Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/43

Click to flip

43 Cards in this Set

  • Front
  • Back
There is no such thing as just _________ _______.
"getting senile"
__________ may be part of normal aging, but when memory loss interferes with __________ and _______, that is not considered to be part of normal aging.
forgetfullness
daily functioning/living
___% of ppl > 85 have alzheimers.
50
You have ___X more chance if u have parent with alzheimers
3
how many forms of dementia are there?
60
___% if alzheimers pts. live @ home
70
3 out of 4 ppl who are taking care of alzheimers pts. are ______.
women
What Alzheimers is NOT:
1. is not _____ _____
2. is not caused by _______ __ __ ___
3. is not a form of ______ _____ or caused by ______ ______
4. is not a ______ deficiency
5. is not a result of _______, ____, ___ or family _______
6. is not an _____ illness
7. is not a lack of ____ ___ or ______ to the brain
8. is not ______ or _______ at this time
1. normal aging
2. hardening of the arteries
3. mental retardation/mental laziness
4. vitamin
5. stress, grief, neglect, conflict
6. emotional
7. blood supply/oxygen
8. preventable/curable
What Alzheimers IS:
1. is a brain disease causing loss of ______, ________, _________
2. is a progressive brain disease, but each person declines ___ __ _____ ____
3. is a type of chronic brain syndrome or _______
4. is a deficiency in _______ or ____ that send messages between brain cells
5. is a dx by _______, by r/o other possible causes for the sx
6. is accurately dx ___% of the time if a thorough work up is performed. there is no single test for AD presently
7. Is 100% accurately dx on _____ through brain _____ by identifying concentrations of ______ plaques and neurofibrillatory tangles in the hippocampus.
1. recent memory, confusion, and poor judgement
2. at a different rate
3. dementia
4. neurotransmitters/chemicals
5. exclusion
6. 95
7. autopsy/biopsy/amyloid
Some complications of alzheimers incl:
exposure, accidental death
B__ deficiency can cause sx of alzheimers
12
is there a way of measuring the decline of alzheimers?
no
Diagnostic studies for alheimers includes:
mini mental exam
CT/MRI
SPECT
PET
MRS
-screening to r/o B12 deficiencies and hypothyroidism
____________= refers to a state of cognition and functional ability b/n normal aging and early AD
mild cognitive impairment
with mild cognitive impairment, individuals are ______ _____ but otherwise functionally normal.
memory impaired
Mild cognitive impairment may be considered a transitional state between ____ and ___
aging/AD
More than 80% of pt.s with MCI (mild cognitive impairment) develop AD within ___ years at a rate of ___%-___% pt.s per year.
10
10-15
If elderly are _____, they are at risk for AD.
understimulated
all _________ is a form of communication
behavior
EARLY WARNING SIGNS OF AD:
1. memory loss that affects ___ _____
2. difficulty performing ______ _____
3. Problems with ______
4. disorientation to _____ and _______
5. poor or decreased _____
6. problems with _____ _______
7. _______ things
8. changes in ____, _______, _______
9. loss of ______
1. job skills
2. familiar tasks
3. language
4. time/place
5. judgement
6. abstract thinking
7. misplacing
8. mood, behavior, personality
9. initiative
with alzheimers pt's, its important to focus on:
what pt. can do.
________-inability to identify common items (pen, pencil)
agnosia
______- inability to pick item up ad use it (brush hair)
apraxia
what behaviors are perserved the longest with the alzheimers pt?
over-learned
Early Stages of Alzheimers:
1. has trouble finding _________
2.doesn't begin activity ________
3. has trouble_________
4. has personality changes such as: less ___ and less ____, appears more _____ and more ___.
1.right word 2 use
2.by self
3.learning new activities
4. energy/patient. angry/withdrawn
How to help the individual in the "early stage" of alzheimers:
1. try to understand the individual's ______ and ______
2. offer support in times of ________
3. _______ and ______ daily routines. Do one step at a time
4. make the environment ____
5. register the individual with the ____ ____ _____
6. remember the individual with dementia is not doing these things on purpose; it is the disease causing them to act this way.
1. anger/frustration
2. frustration
3. organize/simplify
4. safe
5. safe return program
THE MIDDLE STAGE OF ALZHEIMERS:
1. individual ____ more quickly than in early stage
2. May wander away and ___ ___
3. may not __ ___ __ ____.
4. confused about ___ and ____
5. _____ problems
6. ___ and ____ clothing
7. needs help with ______
8.may confuse ___ and _____
9. ______, especially in the late afternoon and at night
10. has problem with _______
11. problems with judging ____ and ___
1. forgets
2. get lost
3. know family or friends
4. time/place
5. behavioral
6. wets/soils
7. ADL's
8. day and night
9. restless
10. language
11. distances/heights
How to help the individual in the middle stage of dementia:
1. give ______ directions
2. limit ______
3. ______ _______: do things same way over and over
4. encourage them to do __ ___ ___
5. approach them as you would a ____
6. _____ and ____ gently
1. one step
2. choices
3. develop rituals
4. what they can
5. friend
6. remind/repeat
how long does the late stage of alzheimers last?
one to two years
During the LATE stage of alzheimers:
1. Pt can no longer use _____ __ ______
2. needs ____ all the time
3. may put everything ____ ____ or ___ _____
4. cannot recognize:____, ___, ____
5. may Groan, _____ or make____
6. ______ ______ or _____ is usual cause of death
1. words to communicate
2. care
3. into mouth/touch everything
4. family members, friends, self in mirror
5. scream, grunting noises
6. beathing problems/infection
How to help the individual in the late stage of alzheimers:
1. _____ the individual _______
2. treat individual with ____ and _____
3. ____ and ___ before doing a task
4. watch the individual's actions, and eye mvmts
5. ____ __ ______ as well as using words to communicate
6. tell the individual what you are about to do
7. ___ the individual's ____ to do a task
1. approach/slowly
2. respect/dignity
3. show/tell
4.-----------
5. touch the individual
6.---------
7. praise/efforts
remember, it is the ____ not the ___, that make him do what he does at any stage
disease/individual
Some complimentary & alternative therapies for Alzheimers disease: (3)
-NSAIDS
-GINKO BILOBA
-Vit E (esp. when combined with VIT C
For behavioral problems with Alzheimers, use the following 3 types of drugs:
antipsychotic
neuroleptics
benzodiazepines
For sleep disturbances associated with alzheimers, use what drug?
ambien
for depression associated with alzheimers, the following 4 drugs are used:
zoloft
luvox
celexa
prozac
For mild to moderate alzheimers, ______ inhibitors are used.
cholinesterase (donepezil-aricept; revastigmine-exelon; galantamine-reminyl)
for middle to late alzheimers, use ______ aka _______
memantine-ebixa-memenda
For psychotic behaviors associated with dementia, ______ is used. This does not mean pt. is psychotic.
risperdal
Drug therapy may ___, but ________
stall alzheimers/it doesnt stop it.
eat ______ for prevention of AD
salmon
Nursing interventions for the alzheimer pt incl:
1. _____________!!!!!!
2. _______ management
3. ______ stimulation
4. self care _____
5. ____ prevention
6. coping
7. anticipatory ______(pre dx)
8. surveillance/_____
1. COMMUNICATION
2. dementia
3. cognitive
4. independence
5. fall
6.--------
7. guidance
8. safety
Nursing assessment for the pt. with alzheimers:
- past hx and current _____
-functional health patterns
- general appearance, any change in _____/________
-______ assessment
meds
behavior/personality
neuro