LD Flashcards

1
Q

LD Challenging behaviour (history)

A
  • Clarify HPC (onset, duration, baseline, aggression, response)
  • Screen for psych disorders (mood, sleep, appetite, enjoyment, hallucinations, delusional)
  • Screen for medical illness (PMHx, medication changes, recent illness)
  • Environmental changes (environment, staff, residents, visitors, routine)
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2
Q

Dementia in Downs syndrome (history)

A
  • Clarify HPC (onset, duration)
  • Explore memory difficulties (short-term, long-term)
  • Orientation (day/dates, confused, recognizing people)
  • Communication (word-finding, understanding, identify objects)
  • Functioning (dressing, washing, toileting, walking, money, shopping, food, transportation)
  • PMHx and risk factors (head injury, low mood)
  • Other psych disorders (mood, enjoyment, sleep, appetite, abnormal behaviour)
  • Risk (wandering, getting lost, fire, flooding, exploitation, abuse, aggression, self-injury).
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3
Q

Depression in LD (history)

A
  • Clarify HPC (onset, duration)
  • Core features of depression (1-10, tearful, enjoyment)
  • Biological symptoms (Energy, sleep, EMW, appetite)
  • Other symptoms (concentration, self-worth, guilt, psychotic features)
  • Past psych history, PMHx, medications
  • Risk
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4
Q

Temporal lobe epilepsy (history)

A
  • Clarify HPC (onset, duration)
  • Pre-ictal phase (vacant, visual disturbance, unresponsive, involuntary movements)
  • Ictal phase (duration, LOC, movements, continence)
  • Post-ictal phase (confusion, sleepiness, memory, headache)
  • PMHx (medication, conditions, substances, FHx)
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5
Q

Pregnancy/parenthood in LD (d/w family)

A
  • Clarify HPC
  • Parenting concerns (Baseline functioning, work)
  • Explain role of social services (assessment, support, care)
  • Sterilization (consent and capacity)
  • LD in child (family history, genetic testing, aetiology of LD, antenatal care)
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6
Q

Abuse in LD (history)

A
  • Clarify HPC (onset, duration, course)
  • Explore social circumstances (family relationships, frequency of visits, bruising etc)
  • Psych screen (mood, enjoyment, sleep, appetite, aggression, easily startled, abnormal behaviour)
  • Med screen (PMHx, meds, seizures, new Sx)
  • Baseline skills (communication, ADLs, other residents)
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