old age psych Flashcards
1
Q
what are cognitive features of dementia ?
A
memory
dysphasia dyspraxia dysgnosia dysexecutive function functional decline
2
Q
what is seen on MRI scans of Alzheimers dementia ?
A
medial temporal lobes
3
Q
what is the criteria for Lewy body dementia ?
A
dementia - attention, frontal executive, visuospatial
fluctuation
visual hallucinations
parkinsonism
4
Q
what are features of frontotemporal dementia ?
A
behaviour disorder early onset emotional blunting speech disorder memory, praxis, visuospatial no severely impaired neuro signs in a few
5
Q
what are drug treatments of dementia ?
A
AChI - denpezil, rivastgmine, galantamine memantine antipsychotics - risperidone antidepressants - mirtazapine lorzepam zopiclone valproate, carbamazepine
6
Q
what are side effects of AChI ?
A
N+V+D fatigue insomnia cramps headaches, dizziness
7
Q
what are features of power of attorney ?
A
finance control
welfare
8
Q
what are features of guardianship ?
A
finance
welfare
lack capacity to grant POA
need cert form GP + psych
detailed report from MHO
9
Q
what are abnormal features of grief, mourning, bereavement ?
A
>2 months guilt thoughts of death worthlessness psychomotor retardation marked functional impairment psychosis
