alzheimer's

Card Set Information

Author:
nurse&dad
ID:
106752
Filename:
alzheimer's
Updated:
2011-10-05 20:39:11
Tags:
neuro muscularskeletal
Folders:

Description:
interventions
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user nurse&dad on FreezingBlue Flashcards. What would you like to do?


  1. What is Alzheimer's?
    • Dementia
    • Chronic, progressive, degenerative disease
    • Loss of memory, judgement, and visuospatial perception, change in personality
  2. Changes in brain
    • Natural aging changes but occur much more rapidly
    • Neurofibrillary tangles- classic finding at autopsy
    • Neuretic plaques
    • Increased beta amyloid within the plaques
  3. Chemical changes
    • ACh
    • Norepi
    • Dopamine
    • Serotonin-all have abnormalities
    • High levels of beta amyloid
  4. Stages
    • Early (mild)
    • Middle (moderate)
    • Late (severe)
  5. Assess for deficits
    • Attention & concentration
    • Judgement & perception
    • Learning & memory
    • Communication & language
    • Speed of information processing
  6. Changes in cognition
    • Dysfunction of temporal and parietal lobes
    • Frontal lobe impairment- problems c judgement, inability to make decisions, decreased attention span
    • Apraxia- inability to use objects correctly
    • Aphasia- inability to speak or understand
    • Anomia- inability to find words
    • Agnosia- loss of sensory comprehension
  7. Mini-Mental State Exam
    Assesses orientation, registration, attention & calculation, recall, speech-language
  8. Assessment
    • Aggressiveness
    • Verbal/physical abuse tendencies
    • Rapid mood swings
    • Increased confusion at night
    • Decreased appetite/ability to eat
    • Loss of bowel/bladder control
    • Decreased interest in personal appearance
  9. Lab tests
    • CBC
    • Serum electrlyte levels, BUN, glucose
    • Vit B 12 levels
    • Folate levels
    • Thyroid/liver function tests
    • Serologic test for syphilis
    • Toxicity screening test; heavy metal screen
    • Alcohol screening test
  10. Diagnostic Assessments
    • CT scan- cerebral atrophy
    • MRI-r/o other neurologic disease
    • PET scan- decreased metabolic activity in brain
    • EEG- shows activity in 2 & 3 stage of AD
  11. Structuring the environment
    • Prevent overstimulation
    • Environment should be orderly
  12. Orientation
    • Remind pt of day/time/year
    • Where they are
    • Who you are
    • Validation therapy appropriate in later stages-
  13. Meds
    • Cholinesterase inhibitors
    • Aricept
    • Reminyl
    • Exelon
    • Antidepressant
    • Antipsychotic
  14. Risk for injury
    • Carefully evaluate environment
    • Remove throw rugs
    • Nonslippery floors
    • Arrange furniture to ensure safety
    • Minimize clutter
    • Night lights
    • Alarm systems
    • Lock doors
    • Decrease restlessness/wandering
    • Engage in activities
    • Avoid day-time naps
    • Restraints as a last resort

What would you like to do?

Home > Flashcards > Print Preview