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15 Cards in this Set

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Identify components of
Folstein's Mini-Mental state
exam
MMSE developed to measure
orientation and cognitive
function. 21/30 reveals
cognitive impairment.
Orientation to time,
registration, naming, reading.
Acetylcholine
whie crystalline compound
reeased from the ends of nerve
fibers and involved in the
transmission of nerve impulses.
Neurotransmitter
Cholinesterase
an enzyme of the blood, brain,
heart that decomposes
acetylcholine into acetic acid
and choline, supressing its
stimulatory effect on nerves
Delirium
state of temporary but acute
mental confusion. Rapid
onset, not age related, short
term with treatment,
hallucinations, delusions.
Could be caused by UTI, fever,
infection F+E imbalance,
stress
Dementia
syndrome characterized by
dysfunction or loss of memory.
Onset slow and hard to see,
lasts months to years,
progressive. Mild, moderate
and severe (stage 3). Caused
by Alzheimers and Vascular
deficiency (stroke)
Depression
D/o showing symptoms as feelings
of hoplessness, dejection, poor
concentration, lack of energy,
inability to sleep
Aphasia
partial or total inability to
produce and understand speech.
Receptive - cannot
understand written/verbal
speech. Expressive -
understands written and
verbal, but cannot write or
speak appropriately.
Etiology, symptoms,
stages of AD
Age is most important risk
factor, disease that destroys
brain cells. Memory loss,
diff performing tasks,
problems with language. Early
(mild), Moderate, severe.
Early/Late AD
Early - less than age 60.
Late - after age 60,
no family hx
Dx of exclusion
dx by elimination of
all other possible dx.
Exclude what it is not first.
Four goals for client
with AD
Maintain functional ability
for as long as possible
be maintained in a safe
environment
have personal care
needs met
have dignity
maintained
ROSS
Routine
Order
Safe
Simple
Rationale for each
of the guidelines
for bathing persons
with dementia
use distraction, reward client
after, determine method least
distressing
Aricept
Exelon
Reminyl
Memantine
anticholinesterase - Treatment
of mild to moderate dementia
associated with Alzheimer's
disease. Improves cholinergic
function by inhibiting
acetylcholinesterase
Common drugs used
to treat
agitation/psychosis
Haldol, Risperdal,
Zyprexa, Ativan,
Restoril, Serax