Ch. 22 Neurocognitive Disorders Flashcards Preview

Mental Health > Ch. 22 Neurocognitive Disorders > Flashcards

Flashcards in Ch. 22 Neurocognitive Disorders Deck (35):
1

A ______ is characterized by disturbance in attention and awareness and a change in cognition that develop rapidly over a short period of time.

delirium


includes delirium, dementia and amnestic disorders

2

common defense mechanism used by people with neurocognitive disorders (delirium)?

1. Denial
2. confabulation
3. Perseveration

3

Delirium or Dementia?

A. progressive
B. Acute rapid onset

A = dementia
B = delerium

Dementia is caused by deterioration in the brain.
Delerium can be brought on by illness or intoxication/withdrawal which happens very quickly

4

Delirium or Dementia?

Profound loss and/or impairment in intelligence

Dementia

This is the hallmark sign!

Dementia patients can start out as phD scholars but eventually forget how to use utensils...how to talk...etc.

5

Delirium or Dementia?

Attention waxes and wanes (increase and decrease)

Delirium

6

Delirium or Dementia?

short lived, reversible

Delirium


dementia is IRREVERSIBLE

7

Delirium or Dementia?

sundowning

dementia

8

Delirium or Dementia?

wandering

dementia

9

Delirium or Dementia?

unstable vital signs

delerium - remember it comes on quick and is usually caused by illness, wd or intox which all change vital signs!

10

Delirium or Dementia?

Personality change is gradual

Dementia

gradual progression - gradual change

11

Delirium or Dementia?

A. LOC is unchanged
B. LOC fluctuates (wake-->sleep-->wake)

A. dementia
B. delirium

12

Delirium or Dementia?

stable attention

dementia

13

Delirium or Dementia?

A. Organic cause
B. Medical cause

A. Dementia
B. Delerium

14

what is aphasia?

loss of language

15

what is anomia?

decreased ability to remember words

A - means not
Nom - name

can't name things, can't find words

16

What is agraphia?

inability to express in writing (graphite pencil)

17

what is alexia?

inability to understand written language (dyslexia reads it scrambled, alexia can't read it at all).

18

What is apraxia?

loss of motor ability

19

what is agnosia?

loss of ability to recognize objects

agNOsia - NO telling what they SIa

20

Which goes first short term or long term memory in alzheimers?

short term


Typically, where did I put that? Someone must've stolen it or is playing games with me!

But won't forget family.

21

What is a good activity for demented client?

Reminiscing - look at old pictures of family, discuss them.

22

What happens in the first stage of alzheimer's?

no apparent symptoms

23

What happens in the 2nd stage of alzheimer's?

Forgetfulness

-Person is aware they are beginning to forget things.
-may feel embarrassed, anxious or ashamed

24

What happens in the 3rd stage of alzheimer's?

Mild Cognitive Decline.

Executive functioning starts to go...interferes with work (can't plan or organize). Gets lost.

25

What happens in the 4th stage of alzheimer's?

Mild-Moderate Cognitive Decline-Confusion

1. withdrawal
2. confabulation
3. Forget personal history

26

What happens in the 5th stage of alzheimer's?

Moderate Cognitive Decline-Early Dementia

1. cannot perform ADLs
2. forgets phone #, address, relatives names
3. Disorientation/Frustration

27

What happens in the 6th stage of alzheimer's?

Moderate-Severe Cognitive Decline - Middle dementia

1. wandering/elopement
2. sundowning
3. obesessiveness
4. LOSS OF LANGUAGE
5. forgets life and spouse
6. incontinence

28

What happens in the 7th stage of alzheimer's?

severe cognitive decline - late dementia

1. immobility
2. contractures
3. aphasic

29

What is the cause of Alzheimer's (a neurocognitive D/O)?

reduction in ACh (possibly due to destroyed neurons)

possibly genetic

30

What are the symptoms? (Alzheimer's A's)

Aphasia
Anomia
Agraphia
Alexia
Apraxia
Agnosia

31

What causes Parkinson's?

decreased DA
imbalance between DA and ACh

loss of nerve cells

32

What are the components of the MMSE?

1. Orientation (date, day, month, year)
2.

33

Does pseudodementia gets worse or better as the day progresses?

better

34

see table 22-1 ch 22 page 345

for NCD vs Pseudodementia slide

35

Pseudodementia (depression) or dementia?

Patient complains about the memory loss

pseudo

Demented clients are usually brought in by family cuz they are not aware