Tx For Dementia Flashcards

1
Q

What is Malorientation

A

Expressing past conflicts in disguised forms

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2
Q

Time confusion

A

No longer holding onto reality retreating inward

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3
Q

What is repetitive motion

A

Movements replace words and are used to work through unresolved conflicts

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4
Q

what is the key component of the validation method

A

The elderly person is expressing an unresolved issue of the past conflict in a disguised form

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5
Q

What is reality orientation

A

Orienting information is pointed out and woven into daily conversations

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6
Q

Affects of reality orientation

A

Can improve cognitive functioning but does not affect mood or behavior

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7
Q

Strategies in reality orientation

A
Talk about the time of day date season 
use the persons name frequently 
discuss current events 
referred to clocks and calendars 
placement of signs and labels 
ask questions about photos and decorations
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8
Q

What is reminiscence or life story

A

Can be a scrapbook or photo album use to record details of the persons life experiences values and believes

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9
Q

What is reminiscence work usually involve

A

Talking about things in the past using prompts such as photos familiar objects or music

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10
Q

Effects of reminiscence therapy

A

Improve mood well-being and mental abilities such as memory helps him focus on them and not dementia

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11
Q

What is a tailored activity program

A

Focuses on individual’s capabilities and demands of the external environment
interventions to manage behaviors

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12
Q

Affects of tailored activity program

A

Enhance engagement and pleasure with individuals with dementia
helped family caregivers be less upset about behavioral symptoms and provided more personal control

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13
Q

Description of Taylor activity program

A

Eight sessions six home visits with two brief phone calls over a period of four months

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14
Q

Three phases of tailored activity program

A

Phase 1 assessment
phase 2 intro of activity
Phase 3 generalization strategies

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15
Q

Benefits and limitations of a Taylor activity program

A

Meaningful to enhance families understanding of abilities and deficits
Nonpharmacological
does not emphasize new learning

requires delivery by Ot
reimbursement
time constraints

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16
Q

The four main categories of environment based approaches

A

Auditory olfactory visual multi sensory

17
Q

What is Montessori

A

Teaching involves cognitive social and functional skills
breaking down tasks into step use
for clients in later stages of the disease
Has activity kits

18
Q

What is post polio syndrome

A

Return of symptoms 30 to 40 years later

not contagious

19
Q

Symptoms of post polio

A

Weakness
paralytic components return
progressive muscle weakness
pain

20
Q

Diagnosis of concussion

A
Loss of consciousness for up to 30 minutes 
Loss of memory immediately before or after the incident alteration in mental state 
vomiting
double vision seeing stars light 
drowsiness 
fatigue 
irritability 
anxiety 
sleeping more than usual 
feeling in a fog or daze 
difficulty concentrating
 difficulty remembering
21
Q

Recovery of a concussion

A

Typically spontaneous within 7 to 10 days

symptoms can last up to one year

22
Q

Common people with concussions

A

Athletes veterans falls

23
Q

What are the two biggest problems for those with concussions

A

IADLS like driving

sleep

24
Q

What is the most common chronic disease involving the neuromuscular junction

A

Myasthenia gravis

25
Q

Symptoms of myasthenia gravis

A

Ptosis and diplopia

weakness in oropharyngeal muscles

26
Q

Effects of Mycena gravis

A

Decreased strength and endurance
muscle fatigue as the day progresses
concerns of swallowing dysphasia an aspiration

27
Q

When do Those with myasthenia gravis usually experience max weakness

A

Within the first year then weakness fluctuates

28
Q

What will increased exercise and physical activity do to those with myasthenia gravis

A

Exacerbate weakness

avoid heat muscles respond better to cold

29
Q

What will OT work on with those with myasthenia gravis

A

Motor
visual
psychosocial

30
Q

What Are the four progressive stages of the validation method

A

Malorientation
time confusion
repetitive motion
vegetation