dementia + deliruim Flashcards
progressive dementia
Alzheimer’s Disease Vascular Dementia Second most common cause of Dementia Lewy Body Dementia Frontotemporal Dementia Mixed Dementia
Most common cause of dementia in people ages 65 and older
Alzheimer’s Disease
stages and details (slide 12)
mild, moderate, severe
early mid late dementia OT role
see slide 19
how long does deliruim last?
hours
days
weeks
months
cognitive symptoms of dementia
Cognitive Impairment Poor memory (difficulty recalling events) Disorientation Difficulty speaking or recalling words Rambling Trouble understanding speech Difficulty reading or writing Inability to stay focused or on topic Easily distracted
behavioral symptoms of dementia
Hallucinations Restlessness, agitation or combative behavior Moaning or making sounds Flat affect (withdrawn from environment) Lethargy Disturbed sleep habits Reversal of night-day sleep-wake cycle
emotional symptoms of dementia
Anxiety, fear or paranoia Depression Irritability or anger Euphoria Apathy Unpredictable mood shifts Personality changes
differences w dementia and deliruim
see slide 31
Hypoactive Delirium or “Quiet Delirium”
Higher mortality in hypoactive than hyperactive Patient presents with: Disorientation Apathy Lethargy Reduced motor activity Sluggishness Drowsiness
OT role in deliruim treatment
Non-pharmacological prevention of delirium in ICU
Modification of visual or auditory stimuli
Noise reduction (earplugs), lighting control (eye mask), music therapy
Education on environment interventions
To the patient and family
To health care workers
Orientation
Cognitive Therapy
Physical exercise
Early mobilization protocols
