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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
Functional age of stage 6 dementia
3
26
The lack of o2 and blood supply to the brain is usually sudden and person usually has history of high BP, DM, high cholesterol
Vascular dementia
27
Do antipsychotic meds work for let body dementia
No
28
Symptoms of lewy body dementia
``` Visual hallucinations Stiffness Shuffle gait Act out their dreams while sleeping Excessive daytime sleepiness ```
29
Picks disease affects what area of the brain
Frontal temporal lobe Personality Judgement Faster onset then Alzheimer’s
30
Most common cause of wet icky-korsajoff syndrome
Alcoholism
31
Creutzfeld-Jakob disease is caused by
Eating meat from cattle affected by mad cow disease
32
Ability to retrieve stored short term information
Amnesia
33
Number one cause of behaviors
Pain
34
What is behavior about?
Is a form of communication from the resident.
35
What can we do to avoid behaviors
Change environment Change approach Walk away and come back
36
What behaviors require intervention
If it will cause harm to self or others
37
What might trigger behaviors
``` 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
Is important because it is cognitive stimulation and slows down the disease process and keeps people functional longer in turn managing behaviors
Therapeutic values
39
Living Wisdom philosophy
To help our residents attain and maintain the highest practical physical, mental, psychosocial well being
40
6 living wisdom program pillars
``` wellness of body, mind and spirit therapeutic environment creating a meaningful life dining family partnership care team development ```
41
who is responsible for therapeutic programming?
everyone
42
Examples of therapeutic programming
access to nature personalized to my success sensory rich safe
43
The loss of ability due to lack of use
excess disability
44
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.
Social model of care
45
what % of communication is through non verb?
55%
46
What % of communication is through how you say it or tone of voice?
38%
47
what % of communication is through words?
7%
48
what is living wisdoms target group?
stage 4-6.5 or middle
49
Does alzheimer's progress slow or fast
Slow
50
Does Vascular progress stair step or fast
Stair step
51
Dementia residents are 3x more sensitive to
non verbal communication
52
7 components of therapeutic programming
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
3 positive ways to change communication
know the individual speak slow and simple make eye contact
54
3 don'ts of communication
dont rush dont ask why dont use the word no
55
different types of non verbal communication
eye contact posture gestures facial expressions
56
why do we do activities with people and not for them?
so the dont lose the ability to use what the have and to slow down the progression of the disease.
57
3 biological changes in alzheimer's patients
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
what things are impacted by retro genesis
``` reasoning problem solving inability to follow directions safety awareness concentration level short attention span communication skills ```
59
what 3 things trigger behaviors?
environment medical psychological
60
what is the theory of the bucket and the dipper
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
how do we assess dementia patient for pain?
``` breathing negative vocalization facial expression body language consolibility ```
62
what does BCRS tool stand for?
Brief cognitive rating scale
63
what is assessed in the BCRS?
``` concentration recent memory past memory orientation function and self care ```
64
what information is on the life history sheet
``` 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
What is the T F744 tag?
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
recognition or affirmation that a person or their feelings or opinions are valid or worthwhile
Validation
67
becoming the residents best friend?
best friend approach
68
lieng for their benefit. I talked to your mom and she said it was time for a shower today.
therapeutic truth

care of older adult (2 decks)

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