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Stage 2 Alzheimer's
forgetting events of one's own history
difficulty preforming task that require planning and
organizing personality and behavioral changes
Stage 3 Alzheimer's
losing ability to converse with others
assistance with ADL
incontinence
progressing difficulty with physical abilities
Normal aPTT time
30-40 seconds
,Normal PTT range
60-70 seconds
Confusion Assessment Method (CAM)
Tests for delirium
neelon/champagne confusion scale ( NEECHAM)
for delirium
,Functional Dementia Scale
give the nurse information regarding the clients ability to perform self-
care, extent of clients memory loss, mood changes, degree of danger to
self and/or others
Brief Interview for Mental Status (BIMS)
used for clients in long term health care settings
Mini-Mental State Examination (MMSE)
A test that is used to measure cognitive ability, especially in late
adulthood.
functional assessment screening tool
screens the safety of independent living, the need for home health
services, and quality of life
Global Deterioration Scale (GDS)
-used for clients that have primary of
dementia Stages 1-4: able to live in community
without assist Stage 5: unable to survive w/o
mod assist
Stage 6: completely dependent on others
Stage 7: unresponsive to all but simple communication
, Blessed Dementia Scale
This tool provides the nurse with
client behavioral information based on an
interview with a secondary source, such as a
client's family member
cognitive symptoms of schizophrenia
problems with working memory, attention, verbal and visual learning
and memory, reasoning and problem solving, processing, and speech
positive symptoms of schizophrenia
delusions and hallucinations
negative symptoms of schizophrenia
blunted affect, alogia, avolition
education on organ donation
pt will remain on life support while organs are being retrieved
Goal of palliative care
to learn how to live life fully with an incurable condition