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Flashcards in Dementia - Assessment Deck (22):
1

Define dementia C D D-les

A *syndrome*
• Chronic/progressive nature
• Decline in cognitive functions
• Deterioration in:
language skills, emotional control, social behaviour

2

The course?

Progressive and irreversible

3

Treatments?

Only minimally effective in slowing progression

4

Sx include (5) M-DIPS

Memory loss
Disorientation
Impaired judgment, intellectual, social functioning
Personality change
Shallow / labile affect

5

What must the Fran-conscious nurse live and die by??

See the PERSON first ... not the disease.
Advocate for others to do the same.

6

Practice and research needs to be focused on?

the PERSON living with the disease

7

What is long overdue?

“Emergence of the person” living with dementia

8

What about couples?
+ Fran-ism

Often see themselves not as patient and caregiver but as a unit of care.
"Push on system to value this. System expects clients, not care delivery, to change. We must FIGHT!"

9

5 cards:
Communication Problem / Management

Aren't you going to feed, uh, Whiskers, Edie? Come on, go feed Whiskers. No, don't eat it; give it to Whiskers, please!

10

Loss of ability to sustain attention (2)
(ATTENTION)
+ Fran-ism

Break information into small chunks
Repeat as needed
"Never hesitate to say something twice. Even say it in a different way. Be prepared to state things over and over – digestion – especially if bad news."

11

Loss of ability to learn and retain (2)
(LEARNING & MEMORY)

Repeat instructions
Ask leading questions to affirm

12

Loss of ability to convey message and understand (1) (LANGUAGE)

Speak in simple sentences

13

Inability to recognize objects;
judge distance or spatial relations
(2) (VISUAL PERCEPTION)

Keep objects and clothing in familiar locations
Simplify environment

14

Inability to control or express emotions; apathy (EMOTIONAL REGULATION) (2)

Accept patient responses
Diffuse volatile situations (distract, change conversation)

15

5 cards:
Management / Communication Problem

If you can't get a man to propose to you, you might as well be dead.

16

Break information into small chunks
Repeat as needed

Loss of ability to sustain attention

17

Repeat instructions
Ask leading questions to affirm

Loss of ability to learn and retain

18

Speak in simple sentences

Loss of ability to convey message and understand

19

Keep objects and clothing in familiar locations
Simplify environment

Inability to recognize objects;
judge distance or spatial relations

20

Accept patient responses
Diffuse volatile situations (distract, change conversation)

Inability to control or express emotions; apathy

21

3 benefits of storytelling LUG

Learn past coping strategies that might be useful today
Understand client experience and meaning it has for them
Getting to know person versus sx of disease

22

Barriers to dx and tx of dementia
Sx-ERI O-PF

Sx
• Early ones dismissed – normal aging
• Recognized but not id'ed as needing med. intvx
• Inconsistent
– come/go - change not taken srsly
– may not impact for months/years
Other
• Physicians see as normal/dismiss
• Fam reluctant to step in/take charge of Dad's health/affairs