Dementia
Nursing Process: Dementia
Delirium
Nursing Process: Delirium
Research
100
Progressive, degenerative brain dysfunction, including deterioration in memory, concentration, language skills, visuospatial skills, and reasoning that interferes with a person’s daily functioning
What is dementia?
100
Tools to assess for dementia?
What is the Mini-Cog test or the Mental Status Assessment?
100
Acute confusional state
What is delirium?
100
Altered level of consciousness, fluctuating during the day, short attention span, easily distracted, physiological changes, disorganized thinking, cognitive-perseptual changes, impaired memory, and loud and incoherent speech
What are assment findings of delirium?
100
Age, pre-existing cognitive abnormalities, the presence of metabolic abnormalities, and treatment with psychoactive and anticholinergic drugs
What are risk factors for dementia and delirium?
200
Difficulty with language, difficulty with reasoning, inability to learn new things, agitation, anxiety, wandering, repetitive statements/questions, hallucinations, delusions, paranoia, irritability
What are signs and symptoms of moderate dementia?
200
Chronic confusion related to neurological dysfunction, functional urinary incontinence r/t neuromuscular impairment, self neglect r/t cognitive impairment, self-care deficit r/t psychological impairment, risk for falls r/t diminished mental status, risk for injury r/t confusion, risk for Impaired skin integrity r/t immobility
What are nursing diagnoses related to dementia?
200
Failure to concentrate, irritability, insomnia, no appetite, restlessness, confusion, and sometimes agitation, misperception, and hallucinations
What are signs and symptoms of delirium?
200
Measures acute onset of fluctuating course, inattention, disorganized thinking, and altered level of consciousness
What is the Confusion Assessment Method (CAM) test?
200
Amount of new cases of dementia in the world per year
What is 4.6 million?
300
Neurodegenetive conditions and vascular disorders
What are the two most common causes of dementia?
300
Nursing interventions for dementia that can be applied to the patients room
What are maintaing a comfortable room temperature, avoiding throw rugs, keeping a clear pathway to the bathroom, write name and date to orient the patient, and providing adequate lighting?
300
Length of time delirium usually lasts
What is 1-7 days?
300
Encourage sleep, maintain safety and reduce clutter, provide visible clocks and calendars, ensure adequate nutrition, and supply oxygen for those patients with pneumonia
What are nursing interventions of delirium?
300
The estimated amount that the economy spends on dementia
What is $23 billion?
400
4 types of dementia
What are Lewy Body, frontal Lobe, frontal temporal, and vascular dementia?
400
Teaching the family how to care for their loved one with dementia or talking about the possibility of hospice care
What is an example of patient teaching?
400
Percentage of patients who experience delirium in the invasive care setting
What is 70%-87%
400
Potential delirium nursing diagnoses
What is risk for trauma, disturbed thought process, or self care deficit?
400
15% and 27% respectively
What is the percentage that dementia will increase in those over 65 and 85 years of age in the next ten years?
500
Change that interferes with social and occupational function, gradual onset, continuing decline, no other condition causing syptoms, impaired short or long term memory and either impaired executive function, aphasia, apraxia, agnosia.
What is the criteria to diagnose dementia?
500
Pharmacotherapy for dementia
What are Cholinesterase Inhibitors (CEIs), N-methyl-D-aspartate receptor antagonists, Serotonin reuptake inhibitors, and Antipsychotics?
500
Neurological disorders that increase the risk for delirium
What are strokes, dementia, CNS infections, and Parkinson’s disease?
500
Pharmalogical methods for delirium
What are low dose antipsychotics and short acting benzodiazepines?
500
50 to 70 percent of cases of delirium are undetected by usual nursing assessments
What is the consequence of not completing thorough nursing assesements?
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