CORRECT SOLUTIONS!
Warning signs of Alzheimers - ANSWERMemory loss that disrupts daily life.
Challenges in planning or solving problems.
Difficulty completing familiar tasks at home, at work or at leisure
Confusion with time or place.
Trouble understanding visual images and spatial relationships.
New problems with words in speaking or writing.
Misplacing things and losing the ability to retrace steps.
Decreased or poor judgment.
Withdrawal from work or social activities.
Changes in mood and personality.
Warning Signs of Alzheimer's #2 - ANSWER*typically present with impairment in memory and
learning, then progresses to visuoconstructional/perceptual motor ability and language impairment-
and finally social cognition decline late in disease
* In mild NCD depression, and apathy are common, *in major NCD psychotic features, irritability,
agitation, combativeness, and wandering are common. Late in disease gait disturbance, dysphagia,
incontinence, myoclonus and seizures are seen.
criteria for major NCD alzheimers - ANSWEREvidence of significant cognitive decline from pervious in
one or more cognitive domains (Complex attention, executive function, learning and memory,
language, perceptual-motor, or social cognition)
Cognitive deficits interfere with ADL's
Does not occur only during delirium.
alzheimers onset progress - ANSWERInsidious onset and gradual progression in one or more
cognitive domains
, Criteria is met for probable Alzheimer's - ANSWERProbable if: evidence of Alzheimer's genetic
mutation from genetic test or family Hx.
Criteria is met for possible Alzheimer's - ANSWERPossible if: no evidence of genetic mutation or
family hx but these are present:
Evidence in decline in memory and learning
Steadily progressive, gradual decline in cognition without plateaus
No evidence of mixed etiology.
CHaracteristics of delirium - ANSWERDisorientation usually the FIRST sign to appear (Dr. George
Lecture)
-sudden onset
-disturbance in attention (ability to direct, focus, sustain and shift attention) and awareness (reduced
orientation to environment)
-decreased ability to respond to stimuli
-disorientation
-memory problems
-intense mood alterations
-altered speech
-tremors, asterixis, hyperactive
-incontinence
disturbance of consciousness Tends to fluctuate during the day so would call this a - ANSWERwaxing
and waning presentation i.e., fine in the morning but confused at night
vice versa r/t reversal of sleep/wake cycle
Delirious patients, Hyperactive: - ANSWERHyperactive level of psychomotor activity that may be
accompanied by mood lability, agitation, and/or refusal to cooperate with medical care.
Delerium hypoactive - ANSWERHypoactive: Hypoactive level of psychomotor activity that may be
accompanied by sluggishness and lethargy that approached stupor.