Cognition Disorders Flashcards
1
Q
Depression- Dx
A
- 2 + weeks, 5+ sx
- Depressed mood, weight, appetite change
- Fatigue, loss of energy
- Thoughts of death
- Impairment in work, love and play
- No bereavement exclusion
2
Q
Depression- Diff in elders
A
- Agitation and irritability presenting sx
- Cognitive complaints, but aware of them, lack of effort
- Somatization- diffuse pain fatigue or vague complaints
3
Q
Depression- Tx
A
- CBT
- SSRIs
4
Q
Delirium- Definition
A
- Transient, organic mental syndrome
- Global impairment of cognitive function
- Acute
5
Q
Delirium- Eti
A
- Post-surg, acute mental illness
- Meds, alcohol
- Sleep deprivation
- Dementia (sundowning)
6
Q
Delirium- Sx
A
- Alteration in level of consciousness, variable over the day
- Inability to shift attention
- Memory impairment
- Hyper/ hypo active change in behavior
- Sundowning
- Misperceptions, hallucinations, vague delusions
7
Q
Delirium- Tx
A
- Tx underlying cause
- Control envt- visual, verbal cues
- Well lit envt- cues for sleep wake cycle
- Neuroleptics- haloperidol
- No anticholinergics or benzos
8
Q
Dementia- Eti
A
- Progressive development of 2+ cognitive deficits
- Memory, exec fxn, language, visuospatial, personality
- Interfere with general activities
- Loss of intelligence
9
Q
Dementia- sx
A
- Impaired memory, visuospatial and processing speed
- Concrete reasoning intact, abstract impaired
- Agitation
- Agression
- Psychosis
- Depression
10
Q
Dementia- Dx
A
- Evidence of significant cognitive decline from previous
- Concern of individual, other
- Deficits interfere with daily activities
- Do no occur exclusively in context of delirium or explained by other mental disorder
11
Q
Lewy body disease
A
- Fluctuating cognition with variation in alertness and attention
- Spontaneous parkinksonism
- Vivid hallucinations
- Sleep disorders
- Severe neuroleptic sensitivity
12
Q
Frontotemporal dementia/ Pick disease- Sx
A
- Behavioral disinhibition- hoarding, perseverative, stereotyped behavior
- Hyperorality and dietary changes
- Decline in language ability- word creation, word finding, grammar
13
Q
Depression- Eti
A
- Prior hx, midst of dementia, delirium
- Deaths, loss of social support & roles
14
Q
Alzheimers disease
A
Triad:
- Memory impairment w/ difficulty learning, recalling
- Visuospatial problems
- Language impairment interfere with fxn
- irritability, depression , delusions
15
Q
Lewy body disease- Eti
A
- Second most common form of dementia
- Due to abnormal inclusion bodies in brain
