Alz. Pt.
What neurotransmitter has been linked to Alzheimer's disease?
Acetylcholine
-physically combative
-danger to self/others
-less restrict measures have been used without success
Explain Dementia:
progressive, irreversible, cognitive decline, gets worse over time.
To help with sleep:
ALSO, list intervention for sleep disorders:
-melatonin
Interventions:
-sleep hygiene
-behavioral therapy
-medication
This is an excessive, uncontrollable daytime drowsiness; sleep attacks.
Narcolepsy
-reading books and newspapers
-doing crossword puzzles
-engaging in physical activity
-having a large social network
-watch a favorite holiday movie
-play piano/guitar/sing songs
What are actions that the nurse should take when caring for clients with delirium?
-Inform the client of what is happening and what you have to do/need to do to them.
-maintaining client's safety is priority focus
-medications used carefully because they can worsen confusion and increase the risk of falls.
-teach the client to request assistance for activites that are getting out of bed, if they cannot request assistance, then they need to close supervision to prevent them.
-nurse responds promptly to calls and checks them at frequent intervals.
-restraints may be necessary if agitated or pulling at IV lines catheters.
What are mechanical restraints?
are devices, usually ankle and wrist restrains, fastened to the bed frame to furtail the client's physical aggression, such as hitting, kicking, and hair pulling.
Antidepressant for sleep:
ALSO, what's a priority education when giving medications for insomnia?
Trazodone
Client Edu= do not take this medication if you are planning to drive
Can sleep be a physical and psychosocial issue? (Yes or no)
yes
What are interventions for Alzheimer's clients?
ALSO: List 3 Medications used to treat Alzheimers Disease:
-label things for them
-keep routines/consistency
-limit options/choices
-feed them what they like & keep a diet schedule
-have caretaker/relative administer meds
Medications:
Donepezil, Rivastigmine, and Memantine
What causes delirium?
-UTI (infection)
-Rapid Onset
-Confusion
-Severely agitated
-Fearful
-Dehydration
-Surgery
Environment: low lighting, low noise, cluster care, less stimuli
What is a restraint?
the direct application of physical force to a person without his/her permission to restrict his/her freedom of movement.
Antipsychotic:
Seroquil = quetiapine
Causes of Vascular dementia are :HTN, diabetes, and cardiovascular disease
True.
What's the difference between Alzheimer's vs. Lewy Body?
Alzheimers is cognitive, then motor. (you can also see nile plaques and tangle on DX).
Lewy Body is motor, then cognitive.
How do you communicate with a patient who suffers from delirium?
-nurse speaks in a clear, low voice
-facing clients while speaking
-directions in short simple sentences (not detailed)
-reduce stimuli environment
-monitor response to visitors
What is a human restraint?
occurs when staff members physically control the client and move him/her to a seclusion room.
Benzodazepines = ____, and is it a 1st or 2nd line TX?
_-pams___, 2ND Line TX, and it's not given long term, but give short-term.
-a progressive, irreversible, neurologic disease that results in gradual dementia.
What word is this definition defining??
Alzheimer's Disease
What is the inability to recognize familiar objects... (think of the A's)
Agnosia
True or False?
Dementia has an acute onset.
False
Explain Rationalization
Creating reasonable and acceptable explanations for unacceptable behavior.
Example: Driving home to feed the dog after drinking alcohol.
What are these medications used for?
Donepezil, Rivastigmine, Galantamine
Medications for Dementia
A client states, "I am unable to sleep due to the frequent, vivid nightmares". This is which type of insomnia?
Parasomnia