitate caregiver
Should be toileted every two hours
Paced and wanders
Claudia Allens cognitive Disability Theory
Level 1
Automatic actions
Total cognitive assistance
Dependent on caregiver for ADLs
Terminal stage of disease
Distinguishing feature of dementia with Lewy bodies
Visual hallucination and parkinson like motor symptoms (spontaneous motor movements and rigidity)
