dementia

Question 1

what is the primary cause of permanent cognitive impairment among older patients and decline in mental ability severe enough to interfere w/ independence and daily life?

Answer 1

dementia

Question 2

dementia definition

Answer 2

memory impairment + 1

aphasia
apraxia
agnosia
disturbed executive functioning
defeicits cuases significant impairment and represents a significant decline from previous levels

Question 3

fluent, unable to understand written or sponken language. speak normal words, but they dont make sense

Answer 3

wernicke’s aphasia (word salad)

Question 4

non-fluent, expressive aphasia, able to read, but limited in writing

Answer 4

broca’s aphasia

Question 5

inability to recognize specific viusal stiumuli in the abscence of visual impairment

Answer 5

agnosia

Question 6

inability to perform previously learned motor acts in the presence of adequate motor strngth, difficulty making speech

Answer 6

apraxia

Question 7

what are the two most common causes of dementia?

Answer 7

stoke and alzheimer’s

Question 8

when might your order vitamin C levles?

Answer 8

homeless geriatric patient w/ mood changes and depression

Question 9

what are the two stages of early dementia?

Answer 9

cortical and subcortical (late stage is both)

Question 10

early dementia that affects memory/amnesia, language, problem solving and reasoning.

Answer 10

cortical dementia

1. alzheimer’s (#1 cause of dementia)
2. stroke syndrome/vascual dementia
3. lewy body dementia

Question 11

early dementia that affects motivation, emotionality/depression, clumsiness, irritability, or apathy

Answer 11

subcortical

1. huntington’s
2. tumors

Question 12

what is the treatment for psychosis and agitiation associated w/ dementia?

Answer 12

neuroleptics or antipsychotics

1. quetiapine
2. risperidone

but reassurance, distraction, and structured schedule may effectively control psychosis and agitation

Question 13

patients that are on drug therapy for dementia are also at a higher risk for ___

Answer 13

development of delirium so explain to caretaker the amnesia, aphasia, agnosia and apraxia

Question 14

how often should they use the restroom?

Answer 14

2-4 hours waking time

Question 15

what kind of daily activities should a patient w/ dementia have?

Answer 15

one activity q AM and PM

Question 16

when should you consider hospice care for a dementia patient?

Answer 16

when they can’t eat, ambulate, communicate w/o assistance, decubitus ulcer, and recurrent pneumonia