Exam 3 Part 5

Question 1

Levodopa effect that includes rapid changes in motoric ability induced by fluctuations in the concentration of L-Dopa in the blood plasma

Answer 1

Off/on effects

Question 2

Combination of overall decrease of volitional movement and difficulty initiating motor movement alongside cognitive deficits

Answer 2

Dementia with Lewy bodies

Question 3

What is the neuropathology of dementia with Lewy bodies?

Answer 3

Deterioration of cortex and subcortex due to Lewy bodies

Question 4

Over production of matter that is found in the basal ganglia that contributes to Parkinson’s disease

Answer 4

Lewy bodies

Question 5

What is the difference between a person who has dementia and a person who has aphasia?

Answer 5

Aphasia is a single episodic insult to the brain resulting in a loss of language; dementia is a progressive cognitive change (language, memory, motor, etc)

Question 6

What are some complex interacting factors of dementia treatment?

Answer 6

Age of patient, prior language/literacy skills, nature of neuropathology, severity of impairments, timing of therapy, length of therapy, intensity, family involvement

Question 7

What is the purpose of dementia treatment?

Answer 7

Improve quality of life and ensure patients operate at the highest level possible despite deficits, strengthen abilities that can improve, reduce demands on impaired disabilities, maintain intact cognition, provide stimuli that evoke positive emotion and memories

Question 8

What are 2 common medications to help with dementia?

Answer 8

Donepezil (Aricept), Memantine (Namenda)

Question 9

Maximizes cognitive abilities that remain

Answer 9

Medical management

Question 10

What are 2 types of approaches that we use to treat dementia?

Answer 10

Restorative, compensatory

Question 11

Maintaining a skill that they have in a simplistic level

Answer 11

Restorative

Question 12

Putting a skill in place of what they cannot do

Answer 12

Compensatory

Question 13

What is an example of a compensatory approach for treating dementia?

Answer 13

Setting an alarm, visual pictures for routines

Question 14

Auditory comprehension of single words, short sentences, longer and more complex sentences, and paragraph length information

Answer 14

Receptive language skills

Question 15

What are some examples of treating receptive language skills?

Answer 15

Answering simple to complex questions, follow simple to complex spoken directions, answering questions about spoken discourse