week 6.2 Flashcards
Delirium
Disturbance in attention and awareness
Can be reversible
acute onset
decreased memory
Disorientation
Delusions, hallucinations
Brain alteration cause for delirium
increased plasma cortisol
neurotransmitter imbalance
Damage to BBB, enzymes, cell membranes
What are the four cardinal symptoms of delirium?
decreased ability to direct focus and sustained attention
Disorganized thinking
Disturbance of consciousness
Fluctuation and acute onset
what is the priority with delirium patients?
Find the cause
interventions for delirium
Frequent verbal orientation
Frequent brief interaction
Consistent staff
Approach slow, and in front of the patient
Allow daily news on TV
Play nonverbal music
Limit lighting
dementia
Degenerative, progressive, cognitive impairment, causing emotional and behavioral changes
Not reversible
what are the Neuro transmitters related to dementia?
increased glutamate
decreased Acetyl choline
what’s the difference between mild and major neurocognitive disorders?
major interferes with Daily function
aphasia
Loss of language ability
Expressive aphasia
Cannot form words
Receptive aphasia
cannot interpret words
apraxia
Loss of purposeful movement
agnosia
Loss of ability to recognize objects and people
Sundowning
Individuals mood, deteriorates, and agitation increases at night
Confabulation
Unconscious creation of stories, or answers in place of actual memories
