Card Set Information
FT4 Congnitive conditions elderly
What is delirium?
An acute condition brought one or more conditions that have altered brain functioning
Reduction in cerebral functioning
Main s/sx – sudden disturbance in consciousness or cognition
Underlying causes of delirium
Infection (Usualy UTI)
Drug toxicity (may be aggressive)
Food supplement toxicity (ginseng?)
Nursing Assessment of Cognitive Disabilities
Past and present health status
Description of onset, duration, range and intensity of symptoms
Presence of chronic physical illness, dementia, depression, etc
Nursing Diagnosis for Cognitive imparement
Disturbed thought processes
Disturbed sensory perception
Risk for infection
Disturbed sleep pattern
Interrupted family processes
Planning-Interventions and Outcomes
--Low beds, guard rails, and careful supervision
Maintaining fluid and electrolyte balance
Correction of underlying physiologic alteration
Resolution of confusion
Family member verbalization of understanding
Prevention of injury
A clinical syndrome involving
reduced intellectual functions
impairment in memory, language, visiospacial
skills and cognition.
Different than delirium in that dimentia is slower onset, will be chronic, is progressive and irreversible.
Various forms of dementia
Lewy body disease
: halucinations of inanimate objects. Will get worse with psychotropic drugs
Normal pressure hydrocephalus
Focal brain atrophy syndrome
Creutzfeldt Jakob disease
: Mad cow disease.
what is Agnotia?
Inability to identify common objects
Risk factors for dementia
Diagnosis of dementia
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What is the difference between CVA dementia and Alziemer's?
What are the early signs of Alzeimer's
Short-term memory deficit
Forgets names and places that are familiar
How would this impact the caregivers??
What are the signs of moderate decline with Alzeimer's?
Clear cut deficits
Pt and others become more aware of problems
Pt gets lost in familiar settings
May develop behavioral problems such as:
What are the signs of advanced Alzeimer's?
Severe loss of function due to cognitive disability
Loss of ability to move and speak
Death from sepsis or pneumonia
What are some functional nursing interventions for the patient with demential/alzeimer's?
Maintain safe environment
Driving and occupational issues
Long term financial and legal planning
Will made out
to the moderate stage
Assign Power of Attorney
Eligibility for pension/benefits
As disease progresses evaluate environmental and placement choices
: Alzheimer’s Association;
Community Resources; Referral to Allied health personnel
What are some behavior nursing interventions for the patient with demential/alzeimer's?
Decrease number of choices pt has to make
Organize/start activities that the pt is able to continue or complete
Will not eat
Offer one food at a time
Offer finger foods/colorful foods
Look for pain/infection
Cannot/will not sleep
Exercise early in the day
Decrease daytime napping
Adjust light and warmth
Safe place to wander
Use of complex locks
Provide safe return bracelet/ ID
What is "FOCUSED" treatment?
Depression vs. dementia
Nursing interventions for depression
Primary Intervention -Involves actions that promote health and decrease the likelihood of depression.
Secondary – the nurse’s response to the client who experiences acute
or rehabilitative functions
Symptoms associated with depression which require nursing interventions:
Unable to perform own ADL’s (May need assistance and motivation to do so)
Evaluation of interventions addressing depression
Prevention of injury
Patient's Verbalization of feelings/thoughts/concerns
Affect of alternative therapies
Changes in patient's behaviors