Exam 3 - Elderly Flashcards
Dementia definition?
Compromise of memory plus:
aphasia
apraxia
agnosia
Demetia represents what?
Decline from previous level of functioning
1 cause of dementia?
Alzheimers
Alzheimer’s triad?
Memory, visuospatial, language impairment
Do Alzheimer’s have insight into own dz?
Nope
Delusions and hallucinations in Alzheimer’s in early or late stages?
Late
What’s Vascular Dementia?
Cognitive deficits due to micro and macro brain damage. Sudden onset.
What is Lewey Body Dz?
Insidious onset of dementia like alzheimers
When does Parkinsonism occur in Lewey Body Dementia?
After or concurrent to dementia
Do PTs with Lewey Body Dementia know they are having hallucinations?
Yes!
Do PTs with dementia seek out care for memory loss?
No, their families bring them in
What’s in the Mini-COG test?
Remembering 3 words and drawing a clock
If can’t recall one or two words in Mini-COG test then what next?
Draw clock. If correct then not demented. Incorrect=demented.
What is a Mini Mental Status Exam?
Most widely used cognition test in US
Mini Mental Status Test score of _____ indicated dementia/delerium
<24
Neuroimaging of dementia?
Only if acute onset. Look for stroke.
Tx for dementia?
Acetycholinelesterase inhibitors
When to use Memantine in dementia patient?
Only if Aricept fails
Biggest risk factor in Delerium?
Dementia
What is the primary deficit in Dementia?
Attention (vs memory in dementia)
Most common reversible cause of delerium?
Medications (polypharmacy)
Delerium is an acute or insidious change in mental status?
Acute
Delerium hallmark?
Distractability
Most common delerium presentation?
Quiet and withdrawn state
When do to head CT in delerium?
If no obvious cause can be found
Tx for delerium?
Antipsychotic Haldol
Tx for elderly depression
First-line treatment consists of psychotherapy and somatic therapy (anti-depressant meds or electroconvulsive therapy)
Dose of depression meds in elderly?
Half dose of young PT
First line in depression?
SSRI/SNRI
Second line in depression?
Bup, Mirt
Fast onset- delerium or dementia?
Delerium!
