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Semester 3 FS Exam 4 > Dementia > Flashcards

Flashcards in Dementia Deck (23):
1

Dementia - DSM IV

Acquired syndrome of decline in memory and at least one - language, judgment, executive function
Functional decline - social/occupational

2

Dementia - DSM V

Major neurocognitive disorder (NCD) - Dementia - Alzheimers NCD

3

NCD - Dementia - DSM 5 Dx criteria

Evidence of substantial cognitive decline
Cognitive deficits are sufficient to interfere with independence

4

Mild NCD-MCI DSM 5

Evidence of modest cognitive decline
Cognitive deficits are insufficient to interfere with independence

5

Causes of NCD Dementia

Reversible and Non reversible

6

Nonreversible Causes of NCD Dementia

Alzheimers
Vascular
Frontotemporal
Mixed (vascular and alzheimers)
Lewy body (DLB)

7

Other types of NCD

TBI, Parkinsons, HIV infection, Huntingtons..

8

Reversible causes of Dementia

Drugs
Emotional illness-depression
Metabolic/endocrine disorders
Eye/ear/environment
Nutritional/neurologic
Tumors/trauma
Infection
Alcoholism/anemia/atherosclerosis

9

Drugs that may cause memory loss

Antianxiety drugs
Narcotics
Sleeping aids
Incontinence drugs (Anticholinergic)
Antihistamines
Cholesterol drugs
Antidepressant drugs
Hypertension drugs

10

AD - diagnostic criteria DSM IV

Memory impairment AND One or more of following
Aphasia
Apraxia
Agnosia
Disturbance in executive function

11

What is Alzheimers Disease

Progressive, neurodegenerative disease
Avg life span = 7-10 yrs

12

Barriers to early detection of AD

Social skills often maintained early on
Misidentification as normal aging process
Reluctance to report symptoms - stigma
Lack of definitive screening tools

13

Red flags for AD detection

Repetition (not normal in 7-10 min conversation)
Tangential, circumstantial responses
Frequently deferring to family
Unexplained weight loss
Inattentive to appearance
Unable to adapt to stressful circumstances

14

Established risk factors to AD

Age
Family History
Downs Syndrome
APOE-E4 (whites)
A fib

15

Possible risk factors for AD

Low education
Lack of physical activity
Lack of social interaction
High stress levels
Previous head trauma
Smoking
Alcohol
Hormone replacement therapy
Health conditions

16

Risk factors for AD - possible - health conditions

Stroke
Hypertension
Diabetes
Hyperlipidemia
Obesity
Depression

17

Treatment options for dementia

Acetyl Choline Esterase Inhibitors and NMDA antagonist
Counseling
Brain Wellness

18

Acetyl Choline Esterase Inhibitors and NMDA antagonist - cholinesterase inhibitors

Aricept
Exelon
Razadyne

19

Counseling - Dementia tx

Regarding safety concerns
Regarding risk of driving
Care giver education and support

20

Behavioral and Psychological SYmptoms of Dementia - psychotic and nonpsychotic features

Psychotic - delusions and hallucinations
Non - agitation and depression

21

Goals of therapy

Identify and treat primary illness
Specify target behaviors
Maintain functioning

22

Primary illness

Discomfort
Pain
Medication adverse effects
Environmental precipitants

23

Nonparmacological tx

Structural routines, reassurance and socialization
Environmental safety
Education and support to the caregivers