Dementia and Alzheimer's disease Flashcards

1
Q

dementia

A

group of symptoms that impair cognitive, social, and independent functioning

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2
Q

dementia changes

A

cognition, memory, language, behaviour, personality, mood

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3
Q

dementia diagnosis requirements

A

significant impairment in at least 2 brain functions without loss of consciousness

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4
Q

more affected gender - dementia

A

women

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5
Q

dementia prevalence vs heart failure

A

similar in ages 80+

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6
Q

prevalence

A

how many people have a disease

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7
Q

incidence

A

how many new cases of a disease

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8
Q

dementia and LTC

A

most seniors with dementia live outside of long term care or nursing homes

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9
Q

what causes dementia

A

number of disorders that affect the brain
results from nerve cell death and/or loss of communication among cells

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10
Q

dementia risk factors

A

age
alcohol/smoking
sedentary lifestyle/nutrition
cholesterol
mild cognitive impairment
genetics
high blood pressure
diabetes
atherosclerosis
down syndrome

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11
Q

Alzheimer’s Disease

A

neurogenerative disease marked by multiple cognitive deficits

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12
Q

how does Alzheimers disease begin

A

circumscribed and mild impairments in memory

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13
Q

how does Alzheimers disease progress

A

severe dysfunction in all aspects of cognition, behaviour, and functioning

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14
Q

what is found in Alzheimer’s disease

A

amyloid plaques and neurofibrillary tangles (cortex)

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15
Q

neurofibrillary tangles

A

abnormal tau proteins that form tangles and interfere with microtubule functioning and degrade neurons

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16
Q

amyloid plaques

A

abnormal levels of beta-amyloid proteins clump together to form plaques that collect between neurons and disrupts cell function

17
Q

Alzheimers disease early stage

A

memory impairment
lapses of judgement
subtle changes in personality

18
Q

Alzheimers disease mid stage

A

memory and language problems worsen
difficulty performing activities of daily living

19
Q

Alzheimers disease late stage

A

language, reasoning, social behaviour impairments worsen
lose ability to control motor functions
lose bowel and bladder control

20
Q

vascular / multi-infarct dementia

A

dementia caused by a stroke or series of small strokes creating reduced blood supply to the brain

21
Q

difference between Alzheimers disease and vascular dementia

A

people with vascular dementia maintain personality and emotional responsiveness until later stages of the disease

22
Q

incidence of MID

A

second most common cause of dementia in 65+
more men than women

23
Q

Lewy body dementia

A

progressive dementia
impacts motor skills, spatial awareness, basic movement, memory, psychiatric indicators
personality changes
symptoms similar to Parkinsons disease

24
Q

what causes Lewy body dementia

A

abnormal protein deposits in the brain (Lewy bodies) interrupt normal messaging

25
Q

dementia oral complications - perio and caries

A

forgetting home care
loss of ability
pain/infection increases confusion

26
Q

dementia oral complications - xerostomia

A

multipharma
ulcerations of mucosa
increased caries risk
problems with dentures

27
Q

dementia oral complications

A

losing dentures
involuntary jaw/tongue movements (antipsychotics)