Week 12 - Important concepts Flashcards
The term dementia has been replaced by what?
Major neurocognitive disorder and minor neurocognitive disorder
What is the primary distinction between major and minor neurocognitive disorder?
Capacity for independent function
minor - maintenance of independence, although with a greater degree of effort
How does one discern between major and minor neurocognitive disorder.
Differing between the two depends on input from the family, the individual and clinical judgement from the practitioner
latin for dementia is what?
Can we still use the term dementia?
mad or insane
can still largely use it as it is a layman’s term
What is the primary clinical feature for dementia?
Cognitive function deficit
Dementia:
- _______, not developmental
acquired
What we used to call personality changes
social cognition
Alzheimer’s disease
- _________ neurodegenerative disorder
- ______ loss
- irreversible ______ decline/deficits
- _________ changes
- Gradual decline in _______ ability
- ______ status relatively intact until late disease
- ____nal
progressive memory cognitive behavioural functional physical terminal
AD - Prevalence
- Age 65 - -% of the population
- Age 85+ - __-__% of the population
- gender more affected
- what are the two subtypes?
- _______ through early,, middle and late stages is predictable
- What changes with each stage?
6-10% - 65 85+ - 30-47% Females > males early and late onset subtypes Progression Signs and symptoms change with stage
Diagnostic criteria:
- Cognitive and/or behavioural symptoms must what?
Interfere with ability to function at home/work
Represent a decline in previously attained levels of function/performance
Not related to delirium or other psych disorders
Must involve a minimum of ____ of the following:
- inability to acquire and retain ______
- impaired ______ ability
- Impaired ability to reason through or handle _____tasks, poor _____
- Impaired ______ function
- Changes in ______, _______, _______
2 of the following information visuospatial complex, judgement language personality, behaviour, comportment
Frontotemporal Demential (_____ disease)
- ______ onset than Alzheimer;s, _____ common
- More ______ progression than Alzheimer’s
- Death of _____ cells
- Gender influence
- _______ component
No cure
Pick's earlier onset that AD, less common more rapid progression than AD nerve Males > Females Familial
PD
- Disease of the _____ system. Neurodegenerative
- In well-established/long-standing PD, ______ component may appear
- ___% after 10-15 years of illness
- Symptoms often treated with _________, but sometimes these worsen ______ status
motor
cognitive
20%
anticholinergics, may worsen mental status
CJD:
- Spreads to humans through consumption of infected _____
caused by _____
- _____ onset/deterioration in ______ and ______
- rare, fatal
meat
prions
rapid (few weeks), deterioration in movement and behaviour
Term to describe behavioural and mental changes that seem to occur in certain patients when the sun goes down - become agitated and aggressive, then normal when the sun goes up
Sundowner’s
