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Flashcards in Altered Thought Processes Deck (44)
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1

Normal Cognitive changes

-increased reaction & response time
-individualized
-mild short term memory loss
-decline in problem solving
-long term memory usually remains intact

2

Cognition

the ability to think
the ability to process and store information
the ability to solve problems

3

What does cognition involve?

Cognition involves the mental processing of information. Memory and thought combine to store, retrieve and manipulate this information

4

A cognitive Disorder

A problem or lack of one or more of the three elements.

5

Conditions of a Cognitive Disorder

Delirium, Dementia, Amnesia/Amnestic disorder= forgetfullness

6

Level of consciousness (LOC)

measures alertness

7

Delirium

An acute change in a person's level of cognition and level of cognition, LOC that occurs over a short period of time--hours to days

8

Dementia

A progressive, irreversible decline in mental function. Not a part of normal aging, often not noticed at first. Decline in physical and cognitive function and personality changes.

9

Progression of Dementia

slowly to very obvious

10

Confusion

Acute change in mental status from baseline; disorientaion mixed with lucidiy

11

Changes in LOC

can range from stupor to hyperacivity

12

Disorganized thought/speech

unable to reason, disjointed, slurred speech

13

Decreased attention span

have difficulty focusing

14

imparied memory

cannot form, store, or retrieve information

15

Fear

apprehensive, bewildered

16

Anxiety

vague, uneasy feeling of discomfort or dread; source is non-specific or unknown

17

paranoia

if persists over 1 week could be a symptom of schizophrenia

18

sleep-wake distrubances

take brief naps day and night

19

sundowning

sundowners syndrome; oriented during the day, confused at night

20

illusions

inaccurate perception of sensory stimulation. Stimulus is a real object. Iv line is a snake, garbage can is a dog. Can be explained and clarified

21

Delusions

a false belief held with conviction despite overwhelming evidence o the contrary. Belief of being poisoned--will not eat; delusion of persecution, delusions of grandeur.

22

Agitation

increased mental and physical activity. Especially physical--usually non-purposeful activity like pacing

23

hallucinations

false sensory stimulation. See or feel things (bugs/rats) that others do not see.

24

what are the three most common forms of dementia

Dementia with lewy bodies, vascular dementia or multi-infarct dementia and alzheimers disease

25

dementia with lewy bodies

2nd most common late onset dementia

26

What is dementia with lewy bodies

abnormal protein levels within the nerves, develop cognitive changes and then develop musculoskeletal changes

27

What are some signs and symptoms of dementia with lewy bodies

fluctuating confusion, impaired alertness and attention, visual hallucinations, increased muscle tone, gait disorders, falling, syncope, LOC. delusions

28

Vascular Dementia Multi-Infarct or Ischemic Vascular Dementia

Affects 60-75 years old
Affects more men than women
Abrupt onset with multiple remissions
Progressive step-wise decline in person's mental functioning.

29

Vascular Dementia Multi-Infarct or Ischemic Vascular Dementia: physical signs/symptoms

Memory problems; forgetfulness; dizziness; leg or arm weakness; lack of concentration; moving with rapid shuffling steps; loss of bladder or bowel control.

30

Vascular Dementia Multi-Infarct or Ischemic Vascular Dementia: behavioral signs/symptoms

slurred speech; language problems; abnormal behavior; wandering or getting lost in familiar surroundings; laughing or crying inappropriately; difficulty following instructions; problems handling money.