Alzheimer’s/Dementia/ Delirium
2 nursing considerations for feeding a patient diagnosed with Alzheimer’s Disease.
WHAT ARE FINGER FOODS, REMOVE COVERS, LIMIT DISTRACTIONS, AND PROVIDE QUIET ENVIRONMENT?
5 positive symptoms.
WHAT ARE DELUSIONS, WORD SALAD, THOUGHT BROADCASTING, CATATONIA, DISORGANIZED SPEECH, HALLUCINATION, ECHOLALIA, CLANG ASSOCIATION, AND NEOLOGISM?
Give 2 examples of advance directives.
WHAT ARE DPOAH, LIVING WILL, IPOST?
Your child starting kindergarten is an example of this kind of loss.
WHAT IS MATURATIONAL LOSS?
Name 3 causes of Delirium.
WHAT ARE DRUG TOXICITY, HOSPITALIZATION, DRUG INTERACTIONS, ACUTE DISEASE, TRAUMA?
Name 3 side effects of Risperidone (Risperidal).
WHAT ARE AGITATION, DROWSINESS, HEADACHE, DRY MOUTH, NAUSEA, WEIGHT GAIN, AND CONSTIPATION?
4 interventions for a dying patient.
WHAT IS PROVIDE COMFORT, PAIN MANAGEMENT, ANXIETY MANAGEMENT, MANAGE SECRETIONS, AND SUPPORT FAMILY?
Give an example of anticipatory grief.
WHAT IS A LOSS THAT CAN BE ANTICIPATED, (i.e. FAMILY MEMBER DIAGNOSED WITH CANCER)?
Name 6 symptoms of dementia.
WHAT IS MAKE UP STORIES, SLOW SPEECH, REPEATING SPEECH, DIFFICULTY NAMING OBJECTS, MEMORY LOSS, PERSONALITY CHANGES, ECHOING, DISENGAGES RELATIONSHIPS, SUSPICIOUS ACTING, PARANOID, AND AGGRESSIVE, DISORIENTATION, DIFFICULTY DRAWING, GETTING LOST IN FAMILIAR PLACES, AGITATION AT NIGHT, PACING, RESTLESSNESS, SHORT ATTENTION SPAN, AND POOR JUDGMENT?
6 interventions for patient diagnosed with Schizophrenia.
WHAT ARE EDUCATE FAMILY AND PATIENT ABOUT DIAGNOSIS, SHOW EMPATHY, PROVIDE A NON-STIMULATING ENVIRONMENT, MONITOR AND RECOGNIZE BEHAVIOR CUES, SET LIMITS, PROMOTE HYGIENE, TRACK SLEEP AND SLEEP BEHAVIORS, MONITOR FLUID INTAKE, PROVIDE FOOD THAT IS PACKAGED, AVOID CONFRONTATION WHEN PATIENT IS EXPERIENCING DELUSIONS, SAFE ENVIRONMENT, AVOID ABRUPTLY TOUCHING PATIENT, ENCOURAGE SOCIAL INTERACTION AND GROUPS?
5 signs of impending death.
WHAT IS
DIFFICULT TALKING OR SWALLOWING
NAUSEA, FLATUS, ABDOMINAL DISTENTION,
URINARY OR BOWEL INCONTINENCE OR CONSTIPATION
LOSS OF MOVEMENT, SENSATION, AND REFLEXES
DECREASING BODY TEMPERATURE WITH COLD OR CLAMMY SKIN
WEAK, SLOW, OR IRREGULAR PULSE
DECREASING BP
CHEYNE–STOKES RESPIRATIONS
RESTLESSNESS OR AGITATION
COOLING, MOTTLING, AND CYANOSIS?
Kubler-Ross’ Stage of Grief, in order.
WHAT IS
DENIAL,
ANGER,
BARGAINING,
DEPRESSION,
ACCEPTANCE?
6 interventions for patient with delirium.
WHAT ARE SAFETY MEASURES, REORIENTATION, CONSISTENT ROUTINE, TOILETING SCHEDULE, CALM & QUIET ENVIRONMENT, ASSISTIVE DEVICES, MAINTAIN CIRCARDIAN RHYTHM, AND NOTIFY THE DOCTOR?
You have a patient newly prescribed an anti-psychotic. Name 4 teaching points.
WHAT ARE COMPLIANCE, TAKES WEEKS TO GET EFFECT, DON’T STOP TAKING ABRUPTLY, DRIVE WITH CAUTION, CAN BE SEDATING, AVOID ALCOHOL, EPS EFFECTS, AND INCREASED SUICIAL IDEATION?
4 EOL medications and their purpose.
WHAT IS
MORPHINE (PAIN, AIR HUNGER),
LORAZEPAM (ANXIETY),
SCOPALAMINE / ZOFRAN / METOCLOPRAMIDE (NAUSEA),
MEGESTROL (APPETITE),
TRAMADOL (PAIN),
MIDALOZAM (SEDATE), ATROPINE (SECRETE), REFRESH (DRY EYE),
O2?
3 risk factors for complicated grieving.
WHAT IS
DEATH OF SPOUSE, CHILD, PARENT
SUDDEN, UNEXPECTED, UNTIMELY DEATH
MULTIPLE DEATHS
DEATH BY SUICIDE OR MURDER
MASS ATTACKS-MILITARY, TERRORISM?
Name an anti-dementia drug and give 2 side effects.
WHAT ARE DONEPEZIL (ARICEPT) AND MEMANTINE (NAMENDA).
HEADACHE, N/V, DIARRHEA, INSOMNIA, MUSLCE CRAMPS, SYNCOPE, ANOREXIA, DIZZINESS?
Name the 4 main types of extrapyramidal side effects.
WHAT ARE TARDIVE DYSKINESIA, DYSTONIA, AKATHISIA, AND AKINESIA/PSEUDOPARKINSONISM?
Difference between palliative and hospice.
WHAT IS
GOALS OF TREATMENT,
LIFE EXPECTANCY, AND
LOCATION?
Definition and example of disenfranchised grief.
WHAT IS
LOSS THAT CANNOT BE OPENLY ACKNOWLEDGED (AFFAIRS, LOVERS, ABORTION, GIVING UP FOR ADOPTION, INCARCERATED, HCWS)?