Flashcards in Delirium and Memory Problems Deck (28):
What is the most common mental health problem in hospitalised patients above the age of 65?
What are the main features of delirium?
Disturbed sleep-wake cycle
What might be seen clinically if a patient has impaired consciousness?
What might be seen clinically if a patient has disturbed cognition?
Disorientated for time and place
Impaired memory and attention
Perceptual disturbance (hallucinations, delusions)
What are the 2 main psychomotor variants of delirium?
Can get mixed picture
What might be seen clinically if a patient has hypoactive delirium?
What might be seen clinically if a patient has hyperactive delirium?
Describe the course of delirium
Fluctuating, transient course
Can last days to months depending on cause
What drugs can typically cause delirium?
Withdrawal from what substances can typically cause delirium?
List some metabolic abnormalities that can typically cause delirium
No identifiable cause excludes a diagnosis of delirium. True/False?
List the main risk factors for delirium
Social isolation, stress
List the main formal cognitive tests that should be carried out for delirium
Sedating drugs can worsen delirium. True/False?
How is delirium due to alcohol withdrawal managed with medication?
What is the general pharmacological management of delirium?
Antipsychotic - haloperidol
Who typically gets hyperactive delirium?
Elderly with recent injury e.g. hip fracture
What time of day is delirium typically worse?
What is the shortest type of memory?
Sensory memory (less than 1s)
List the 2 main domains of long-term memory and their function
Explicit memory (conscious)
Implicit memory (unconscious)
Procedural memory is part of what - implicit or explicit memory? What kind of memory does it enable?
Remembering skills and doing tasks
Declarative memory is part of what - implicit or explicit memory? What kind of memory does it enable?
Remembering facts and events
What are the 2 main domains of declarative memory and their memory functions?
Episodic memory (events, experiences)
Semantic memory (facts, concepts)
What is anterograde amnesia?
Difficulty acquiring new material and remembering events since onset of illness/injury
What is retrograde amnesia?
Difficulty remembering information prior to onset of illness/injury
List some typical reports of memory problems
Forgetting a message
Losing track of conversation
Forgetting to do things
Inability to navigate to familiar places
Struggling with names