The Ds of confusion
The sudden onset, think fever, drugs, infections, can be REVERSED
What is DELIRIUM
Slip into coma death from pneumonia or infection happens
End stage
rash, seizures, nausea, vomiting
Donepezil
Confusion, agitation, and disruptive actions that happen in late afternoon or evening
Sundown syndrome
Loss of cognitive ability severe enough to mess with ADLs
Dementia
Subacute onset: loss, drugs, sadness, metabolic. Usually reversible
What is DEPRESSION
Early stage
tremors, UTI, fatigue
Rivastigmine
Confusion
you are standing in the kitchen trying to remember why you came in there
Changes in short term memory
Think of a slow onset
CHF, COPD, HIV, DIABETES, ALZHEIMER
What is DEMENTIA
Inability to swallow increases risk for pneumonia and malnutrition
Late stage
blood in urine, gas, diarrhea
Galantamine
Can’t perform everyday actions and activities
Apraxia
Loss of language
Aphasia
Acute onset : chemical balances, allergies.
WHAT IS DRUGS
*** do AD patients need a high stimulus environment or low stimulus.
LOW STIMULUS
Namenda
memantine
Make and carry out plans
Container loss
loss The ability to withstand stress
AD
ACUTE: Stroke, head injury, co2 exposure, hypoxia. Sometimes REVERSIBLE
WHAT IS DAMAGE
need Assistance with tolieting, bathing, dressing, eatimg
Middle stage
Advil or naprosyn
Anti inflammatory
Alzheimer’s disease client is safely cared for while caregiver gets a break
Respite care
Loss of recognition of previously known or familiar people
Visual agnosia