Late Adult Cog

Question 0

What is dementia?

Answer 0

Irreversible Memory impairment, usually st mem first

Question 1

How is dementia brought on?

Answer 1

Slowly, progressive

Question 2

What cognitive impairment includes agnosia, aphasia, and apraxia, and executive functioning?

Answer 2

Dementia

Question 3

What is depression?

Answer 3

Mood disorder, mental illness

Question 4

Having impaired motor skills? Ex. Getting dressed

Answer 4

Apraxia

Question 5

Difficulty with speech and written language, comprehension, vague speech, unintelligent speech or muteness and troubles finding words?

Answer 5

Aphasia

Question 6

Aphasia?

Answer 6

Difficulty with speech and written language, comprehension, vague speech, unintelligent speech or muteness and troubles finding words?

Question 7

Someone can’t recognize that keys are for opening doors but instead food? Can’t recognize familiar people?

Answer 7

Agnosia

Question 8

What are the abilities to organize, sequence, abstracting and plan?

Answer 8

Executive functions

Question 9

What kind of dementia includes an abrupt onset, and occurs from infarcts/bleeding in brains?

Answer 9

Vascular dementia

Question 10

Lewy Body Dementia?

Answer 10

Subtype of AD, VIVID hallutionations, fluctuating cognition

Question 11

What kind of dementia includes a younger rapid onset?

Answer 11

Frontotemporal dementia

Question 12

What kind of dementia includes aggression and personality changes?

Answer 12

Frontotemporal dementia

Question 13

What kind of bhvrl disturbances are found with AD?

Answer 13

Self destructive
Non-compliance
Dependency
Aggression
Impulsiveness/disinhibition
Hiding/hoarding

Question 14

What are ways to investigate AD?

Answer 14

History
Phys exam**
Mmse**[30Q], quick 
Lab tests
Ct/MRI
Autopsy
Evaluation
Everything ruled out

Question 15

What are symptoms usually found with the first 2-4yrs of AD?

Answer 15

Forgetting
Denial
Confusion
ADL difficulties
Withdrawal
Family awareness

Question 16

Middle stage symptoms of AD?

Answer 16

Impaired adls, decrease language, reasoning, planning, disinhibition, aggression, RC

Question 17

Lat stages of dementia?

Answer 17

Decrease in environmental engagement, dependent, decrease in motor skills and speech

Question 18

What cognitive impairment includes fluctuating symptoms, altered bhvr and mental status and is reversible?

Answer 18

Delirium

Question 19

Which cog impairment has symptoms including: decreased attention span, disorientation, sleep wake disturbances?

Answer 19

Delirium

Question 20

Which cog impairment has symptoms including: sensory disturbances, changes in psychomotor activity, anxiety fear, irritability, euphoria, and apathy ?

Answer 20

Delirium

Question 21

What is a hyperactive delirium?

Answer 21

Agitation, constant motion, no purposeful or repetitive movements

Question 22

What symptoms follow hypo active delirium?

Answer 22

Inactive, withdrawn, decreased motor and verbal responses

Question 23

Interventions for delirium?

Answer 23

Interdisciplinary 
Familiar environment
Routine
Sleep at night
Hydration promo
Avoid restraints
Support and educate fam

Question 24

What are the risk factors of delirium?

Answer 24

``` Dementia Over 75 Ploypharmacy(many drugs) Hx of delirium Chronic illness Recovery from surgery Has a UTI or phneumonia ```

Question 25

Two infections that can onset delirium?

Answer 25

UTI | Pneumonia

Question 26

What is depression? And symptoms?

Answer 26

2weeks< depressive mood Loss of pleasure, interest Change in appetite, weight, sleep, and activity Guilt worthlessness Difficulty thinking, decision making Death/suicidal thoughts more than once Impairment of social, occupational functioning

Question 27

Risk factors of depression?

Answer 27

``` Previous episodes 60< Med/chronic illness and pain Substance a abuse Lack of social support Stressful life events ```

Question 28

What are interventions for depression?

Answer 28

``` Improve sleep patterns Responsibility for self care Social activity Encourage verbalizing anxiety and sadness Hope finding for future Environmental supports Programming supports Pharmacological supports ```