Geriatric Psych Flashcards
Wandering in patients with dementia is best treated by…..?
Access to areas where walking can be safe and monitored.
How should you treat generalized anxiety disorder in geriatrics?
With non-pharmalogicals, SSRI’s, and PRN benzodiazepines
Atrophy in the cortex atrophy in the hippocampi decreased acetylcholine disruption of dopamine function decrease in serotonin availability glutamate hyperactiviy
What do all these things lead to?
A Demented Brain
What are the 5 major causes of Dementia
- Alzheimer’s disease
- Diffuse Lewy Body Disease
- Frontotemporal dementia
- Normal pressure Hydrocephalus
- Vascular dementia
Dementias pneumonic as a tool for creating a differential
D- Drugs
E- emotional/psychitric Diagnoses
M- Metabolic derangements
E- Endocrine disease
N- Nutritional problems and degenerative neurologic problems
T- Trauma or tumor
I- Infections, Inflammation, ischemia, impaction
A- Anemia, arrythmia, anoxia, abnormal flow
S- Social, spiritual, and sensory isolation
The DICE approach
D- describe the behavior
I- investigate for triggers and underlying causes
C- create a comprehensive plan
E- evaluate the effectiveness of it in an ongoing fashion
What are the main treatments for cognitive decline?
Acetylcholinesterase inhibitor and NMDA receptor antagonist
What are the main treatments for “sundowning”
Benzodiazepines
Selective serotonin reuptake inhibitors
mood stabilizers
antipsychotics
What are the main pharmacological treatments for depression?
SSRIs, SNRIs, Psychostimulants, Atypical antipsychotics, MAO inhibitors, Tricyclic and heterocyclic agents, ECT, deep brain stimulation, and TMS
What is the main pharm treatments for depression?
Mood stabilizers
How do you treat sexual disinhibition?
Cimetidine
Sertaline + medroxyprogesterone acetate + lupron
Estrogen patch
How do you treat anxiety, panic, and phobias?
Antidepressants (SSRIs and SNRIs), and Benzodiazepines
