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Cognitive Dis
Cognitive Disorders
Question | Answer |
---|---|
True or False: Confusion is considered a "normal" part of aging? | UNTRUE-all older peoople should be oriented x3 unless something is wrong. |
SUDDEN onset and usually REVERSIBLE if treated | Delirium |
Confusion, insomnia/Day-night reversal, restless-"picking" sheets, climbing out of bed, pulling on tubes (may even look like they are sleeping), may experience hallucinations, delusions, may cry, scream, etc. | Signs and Symptoms of Delirium |
What causes delirium? | dehydration, infection, electrolyte imbalance, head trauma, substance intoxication/withdrawal |
What are two important lab values when deciding if someone is experiencing delirium? | WBC to make sure they don't have an infection, and electrolytes. |
True or False: The same nurse should have the same patient with delirium or dementia so that you it decreases confusion for the patinet and allows the nurse to detect slight changes in the patients cognition. | TRUE |
cognitive impairments characterized by GRADUAL onset and is PROGRESSIVE and PERMANENT. | Dementia |
Frequently repeating oneself | Mild alzheimer's |
decreased ability to perform ADLs | moderate alzheimer's |
complete inability to care for oneself | severe alzheimer's |
inability to perofmr motor tasks although motor function is intact and is associated with moderate dementia | apraxia |
inability to recall familiar words used in conversation and is associated with mild dementia | aphasia |
regularly misplacing obejects | mild alzheimer's |
"lost" in their own house or neighborhood | moderate alzheimer's |
lost use of language | severe alzhemier's |
uses confabulation which is when they fill in gaps of memory with false information. | mild alzheimer's |
symtpoms of dementia worsening after sunsent | sundowning |
which stage of alzheimer's is sundowning associated with? | moderate alzheimer's |
Which medication is used for treatment in mild to moderate Alzheimer's Disease, thought to prevent rapid decline in cognition? | Aricpet/donepezil |
Which medication is used for patient's with Alzheimer's to decrease agitation or psychosis? | Risperdal/risperidone |
The incontinent patient with Alzheimer's disease should be toileted how often? | every 2 hours |
Unlike patients with Alzheimer's disease, these patients may have focal neurological signs (extremity weakness, abnormal reflexes) | vascular dementia |