Busy Bees
This neurodevelopmental disorder is characterized by inattention, hyperactivity, and impulsivity
What is ADHD?
A serious, sudden disturbance in mental abilities that results in confused thinking and reduced awareness of the environment.
What is delirium?
This is how Alzheimer's dementia is diagnosed
What is eliminate or rule out other possible causes of symptoms including memory loss? (Multiple assessments such as history taking, Cognitive screening assessment, CT scan, Blood test, etc.)
The most commonly reported side effects of this class of drugs are decreased appetite, sleep problems, anxiety, and irritability.
What are stimulants?
This over the counter allergy medication has the potential for inducing delirium in older adult patients
What is benadryl?
Blurts out answers, has difficulty with wait time in activities, interrupts or intrudes on others is what characteristic...
What is Impulsivity?
Bradycardia, nausea, vomiting, fall-related fractures, and dizziness are side effects of this Alzheimer's disease medication.
What is the donepezil?
Dizziness, headache, confusion, and constipation are side effects of this Alzheimer's disease medication.
What is memantine?
Name at least 2 contraindications for use of methylphenidate
What are heart disease, hypertension, substance use disorder, or hypersensitivity reaction to methylphenidate?
Causes of Delirium (name two)
What are infection (e.g. UA, pneumonia, sepsis), dehydration/electrolyte imbalances, certain medications, sleep deprivation in hospital settings...
Runs about or climbs excessively, fidgets with hands or feet, leaves seat, talks excessively
What is hyperactivity?
Conditions characterized by academic functioning below expected for age and education according to standardized achievement tests despite average to above-average intelligence.
What are learning disabilities?
These can help the person with dementia to make sense of their environment.
What are glasses and hearing aids, and other things such as contrasting colors, labels on doors and cupboards, reminders, etc.
An older adult client with Alzheimer’s disease becomes agitated and combative when a nurse approaches to help with morning care. The most appropriate nursing intervention in this situation would be to...
What is to use de-escalation e.g. What is remain calm and speak quietly with the client? (Not leave them alone in isolation. Not involve them in stimulating environments or activities).
There are 5 attributes of cognition. (Name 3)
What are: 1. Perception, 2. Pattern recognition, 3. Attention, 4. Executive function, 5. Memory?
Symptoms such as: does not follow through or finish tasks, does not listen, is easily distracted, all fall under which characteristic.
What is inattention?
Which patient population has the greatest risk of developing delirium?
What are older adults with polypharmacy, with infections, or while hospitalized?
The proportion of people who's dementia progression slows due to cholinesterase inhibitors (donepezil).
What is 1/12?
This medication, prescribed for childhood ADHD, should generally have its last dose administered no later than what time in order to minimize the risk of this common side effect.
What is methylphenidate, no later than 4 pm, and what is insomnia?
This medication can only be used for moderate to severe dementia.
What is memantine?
This medication can lead to a hypersensitivity reaction
What is methylphenidate?
The intervention of opening the blinds in a patient's room during the day, providing frequent activities, and reducing stimuli in the evening addresses this neuropsychiatric symptom of dementia.
What is sundowning?
This form of dementia is caused by damage to the brain's blood vessels, leading to cognitive decline and memory loss.
What is vascular dementia?
Benzodiazepines are indicated for delirium from this cause. (hint: think back to a previous course)
What is alcohol withdrawal?
This type of prevention strategy focuses on reducing modifiable risk factors and enhancing protective factors within specific subgroups that are identified as being at higher risk.