Dementia Flashcards

1
Q

what do older people value

A

company and relationships
time
desire to contribute to society
someone listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is dementia

A

acquired progressive loss of cognitive functions, intellectual and social abilities severe enough to interfere with daily functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does dementia affect

A

memory
thinking
orientation
comprehension
calculation
learning capacity
language
judgement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is dementia characterised by

A

amnesia
inability to concentrate
disorientation in time, place or person
intellectual impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what would people with dementia have problems with

A

day to day memory
concentrating, planning or organising
language
visuospatial skills
orientation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what else is deterioration in cognitive function accompanied by

A

emotional control
social behaviour
motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is alzheimers

A

reduction size of cortex (severe in hippocampus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are plaques

A

deposits of a protein fragment called beta-amyloid that build up in spaces between nerve cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are tangles

A

twisted fibres of tau protein build up inside cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the distinctive features of alzheimers

A

SMTL, aphasia, communication difficulties, muddled over everyday activities, mood swings, withdrawn, loss of confidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what factors are associated with alzheimers

A

age
women
head injury
lifestyle - smoking, hypertension, low folate and high blood cholesterol
abnormalities on chromosome 1, 14, 21

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is vascular dementia

A

reduced blood flow to brain which damages and eventually kills brain cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

why would vascular dementia occur

A

narrowing and blockage of small blood vessels
large stroke
lots of mini strokes
high BP and diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the distinctive features of vascular dementia

A

memory problem of sudden onset, visuospatial difficulties, anxiety, delusions, seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is dementia with lewy bodies

A

deposits of an abnormal protein called lewy bodies inside brain cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are distinctive features of dementia with lewy bodies

A

STML
cognitive ability fluctuates
visuospatial difficulties
attentional difficulties
speech and swallowing problems
sleep disorders

17
Q

what is frontotemporal dementia

A

changes in personality and behaviour and difficulties with language in a younger age

18
Q

what are the risk factors for dementia

A

age
gender
genetic background
medical history
lifestyle

19
Q

what are the early stage symptoms of dementia

A

loss of short term memory
confusion
anxiety
inability to manage everyday tasks
communication problems

20
Q

what are the middle stage symptoms of dementia

A

support required
forgetful
distress, aggression
risk of wandering
inappropriate behaviour
hallucinations

21
Q

what are the late stage symptoms of dementia

A

cannot recognise familiar objects
increasingly frail
difficulty eating
incontinence and gradual loss of speech
symptoms are progressive and irreversible

22
Q

what is used to diagnose and monitor progression of dementia

A

dementia screen - FBC, UandE, kidney, liver, thyroid function
glucose, serum B12, folate and calcium, C - reactive protein and urinalysis
neurological exam and cognitive testing

23
Q

what cognitive tests are used for dementia

A

mini-mental state exam
blessed dementia scale
montreal cognitive assessment
clock draw, delayed word recall
7min screen

24
Q

what treatment is used for dementia

A

no cure
counselling
aspirin - vascular dementia
NSAIDs - slow progression
vitE - slow progression

25
Q

what drugs are used for mild/moderate alzheimers

A

anticholinesterases

26
Q

what can anticholinesterases do for dementia patients

A

delay admission to residential care, assist in behavioural difficulty, defer in deterioration in cognition

27
Q

when would anticholinesterase treatment be stopped

A

until patient/carer decides
if MMSE score is below 10

28
Q

what would dementia friendly care homes look like

A

walls, floor covering etc., different colours
images on drawers
toilet visible when sitting and lying down on bed
position personal pictures and items
radiators low temperature
traditional furniture

29
Q

what would dementia friendly healthcare environments look like

A

reception desk visible from entrance door
colour of walls and floor different
no non-essential signs
signs at eye level
natural light