Dementia and PPA Flashcards

(45 cards)

1
Q

What is dementia?
umbrella (c b d)
m
i
r
ss
pf

A

An umbrella term for a collection of brain diseases and their symptoms which include: common in people over 65 years of age.

memory
intellect
rationality
social skills
physical functioning

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2
Q

What are the five types of dementia?

A

Alzheimer’s Disease
Vascular Dementia
Frontotemporal Demetria (FTD)
Lewy Body Dementia
Other dementias

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3
Q

What are some of the risk factors for dementia?

A

diabetes
hearing loss
high blood pressure
air pollution
alcohol
depression
head injury
social isolation
obesity
physical inactivity
smoking
less education

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4
Q

What are the most common causes of dementia? (5)
alz…

A

Alzheimer’s Disease
vascular dementia (stroke or hemorrhage)
alcoholism
Parkinson’s Disease
drug/medications

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5
Q

What are the three diagnostic and assessment tools for dementia?

A

Eyes - observations
Ears - listening
Knowledge - clinical reasoning (hypothesis driven)

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6
Q

What is the role of the SP when working with older people? (age 65 and over)

A

Support care needs related to communication and swallowing needs due to natural ageing and other health conditions

Professional partnerships across aged care team

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7
Q

What is delirium? (3)

A

neuropsychiatric syndrome
changes in cognition over time (hours, days or weeks)
fluctuate during the course of the day

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8
Q

What are the signs and symptoms of hyperactive delirium?

A

restless
agitated
distressed

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9
Q

What are the signs and symptoms of hypoactive delirium?

A

lethargic
drowsy
disengaged

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10
Q

Factors affecting cognition in older people? (6)
s
m
m
p
s
i

A

sensory: vision and hearing
mood: anxiety, depression and stress
medication
pain
sleeping issues
inactivity

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11
Q

What is the difference between delirium and dementia?
onset
duration
level of consciousness
cognitive function
hallucinations
activity

A
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12
Q

What are the six neurocognitive domains of the DSM-5?

A

perceptual-motor function
language
learning and memory
social cognition
complex attention
executive function

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13
Q

Which three neurocognitive domains of the DSM-5 relate to SP?

A

language
learning and memory
social cognition

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14
Q

Explain the LANGUAGE domain of the DSM-5 neurocognitive domains? (6)

A

object naming
word finding
fluency
grammar and syntax
receptive language

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15
Q

Explain the LEARNING AND MEMORY domain of the DSM-5 neurocognitive domains? (6)
ms
fr
cr
rm
sa
ltm
il

A

memory span
free recall
cued recall
recognition memory
semantic and autobiographical
long-term memory
implicit learning

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16
Q

Explain the SOCIAL COGNITION domain of the DSM-5 neurocognitive domains? (3)
re
tom
i

A

recognition of emotions
theory of mind
insight

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17
Q

Explain mild cognitive impairment.

A

modest cognitive decline from a previous level of performance in one or more cognitive domains

changes to not impact their daily life

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18
Q

How does dementia affect the brain? (3)

A
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19
Q

Explain how age impacts dementia, delirium and anmesia.

A

dementia: risk factor
delirium: associated but lower than dementia
amnesia: not a risk factor

20
Q

Compare the onset of dementia, delirium and amnesia.

A

dementia: slow and gradual
delirium: sudden
amnesia: sudden onset of memory loss

21
Q

What are the three main objectives of cognitive screening tools?
1. suspect…

A
  1. suspected cognitive decline or neurocognitive disorder (dementia)
  2. determine IF they need further testing
  3. provides baseline
22
Q

What should an SP consider in choosing a cognitive screening tool? (2)

A

CALD
nature and severity of decline/difficulties

23
Q

What is the role of the SP in dementia? (5)
exp
rec
ad
h
mdt

A

experts in speech, language and cognitive-communication
can recognize signs and symptoms
advocate for clients
help manage challenges
work with MDT

24
Q

What is primary progressive aphasia?

25
What are the four types of PPA?
Logopenic nonfluent/agrammatic variant (nfvPPA) semantic variant PPA (svPPA) Apraxia of Speech
26
What is the hallmark impairment in LOGOPENIC PPA?
impaired word finding and naming OR impaired repetition
27
What is the hallmark impairment in SEMANTIC VARIANT PPA?
impaired naming and comprehension
28
Which of the four dementias has an onset of between 45-65 years?
frontotemporal dementia
29
What are the warning signs for dementia related to the LEARNING AND MEMORY domain within the DSM-5?
repetition confusion
30
What are the warning signs for dementia related to the LANGUAGE domain within the DSM-5? (2)
difficulty with expressive and receptive language general terms (that thing)
31
What are the warning signs for dementia related to the SOCIAL COGNITION domain within the DSM-5? (2)
changes in behaviour socially withdrawn
32
What are the four levels of confidence in the INTERNATIONAL DIAGNOSTIC CRITERIA for dementia?
possible: atypical or mixed presentation probable: meets all core criteria confirmed: evidence of biomarker ultimate confirmation - autopsy
33
What are the six key areas of the brain anatomy?
frontal lobe parietal lobe occipital lobe temporal lobe cerebellum brain stem
34
List the key functions of the frontal lobe. (5) ps et rj s vma
problem solving emotional traits reasoning/judgement speaking voluntary motor activity
35
List the key functions of the parietal lobe. (4) lr s r bo
left from right sensation reading body orientation
36
List the key functions of the occipital lobe. (2) v cp
vision colour perception
37
List the key functions of the temporal lobe. (4)
understanding language behaviour memory hearing
38
List the key functions of the brain stem (5)
breathing body temperature digestion alertness/sleep swallowing
39
List the key functions of the cerebellum. (3)
balance coordination and control of voluntary movement fine muscle control
40
What are the risk factors for vascular dementia? (4)
age diabetes hypertension metabolic syndrome
41
What are the characteristics of vascular dementia? (6) ac st card cog neuro imp neuro im
acute onset stepwise decline cardiovascular incident cognitive dysfunction neurological impairments neuroimaging evidence
42
What are the 5 conceptual frameworks for dementia? ap dy cog d int
aphasia dysarthria cognition DSM-5 cognitive domains international diagnostic criteria for dementia
43
What are the three steps in the method of a working hypothesis? lay
1. lay out all plausible hypotheses 2. examine the evidence for each 3. decide which stay and which go
44
Case history: obtain an overview of these 8 areas for dementia?
speech production language voice swallowing social communication cognitive-memory-learning literacy oral motor
45
Pragmatic language competence cup: three areas? ex la soc
executive function language function social cognitive function