Lecture 2 Flashcards
what 3 things does te glasgow coma scale record
eye opening response
motor response
verbal response
what is the test used to screen for delirium
CAM
what are the 3 parts of memory
immediate
recent
remote
someone not fully alert and drifting off to sleep when not stimulated - will be aroused (but looking drowsy) when called by name
Lethargic
what is gnosia
recognition of objects and their functions
what is the highest score you can get on the glasgow coma scale
15
what is the difference between narrative and focused charting
narrative - charting by inclusion
focused - charting by exception
what are the 3 steps of the mini-cog test
three-word registration
clock drawing
three word recall
what is orientation
being away of who you are, where you are and when it is
Differences in dementia/delirium prognosis
dementia: irreversible
delirium: reversible
what 4 things are you assessing with a mental status examination
appearance
behaviour
cognition
thinking
What is the CAM
confusion assessment method
what is the MMSE
mini-mental state examination
Stupor
spontaneously unconcious and will only respond to vigorous shake and pain - still withdraws from pain
the diagnosis of delirium by CAM requires what
Either acute onset/fluctuating course or inattention
And either disorganized thinking, altered LOC
Differences in dementia/delirium onset
dementia: gradual
delirium: abrupt
what is the mini-cog test used for
to detect cognitive impairment quickly
what is the highest score you can get on the MOCA
30
what four areas is the general survey composed of
physical appearance
mobility
body structure
behaviour
what is tripod sitting
leaning forward, hands on knees bracing themselves
what things are you looking at for behaviours
dress
hygiene
facial expression
mood
spontaneously unconcious and will only respond to vigorous shake and pain - still withdraws from pain
Stupor
what is remote memory
being able to remember verifiable past events
Differences in dementia/delirium attention
dementia: normal
Delirium: impaired
what is the highest score you can get on the MMSE
30
Obtunded
Transitional state between lethargy and stupor
sleeps most of the time and difficult to arouse
Coma
completely unconscious and wont respond to anything
recognition of objects and their functions
gnosia
what is the lowest score you can get on the glasgow coma scale
3
name some things youd be looking at with body structure
stature
symmetry
posture
nutrition
Differences in dementia/delirium course
dementia: progressive
Delirium: fluctuating
what is recent memory
being able to recall when they ame in
what 3 things should we screen for in a risk assessment
suicidal thoughts
homocidal ideation
elopment risk
what are the 5 Rs
Right information
patient
person
place
time
when is delirium course worse
in the pM
acute confusional state
clouding of consciousness, impaired memory
what is the CAM used for
to tell if someone is facing delirium
Transitional state between lethargy and stupor
Obtunded
What is the MOCA
montreal cognitive assessment
what is immediate memory
recalling what someone just said
what does the MMSE ask
questions about your orientation, remembering words, copying pictures etc
name some things youd be looking at with physical appearance
LOC
age - if you look the age you are
Sex - delayed or early puberty
Skin colour
Facial expression
Lethargic
someone not fully alert and drifting off to sleep when not stimulated - will be aroused (but looking drowsy) when called by name
what things are you looking at in regards to mobility
gait
ROM
what is the difference between the MMSE and MoCA
moca is newer, little bit more in depth than MMSE
