Geriatric And Neurocognitive Flashcards
T/F: 80% of older adults have one chronic condition. Increased risk for depression
True
T/F: majority of adults aren’t depressed with 1% to 5% but rise to 13% in home healthcare and 11.5% in hospital
True
T or F: depression in old persons is accompanied by physical symptoms or cognitive changes that mimic dementia
True
What are the common mental disorders for elderly
Depressive disorder
Cognitive disorder
Phobias
Alcohol use disorders
T/F: elderly have a higher risk of suicide with white men over 65 have five times higher
True
Sustained attention, divided attention, selective attention, processing speed
Complex attention
Planning, decision-making, working memory, responding to feedback/ error correction, overriding habits, inhibition, mental flexibility
Executive functioning
What are the cognitive domains
Complex attention
Executive function
Learning and memory
Language
Perceptual motor
Social cognition
Disturbance in attention with reduced awareness of the environment. It develops over a short period of time and fluctuates. Disturbance in cognition
Not explained by another NCD
Result of a direct physiological consequence of another medical condition
Delirium
Evidence if significant cognitive decline in one or more domains. Cognitive deficits interfere with independence in every day activities. Does not occur with delirium. Not due to MDD or schizophrenia
Ex: Alzheimer’s disease
Major NCD
Difficulties with instrumental ADLs such as housework and managing money
Mild NCD
Difficulties with basic ADLs such as feeding and dressing
Moderate NCD
Fully dependent unable to care for oneself
Severe NCD
Evidence of modest cognitive decline in one or more domains. Does not interfere with everyday activities. Dies not occur with delirium.
Mild NCD
Insidious onset and gradual progression of impairment in one or more cognitive domains with evidence of AD, clear decline in memory and learning, gradual decline in cognition, no evidence of mixed etiology
Major or mild alzheimer’s disease
Behavioral variant with three or more of behavioral disinhibition, apathy, or inertia, loss of sympathy, or empathy, perseverative, stereotyped, or compulsive, ritualistic behavior, hyperorality and dietary changes— decline in social cognition and executive abilities
Language variant: decline in language ability
Major or mild frontotemporal NCD
Fluctuating cognition with variations in attention and alertness, recurrent visual hallucinations, spontaneous features of parkinsonism
REM sled behavior disorder
Severe neuroleptic severity
Major or mild NCD with lewy bodies
Onset if cognitive deficits temporally related to one of more cerebrovascular events
Decline in complex attention and frontal executive function
Major or mild vascular NCD
Impact to the head with one or more of the following:
Loss of consciousness
Post-traumatic amnesia
Disorientation and confusion
Neuro signs: aphasia, apraxia, weakness
Presents immediately after the occurrence or immediately after recovery of consciousness
Major or mild NCD due to TBI
