Delirium, Dementia, Amnesia

Question 1

DSM–IV–TR essential features of dementia (APA, 2000)

Answer 1

a. Aphasia: absence or impairment of ability to communicate through writing, speech or signs
b. Apraxia: inability to perform purposive movements without sensory or motor impairment
c. Agnosia: loss of comprehension of visual, auditory, or other sensations
d. Loss of executive function: impairment in ability to think abstractly, plan, initiate, sequence, monitor, and stop complex behaviors

Question 2

Dementia, delirium and Amnesia Impact on occupational performance

Answer 2

a. All areas of daily functioning affected

b. ADLs, IADLs, work, leisure, social participation, and sleep all require assessment

Question 3

Occupational therapy interventions for individuals with delirium, dementia, and amnesia

Answer 3

a. Environmental adaptations for safety
b. Caregiver education
c. Behavioral intervention to manage fatigue and sleep–wake cycles

Question 4

DSM–IV–TR classifications for substance related disorders: APA, 2000; see Sells et al., 2011, p. 194)

Answer 4

a. Substance dependence
b. Substance abuse
c. Substance intoxication
d. Substance withdrawal

Question 5

2. Impact on occupational performance

Answer 5

a. All areas of occupational functioning negatively affected
b. Routines and roles negatively affected
c. Substance use heavily interwoven in daily life