Dementia & Losses

  • Confusion: An impairment of mental functioning

    • assess for orientation status

      - time

      - place

      - situation

      - person

    • possible causes

      - lack of fluids

      - loss of cognitive function

      - pain

  • Delirium: an acute organic mental disorder characterized by an abrupt onset over hours to days

    • state of consciousness

    • acute brain syndrome: temporary with delusions, difficult to process, receive, retain stimuli

    • symptoms

      - hallucinations

      - confusion

      - distractibility

      - disorientation

    • causes

      - diabetic reaction

      - drug/alcohol toxicity

      - dehydration

      - malnutrition

      - head trauma


  • Dementia: a slow & progressive loss of brain function that is irreversible & chronic (cognitive)

    • dementia subtypes / causes

      - alzhimers’s disease: cerebral disease

      - vascular dementia: caused by stroke / blood flow in brain

      - HIV

      - head trauma

      - Parkinson's disease

      - Creutzfeldt / Jakob disease

    • Symptoms

      - impaired memory & judgement

      - personality changed

      - decreased cognitive function

      - impaired disorientation

    • Medications

      - Haldol: Dopamine

      - Aricept: Acetylcholine

      - Namenda: Glutamate

    • Nutrition

      - finger foods

      - frequent feedings

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