Dementia and Alzheimers disease

Risk for alzheimers dementia

1. biological 9genetics)

2. neurobiological (degeneration in hippocampus spreads to cerebral cortex) (accumulation of protein beta amyloid outside neuron)

3. cardiovascular disease (high cholestrol, diabetes)

4. Head injury and TBI (lack of social engagement to fill in memory gaps)

5. preservation (getting stuck on an idea)

6. aphasia (loss of language ability)

7. agnosia (inability to recognize familiar objects

8. apraxia (inability to carry out motor activites despite intact motor and sensory function

9. agraphia (diminished ability and eventual inability to read or write)

10. hyperorality (desire to taste and chew things)

11. hypermetamorphosis (desire to touch things)

12. sundowning (tendancy for mood to deteriorate and agitation increases during later part of the day)

Nursing intervention for alzheimers and dementia

1. involve pt in care planning

2. safety

3. deal with one concern at a time

4. monitor and alter environment

5. schedules give structure

6. help decrease agitation

7. personalize environment

8. therapeutic relationship

9. support and involve family

idk

idk

idk

idk