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Assess of Dementia
Cognitive Comm
| Question | Answer |
|---|---|
| Symptoms of dementia and ____ overlap. | depression |
| Is dementia a disease or symptom? | symptom |
| What should you do when trying to diagnose dementia? | rule out all other possible causes |
| What are 7 diseases with dementia? | Pick's disease, PD, Huntington's Chorea, Korsakoff's Disease, Creutzfeldt-Jacob Disease, Wilson's Disease, Supranuclear Palsy |
| What is Pick's disease characterized by? | atrophy of frontal and temporal areas & appearance of pick bodies in neurons, rare & progressive, onset age 40-60, pt eventually mute |
| Dementia occurs in what percent of PD cases? | 40-60% |
| In what disease are language skills relatively spared? | PD |
| What are characteristics of Huntington's Chorea? | progressive, genetic, movement disorder, fatal |
| What percent of dementia does multi-infarct account for? | 20% |
| What is Korsakoff's Disease caused by? | chronic alcohol abuse, irreversible |
| What is another name for Creutzfeldt-Jacob Disease? | Mad Cow Disease, viral |
| What tasks can you use to differentiate dementia and aphasia? | spatial recognition, verbal recognition, story retelling (ppl w/ aphasia better at all of those) |
| What deficit do ppl with DAT have that ppl with RHD don't? | auditory comprehension deficits |
| ______ is depression that mimics dementia | pseudodementia |
| What are 4 differences in pseudodementia compared to dementia? | more sudden onset and rapid progression, may be unmotivated in testing where DAT pt will "aim to please", more variable on intellectual tasks where DAT consistently poor, complain about problems where DAT pt oblivious |
| Why is a team workup needed to assess and diagnose dementia? | Due to variety of physical, social, medical, communicative problems caused by the disease |
| Who makes up the team for assessing and diagnosing dementia? | neurologist, SLP, audiologist, PT, OT, nurse, social worker, internist, GP, geriatrician |
| What should the communication assessment look at? | multiple areas and daily functional skills |
| Communication disorders often lead to ____. | institutionalization; due to cause of conflict in family |
| What are 4 components of the evaluation? | Case history, Neurological & medical exams, Behavioral assessment, and Communicative assessment |
| What does the info from the case history demonstrate? | pt functions in context and what demands are placed on them |
| _____ will largely depend on this data about pt symptoms. | Diagnosis |
| What are 5 areas of the interview? | Health status, Cognitive-psych symptoms, Social status, Communicative status, Special problems |
| What may the PT evaluate? | gait, posture, balance |
| What eval may help make a differential diagnosis? | neuro/medical |
| What is evaluated in Behavior Eval? | neuropsych evals memory, attention, orientation, overlap into lang; SLP eval lang and overlap into cognition; look at behavior in context and get reports from others |
| There are no ____ on language tests for pt with dementia. | norms |
| What are some general testing guidelines? | comfortable room, pt rested and not hungry, need encouragement, screen hearing and vision prior to test, observe pt grooming appearance behavior lang |
| What are 4 changes in assessment procedures for older adults? | adjust test and instructions, adjust examiner expectations, adjust the goals, adjust skills of examiner |
| What is the best test for someone with mild to mod dementia? | ABCD; has norms, stimuli looks current; assess lang and mem; only standard test for dementia |
| What is impaired with dementia and related to functional lang? | pragmatics |
| What test will assess pragmatics? | Discourse Abilities Profile; assesses narratives, procedures, conversation |
| Which tests assess semantics? | PPVT, FAS word fluency test, BNT |
| Which tests assess memeory? | RIPA-G, ABCD, MMSE (screener) |
| After __ ____, normal elderly adults should be able to recall 96% of story features of a 70-100 word story. | one hour |
Created by:
imbatgirl
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