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care of older adult > Dementia > Flashcards

Dementia Flashcards

1
Q

Truly understanding another’s condition as if it is your own.

A

Empathy

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2
Q

4 basic elements of person centered care

A

Empathy
Compassion
Humility
Love

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3
Q

Realizing your equality with others regardless of their condition.

A

Humility

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4
Q

Unconditional acceptance of another.

A

Compassion

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5
Q

4 physical environment designs

A

Freedom to move
Safety and security
Normalization
Natural light

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6
Q

12 kit wood and breeding indicators of well being

A 
Express desire or will
Expresses a range of emotions
Initiates social contact
Displays affection
Displays social sensitivity 
Show acceptance of others
Displays self respect 
Sense of humor
Creative and self expression 
Can relax and sleep
Helpfulness to others
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7
Q

Is an umbrella term to cover a group of symptoms

A

Dementia

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8
Q

First symptoms of dementia

A 
Poor judgement 
Cognitive loss
Poor safety awareness 
Loss of memory 
Disoriented 
Impulsive 
Short attention span
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9
Q

Everyone that has Alzheimer’s has

A

Dementia

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10
Q

Everyone with dementia doesn’t have

A

Alzheimer’s

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11
Q

A condition that with symptoms of dementia caused by different conditions etc uti, uri

Can be treated and will go away

A

Delirium

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12
Q

Number one cause of dementia

A

Alzheimer’s

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13
Q

Second cause of dementia

A

Vascular

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14
Q

Alzheimer’s and vascular make up what % of dementia

A

82%

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15
Q

Which type of dementia starts before the age of 65 and last 2-5 years

A

Early

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16
Q

Which type of dementia starts after age of 65 and lasts 8-12 years

A

Typical

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17
Q

Which type of dementia starts either early or late and last 5-10 years

A

Familial/genetic dementia

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18
Q

The theory that the brain of Alzheimer’s dementia person deteriorates in reverse order of age

Ex
Early stage 11-18 year old
Middle stage 4-10 year old
Late stage 3-new born

A

Retro genesis process

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19
Q

Inability to coordinate movement

A

Apraxia

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20
Q

Used to help people with apraxia

A

Chaining

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21
Q

In ability to recognize what is seen

A

Agnosia

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22
Q

The inability to find the right word or name of something you recognize

A

Anomia

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23
Q

Functional age of stage 4 dementia

A

7-13

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24
Q

Functional age of stage 5 dementia

A

4-6

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25
Q

Functional age of stage 6 dementia

A

3

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26
Q

The lack of o2 and blood supply to the brain is usually sudden and person usually has history of high BP, DM, high cholesterol

A

Vascular dementia

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27
Q

Do antipsychotic meds work for let body dementia

A

No

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28
Q

Symptoms of lewy body dementia

A 
Visual hallucinations 
Stiffness
Shuffle gait
Act out their dreams while sleeping 
Excessive daytime sleepiness
29
Q

Picks disease affects what area of the brain

A

Frontal temporal lobe
Personality
Judgement
Faster onset then Alzheimer’s

30
Q

Most common cause of wet icky-korsajoff syndrome

A

Alcoholism

31
Q

Creutzfeld-Jakob disease is caused by

A

Eating meat from cattle affected by mad cow disease

32
Q

Ability to retrieve stored short term information

A

Amnesia

33
Q

Number one cause of behaviors

A

Pain

34
Q

What is behavior about?

A

Is a form of communication from the resident.

35
Q

What can we do to avoid behaviors

A

Change environment
Change approach
Walk away and come back

36
Q

What behaviors require intervention

A

If it will cause harm to self or others

37
Q

What might trigger behaviors

A 
Task- to difficult 
Environment- to large of group
Attitude- rushing, angry etc
Changes in brain function-confusion,fear
Health- side effect of meds, infection
38
Q

Is important because it is cognitive stimulation and slows down the disease process and keeps people functional longer in turn managing behaviors

A

Therapeutic values

39
Q

Living Wisdom philosophy

A

To help our residents attain and maintain the highest practical physical, mental, psychosocial well being

40
Q

6 living wisdom program pillars

A 
wellness of body, mind and spirit
therapeutic environment
creating a meaningful life
dining
family partnership
care team development
41
Q

who is responsible for therapeutic programming?

A

everyone

42
Q

Examples of therapeutic programming

A

access to nature
personalized to my success
sensory rich
safe

43
Q

The loss of ability due to lack of use

A

excess disability

44
Q

Provides a homey, more active environment and focuses supporting a patient with dementia through a social environment. … In the social model approach of dementia care, the focus is placed on the residents’ cognitive needs rather than on medical or physical needs.

A

Social model of care

45
Q

what % of communication is through non verb?

A

55%

46
Q

What % of communication is through how you say it or tone of voice?

A

38%

47
Q

what % of communication is through words?

A

7%

48
Q

what is living wisdoms target group?

A

stage 4-6.5 or middle

49
Q

Does alzheimer’s progress slow or fast

A

Slow

50
Q

Does Vascular progress stair step or fast

A

Stair step

51
Q

Dementia residents are 3x more sensitive to

A

non verbal communication

52
Q

7 components of therapeutic programming

A

creative expression-art
cognitive stimulation-trivia
sensory stimulation-cooking
spiritual stimulation-pray, yoga
past life role-what they did or know from growing up
adls/personal care-showers, washing hands
social interaction-group activities

53
Q

3 positive ways to change communication

A

know the individual
speak slow and simple
make eye contact

54
Q

3 don’ts of communication

A

dont rush
dont ask why
dont use the word no

55
Q

different types of non verbal communication

A

eye contact
posture
gestures
facial expressions

56
Q

why do we do activities with people and not for them?

A

so the dont lose the ability to use what the have and to slow down the progression of the disease.

57
Q

3 biological changes in alzheimer’s patients

A

Abnormal deposits of proteins form amyloid plaques and tau tangles throughout the brain, and once-healthy neurons stop functioning, lose connections with other neurons, and die.
the plaque attaches to the myelin sheath and they start to unwind
as more neurons die the brain matter becomes smaller
acetylcholine is low

58
Q

what things are impacted by retro genesis

A 
reasoning
problem solving
inability to follow directions
safety awareness
concentration level
short attention span
communication skills
59
Q

what 3 things trigger behaviors?

A

environment
medical
psychological

60
Q

what is the theory of the bucket and the dipper

A

basically you have the opportunity to fill someones bucket or take from it. what you say and do can effect how full or empty someones bucket can be. be a bucket filler.

61
Q

how do we assess dementia patient for pain?

A 
breathing
negative vocalization
facial expression
body language
consolibility
62
Q

what does BCRS tool stand for?

A

Brief cognitive rating scale

63
Q

what is assessed in the BCRS?

A 
concentration
recent memory
past memory
orientation
function and self care
64
Q

what information is on the life history sheet

A 
family info
religion
education
work history
clubs/hobbies
language
cultural back ground
memories
what they like to do
how to get them involved
what they like
things they dont like
routines
what they like to eat
65
Q

What is the T F744 tag?

A

A resident who displays or is diagnosed with dementia, receives the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being.

66
Q

recognition or affirmation that a person or their feelings or opinions are valid or worthwhile

A

Validation

67
Q

becoming the residents best friend?

A

best friend approach

68
Q

lieng for their benefit. I talked to your mom and she said it was time for a shower today.

A

therapeutic truth

care of older adult (2 decks)

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