Dementia
Nursing Process: Dementia
Delirium
Nursing Process: Delirium
100

Memory loss that is more than ordinary forgetfulness

What is the first sign of dementia?

100
Tools to assess for dementia?
What is the Mini-Cog test or the Mental Status Assessment?
100

Syndrome involving disturbance of consciousness with change in cognition

What is delirium?

100

Client may be unable to provide accurate history and general appearance and motor behavior include aphasia, apraxia, and uninhibited behavior.

What are assessment findings of 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?
300

Neurodegenetive conditions and vascular disorders

What are the two most common causes of dementia?

300

Maintaining 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.

What are nursing interventions for dementia that can be applied to the patient's room

300

Trauma to the central nervous system (CNS), drug toxicity or withdrawal, and metabolic disturbances related to organ failure.

What are causes of deliruim?

300

Promote client safety, manage client's confusion using orienting cues, speak in a low, clear voice. Avoid sensory overload. Promote sleep and property nutrition.

What are nursing interventions of delirium?

400

4 types of dementia

What are Lewy Body, frontal Lobe, frontal temporal, and vascular dementia?

400

Regular participation in brain-stimulating activities, leisure-time physical activity during midlife, and large social network

What are measures to decrease risk for Alzheimer disease

400

 The group most frequently diagnosed with delirium?

Who are the elderly.

400
Potential delirium nursing diagnoses
What is risk for trauma, disturbed thought process, or self care deficit?
500

Change that interferes with social and occupational function, gradual onset, continuing decline, no other condition causing syptoms, impaired short or long term memory.

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?