NUR 2755 Multidimensional Care IV

Test 1 Study Guide Review

Dementia types

- over 200, most common are Alzheimer's and vascular

Dementia progression

- memory/ability to learn new info

language, judgement and behavior affected

functions decrease

Dementia microscopic changes

- Neurofibrillary tangles

amyloid plaque

vascular degeneration

abnormal neurotransmitters

Genetic Predisposition for dementia

- African American

Hispanic greater risk of early

APOE Gene

Diseases that contribute to dementia

- Diabetes

stroke

atherosclerosis

Life hacks to avoid dementia

- Diet with enough folate and vitamins B12, C,E

Exercise

avoid smoking and excessive alcohol

Mild Alzheimer’s S&S

- Independent ADL's

denial

forgets name, place of things, memory loss

subtle changes in personality

social disengagement

mild cognition and judgement problems

decrease sense of smell

Moderate Alzheimer’s S&S

- impaired cognitive function

money issues

disoriented to time, place, event

depressed/agitated

speech and language deficits

less talkative

eventually aphasic

wandering

Severe Alzheimer's

- incapacitated, bedridden, loss of mobility and verbal skills, doesn't recognize faces

seizures

tremor, ataxia

Alzheimer's psychosocial assess

- grieving process

family affected and patient

sexual inhibition

agitation/aggression

delusions/hallucinations

Alzheimer's Lab assess

- APOE 4-not confirm, but an indicator

CT or MRI of brain

Alzheimer's behavioral management

- cognitive stimuli and memory training

structured environment

promote continence/communication/sleep

validate their reality

avoid restraints