NUR 2755 Multidimensional Care IV
Test 1 Study Guide Review
Dementia types
- over 200, most common are Alzheimer's and vascular
Dementia progression
- memory/ability to learn new info
language, judgement and behavior affected
functions decrease
Dementia microscopic changes
- Neurofibrillary tangles
amyloid plaque
vascular degeneration
abnormal neurotransmitters
Genetic Predisposition for dementia
- African American
Hispanic greater risk of early
APOE Gene
Diseases that contribute to dementia
- Diabetes
stroke
atherosclerosis
,Life hacks to avoid dementia
- Diet with enough folate and vitamins B12, C,E
Exercise
avoid smoking and excessive alcohol
Mild Alzheimer’s S&S
- Independent ADL's
denial
forgets name, place of things, memory loss
subtle changes in personality
social disengagement
mild cognition and judgement problems
decrease sense of smell
Moderate Alzheimer’s S&S
- impaired cognitive function
money issues
disoriented to time, place, event
depressed/agitated
speech and language deficits
less talkative
eventually aphasic
wandering
Severe Alzheimer's
- incapacitated, bedridden, loss of mobility and verbal skills, doesn't recognize faces
seizures
tremor, ataxia
Alzheimer's psychosocial assess
- grieving process
family affected and patient
sexual inhibition
, agitation/aggression
delusions/hallucinations
Alzheimer's Lab assess
- APOE 4-not confirm, but an indicator
CT or MRI of brain
Alzheimer's behavioral management
- cognitive stimuli and memory training
structured environment
promote continence/communication/sleep
validate their reality
avoid restraints
Alzheimer's complementary therapy
- Massage before bed-promote sleep
redirect/reduce distraction
encourage respite care for families
Alzheimer's Medication
- Cholinesterase Inhibitors-donepezil, rivastigmine
NMDA receptor antagonists-memantine
Antidepressants
Parkinson’s cardinal symptoms
- tremor
muscle rigidity
bradykinesia or akinesia
postural instability
Test 1 Study Guide Review
Dementia types
- over 200, most common are Alzheimer's and vascular
Dementia progression
- memory/ability to learn new info
language, judgement and behavior affected
functions decrease
Dementia microscopic changes
- Neurofibrillary tangles
amyloid plaque
vascular degeneration
abnormal neurotransmitters
Genetic Predisposition for dementia
- African American
Hispanic greater risk of early
APOE Gene
Diseases that contribute to dementia
- Diabetes
stroke
atherosclerosis
,Life hacks to avoid dementia
- Diet with enough folate and vitamins B12, C,E
Exercise
avoid smoking and excessive alcohol
Mild Alzheimer’s S&S
- Independent ADL's
denial
forgets name, place of things, memory loss
subtle changes in personality
social disengagement
mild cognition and judgement problems
decrease sense of smell
Moderate Alzheimer’s S&S
- impaired cognitive function
money issues
disoriented to time, place, event
depressed/agitated
speech and language deficits
less talkative
eventually aphasic
wandering
Severe Alzheimer's
- incapacitated, bedridden, loss of mobility and verbal skills, doesn't recognize faces
seizures
tremor, ataxia
Alzheimer's psychosocial assess
- grieving process
family affected and patient
sexual inhibition
, agitation/aggression
delusions/hallucinations
Alzheimer's Lab assess
- APOE 4-not confirm, but an indicator
CT or MRI of brain
Alzheimer's behavioral management
- cognitive stimuli and memory training
structured environment
promote continence/communication/sleep
validate their reality
avoid restraints
Alzheimer's complementary therapy
- Massage before bed-promote sleep
redirect/reduce distraction
encourage respite care for families
Alzheimer's Medication
- Cholinesterase Inhibitors-donepezil, rivastigmine
NMDA receptor antagonists-memantine
Antidepressants
Parkinson’s cardinal symptoms
- tremor
muscle rigidity
bradykinesia or akinesia
postural instability
