Warning signs of Alzheimer's - ANSWER Memory loss that disrupts daily life.
Challenges in planning or solving problems.
Difficulty completing familiar tasks at home, at work or at leisure
Confusion with time or place.
Trouble understanding visual images and spatial relationships.
New problems with words in speaking or writing.
Misplacing things and losing the ability to retrace steps.
Decreased or poor judgment.
Withdrawal from work or social activities.
Changes in mood and personality.
Warning Signs of Alzheimer's #2 - ANSWER *typically presents with
impairment in memory and learning then progresses to
visuoconstructional/perceptual motor ability and language impairment- and
finally social cognition decline late in disease
* In mild NCD depression, and apathy are common, *in major NCD psychotic
features, irritability, agitation, combativeness, and wandering are common. Late
in disease gait disturbance, dysphagia, incontinence, myoclonus and seizures are
seen.
criteria for major NCD alzheimers - ANSWER Evidence of significant
cognitive decline from pervious in one or more cognitive domains (Complex
attention, executive function, learning and memory, language, perceptual-motor,
or social cognition)
Cognitive deficits interfere with ADL's
, Does not occur only during delirium.
alzheimers onset progress - ANSWER Insidious onset and gradual progression
in one or more cognitive domains
Probable Alzheimer's-ANSWER Probable if: evidence of genetic mutation for
Alzheimer's from genetic testing or family Hx.
Possible Alzheimer's-ANSWER Possible if: no evidence of genetic mutation or
family hx but these are present:
Evidence in decline in memory and learning
Steadily progressive, gradual decline in cognition without plateaus
No evidence of mixed etiology.
Characteristics of delirium - ANSWER Disorientation-usually the FIRST sign
to appear (Dr. George Lecture)
-sudden onset
-disturbance in attention (ability to direct, focus, sustain and shift attention) and
awareness (reduced orientation to environment)
-reduced ability to respond to stimuli
-disorientation
-impaired memory
-severe mood changes
-altered speech
-tremors, asterixis, hyperactive
-incontinence
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