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Flashcards in Test 2 Deck (58):
0

How many American have some type of dementia?

5mil

1

how many nursing homes serve ppl w/dementia?

approx 17K

2

who are the majority of ppl w/dementia cared for?

untrained family or workers

3

how many ppl r newly diagnosed each year?

more than 1mil

4

dementia occurs from how many causes?

more than 70

5

name four benefits of evidence-based approaches to healthcare

1. improve quality of care
2. improve standards of practice and fewer variations
3. provide cost savings bc the interventions are supported by evidence
4. Improves outcomes

6

why was the NEST approach designed?

to decrease dependence of psycho-pharmaceutical means of behavior control among ppl w dementia

7

define each part of the NEST approach

N - "needs" of the person with memory loss
E - "environment" of the person in distress
S - "stimulation," for appropriate levels of stimulation and rest
T - "techniques" and approaches used by caregivers

8

what are the two sets of symptoms with dementia

cognitive symptoms
behavioral symptoms

9

clarify each set of symptoms regarding dementia

cognitive - memory impairment, diff w prob solving and decision making, language probs, confusion, etc.
behavioral - apathetic, psychiatric, physical nonaggressive, physical aggressive, verbal nonaggressive, verbal aggressive, etc.

10

evidence shows that ppl w dementia will have what at some point?

behavioral problems

11

what is likely to happen if behavioral problems occur with ppl with dementia?

long term care and drug intervention increases

12

what can placement result in for ppl w dementia?
what can that result in?
what can that result in?

social isolation and long periods of doing nothing
boredom behavior problems
increased drug intervention

13

how effective is pharmacological treatments for ppl w dementia?

very limited effectiveness

14

What are behaviors?

expressions of unmet needs

15

What programs should nursing homes target for clients w dementia?

psychosocial and recreational programs based on their lvl of need

16

What opportunities should be offered to ppl w dementia in nursing homes?

meaningful involvement in their environments

17

What should be altered in nursing homes?

their focus from one of nursing home needs and conditions to one of lifestyle and living conditions of the clients

18

What is the most common form of dementia?

Alzheimer's

19

how many ppl in the USA have Alzheimer's?
how many are newly diagnosed each yr?

over 4mil
250K each yr

20

what are seven types of dementia?

1. Alzheimer's
2. vascular
3. dementia w Lewy bodies
4. picks disease
5. Parkinson's disease
6. alcohol related
7. wernicke-korsakoff syndrome

21

t/f
Alzheimer's is progressive

t

22

what five areas doe Alzheimer's affect?

1. intellectual functioning
2. memory
3. judgment
4. personality
5. ability to perform ADLs

23

what r the three stages of Alzheimer's?

early
intermediate
later

24

describe each stage of Alzheimer's

early - memory loss, language and mood probs
intermediate - more memory loss, additional language probs, may b physically aggressive
later - severe deterioration of physical/intellectual functions, loss of language, loss of bowel/bladder control, inability to walk, or complete ADLs

25

which form of dementia is caused by cerebrovascular disease? (which results from insufficient O2 to the brain)

vascular dementia

26

describe the five diff onsets of vascular dementia, depending on the cause

may b abrupt, insidious, static, remitting, or progressive

27

what is a often occurs prior to ppl with vascular dementia?

TIAs (mini strokes)

28

how do symptoms of vascular dementia appear following a major stroke?

abruptly

29

if not vascular dementia is not caused by a major stroke, describe the usual onset

more gradual

30

what does vascular dementia usually affect?

confusion, recent memory, wandering, incontinence, emotnal probs (affect)

31

which type of dementia affects more males than females?

dementia w Lewy bodies

32

what is the typical age of onset for dementia w Lewy bodies?

bw 50-80 yrs old

33

t/f
Alzheimer's usually progresses faster than Lewy bodies

f
dementia w Lewy bodies usually has a faster progression

34

what percentage of the pop has dementia w Lewy bodies?

about 10-20 percent

35

about how many ppl with Alzheimer's also has DBL?

approx 40%

36

what r four clinical features of DBL?

1. acute episodes of confusion which vary hr to hr
2. hallucinations which can worsen during acute confusion
3. Parkinsonism w mild gait impairment
4. abnormally sensitive to neuroleptic therapy

37

describe the acute episodes of confusion with DBL

excessive daytime drowsiness, staring into space, disorganized speech, short-term memory and word finding diff

38

which hallucinations are most common with DBL

visual

39

describe the Parkinsonism clinical feature of DBL

bradykinesia (slow movement,) rigidity, stooped posture, shuffling gait, diff initiating movement

40

what makes ppl with DBL ideal candidates for TR.

sensitivity to neuroleptic medications

41

t/f
picks disease is nonprogressive

f
it is progressive

42

what is affected with picks disease?

slow deterioration of social skills, changes in personality, impaired intellect, memory and language

43

t/f
picks disease has a cure

f
no cure

44

how long is the course of picks disease?

only about 5 yrs

45

what is the typical onset of picks disease?
how early and how late has it been seen?

bw 40-60 yrs old
early as 20 and as late as 80

46

why is picks disease sometime diagnosed as mental illness?

personality changes, insensitivity, lack of restraint, obsessive thinking, lack of insight, decreased language

47

t/f
ppl with picks disease usually become non verbal

t

48

what is picks disease also known as?

Kluver Bucy Syndrome

49

t/f
Parkinson's is a non progressive disease of the CNS.

f
it is progressive

50

what is Parkinson's characterized by?

tremors, stiffness of limbs and joints, speech impediments, diff initiating movements

51

what are two other names for alcohol related dementia?

wet brain
pickled brain

52

what causes wet brain/pickled brain?

excessive drinking over period of years

53

what problems occur with alcohol related dementia?

memory, learning, cognitive skills, poor judgment, diff making decisions, lack of insight, personality changes

54

what is alcohol related dementia often accompanied by?

nutrition problems

55

what is another form of alcohol related dementia?

wernicke-korsakoff syndrome

56

whats the diff bw wernickes n korsakoff?

wernickes - due to malnutrition and results in CNS nerve damage as well as peripheral nerve damage in the rest of the body

korsakoff - characterized by impaired memory and intellect, most distinguishing feature is confabulation (fabrication) or lying

57

t/f
wernicke-korsakoff syndrome ppl can have both or one or the other?

t