Test 2

Question 0

how many nursing homes serve ppl w/dementia?

Answer 0

approx 17K

Question 1

How many American have some type of dementia?

Answer 1

5mil

Question 2

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

Answer 2

untrained family or workers

Question 3

how many ppl r newly diagnosed each year?

Answer 3

more than 1mil

Question 4

dementia occurs from how many causes?

Answer 4

more than 70

Question 5

name four benefits of evidence-based approaches to healthcare

Answer 5

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

Question 6

why was the NEST approach designed?

Answer 6

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

Question 7

define each part of the NEST approach

Answer 7

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

Question 8

what are the two sets of symptoms with dementia

Answer 8

cognitive symptoms

behavioral symptoms

Question 9

clarify each set of symptoms regarding dementia

Answer 9

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.

Question 10

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

Answer 10

behavioral problems

Question 11

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

Answer 11

long term care and drug intervention increases

Question 12

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

Answer 12

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

Question 13

how effective is pharmacological treatments for ppl w dementia?

Answer 13

very limited effectiveness

Question 14

What are behaviors?

Answer 14

expressions of unmet needs

Question 15

What programs should nursing homes target for clients w dementia?

Answer 15

psychosocial and recreational programs based on their lvl of need

Question 16

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

Answer 16

meaningful involvement in their environments

Question 17

What should be altered in nursing homes?

Answer 17

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

Question 18

What is the most common form of dementia?

Answer 18

Alzheimer’s

Question 19

how many ppl in the USA have Alzheimer’s?

how many are newly diagnosed each yr?

Answer 19

over 4mil

250K each yr

Question 20

what are seven types of dementia?

Answer 20

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

Question 21

t/f

Alzheimer’s is progressive

Answer 21

t

Question 22

what five areas doe Alzheimer’s affect?

Answer 22

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

Question 23

what r the three stages of Alzheimer’s?

Answer 23

early
intermediate
later

Question 24

describe each stage of Alzheimer's

Answer 24

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

Question 25

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

Answer 25

vascular dementia

Question 26

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

Answer 26

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

Question 27

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

Answer 27

TIAs (mini strokes)

Question 28

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

Answer 28

abruptly

Question 29

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

Answer 29

more gradual

Question 30

what does vascular dementia usually affect?

Answer 30

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

Question 31

which type of dementia affects more males than females?

Answer 31

dementia w Lewy bodies

Question 32

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

Answer 32

bw 50-80 yrs old

Question 33

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

Answer 33

f | dementia w Lewy bodies usually has a faster progression

Question 34

what percentage of the pop has dementia w Lewy bodies?

Answer 34

about 10-20 percent

Question 35

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

Answer 35

approx 40%

Question 36

what r four clinical features of DBL?

Answer 36

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

Question 37

describe the acute episodes of confusion with DBL

Answer 37

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

Question 38

which hallucinations are most common with DBL

Answer 38

visual

Question 39

describe the Parkinsonism clinical feature of DBL

Answer 39

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

Question 40

what makes ppl with DBL ideal candidates for TR.

Answer 40

sensitivity to neuroleptic medications

Question 41

t/f | picks disease is nonprogressive

Answer 41

f | it is progressive

Question 42

what is affected with picks disease?

Answer 42

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

Question 43

t/f | picks disease has a cure

Answer 43

f | no cure

Question 44

how long is the course of picks disease?

Answer 44

only about 5 yrs

Question 45

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

Answer 45

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

Question 46

why is picks disease sometime diagnosed as mental illness?

Answer 46

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

Question 47

t/f | ppl with picks disease usually become non verbal

Answer 47

t

Question 48

what is picks disease also known as?

Answer 48

Kluver Bucy Syndrome

Question 49

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

Answer 49

f | it is progressive

Question 50

what is Parkinson's characterized by?

Answer 50

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

Question 51

what are two other names for alcohol related dementia?

Answer 51

wet brain | pickled brain

Question 52

what causes wet brain/pickled brain?

Answer 52

excessive drinking over period of years

Question 53

what problems occur with alcohol related dementia?

Answer 53

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

Question 54

what is alcohol related dementia often accompanied by?

Answer 54

nutrition problems

Question 55

what is another form of alcohol related dementia?

Answer 55

wernicke-korsakoff syndrome

Question 56

whats the diff bw wernickes n korsakoff?

Answer 56

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

Question 57

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

Answer 57

t