Needs maximum assistance with ADLs and mobility, abnormal reflexes and rigid muscles, swallowing difficulties
Stage 7
Behavioral changes that occur in the evening with improvement or disappearance during the day
Sundowning
Technique that helps to reorient the resident by interjecting time, place, and person into the conversation at every opportunity
Reality orientation
What is the most common cause of dementia?
Alzheimer's disease
Tends to wander and get lost, dresses inappropriate, incontinent
Stage 6
Walking back and forth in the same area
Pacing
Changing the resident's focus in a calm, gentle manner
Redirection
Name one possible temporary cause of cognitive impairment
Stress, side effects of medication, depression, vitamin deficiency, thyroid disease, alcohol use, fever, head trauma
Friends, family, and co-workers begin to notice difficulties, greater difficulty in performing tasks in social or work settings, trouble with planning and organizing
Stage 3
A thought or idea not based in reality
Delusion
Form of sensory stimulation enjoyed by almost all residents
Music therapy
Name one possible permanent cause of cognitive impairment
Brain damage/disease, end-stage of serious illness, alcoholism, stroke, Alzheimer's disease
Forgetful of recent events, unable to perform challenging mental arithmetic, stage in which a careful, medical interview should be able to detect clear-cut symptoms
Stage 4
Seeing, hearing, smelling, or feeling something that isn't real
Hallucination
Encouraging the resident to talk about pleasant memories of the past
Reminiscence therapy
What is the lifespan of most individuals with AD after symptoms begin
2-20 years
May feel memory lapses, forgets familiar words or location of everyday objects
Stage 2
Overreaction and/or unreasonable response to stimuli
Catastrophic reaction
Allowing the resident to live in the past or under imaginary circumstances
Validation therapy
Name one risk factor for AD
Age, family history, Down's syndrome