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Neurogenic Comm Dis

Dementia

QuestionAnswer
Dementia the development of multiple cognitive deficits that include memory impairment and at least one of the following: - aphasia - agnosia - disturbance of executive functioning
Cortical Dementias (Alzheimers, Picks) location: cerebral cortex deficits: language
Subcortical Dementia (HIV, PD, Huntingtons) location: basal ganglia, thalamas, brainstem deficits: speech disorders - hypophonia, dysarthria
Mixed Dementia location: cortical and subcortical structures deficits: both, speech and language
Cognitive Symptoms/deficits of Dementia - memory loss - confusion & disorientation - coordination and motor programming - reasoning and problem solving - handling complex tasks - planning and organizing
Prospective Memory - related to real-world/everyday activities - prefrontal cortex and hippocampus
Long Term Stores (2 Systems) 1. declarative memory (semantic and episodic, personal experiences) 2. non-declarative/rote memory: procedural and perceptual
Pick's Disease - pick bodies - personality and language impairments initially and then cognitive - fast progression (one year) - frontal lobe
Hypophonia reduced speech intensity
Vascular Dementia - attributed to Alzheimers (can be combined) - abrupt deteroriations - personality changes first - motor speech, simplified grammar, writing - mood changes and depression
Lewy Body - progresses rapidly (periods of abnormal/normal) - attention, hallucinations, motor speech, hypophonia - delirium, daytime drowsiness
Alzheimers - onset before 65 & progressive - plaques and tangles - lang., semantic to mutism - depression, insomia, delusions, agitations
FrontoTemporalobar Dementia - insidious onset before 65y - slow progression - focal cortical atrophy - executive functioning, semantics, non-fluent
Uncontrollable Risk Factors - family history - age - Down Syndrome - Mild Cog Impairment
Controllable Risk Factors - heavy alcohol - cardiovascular issues - depression - diabetes - smoking - sleep apnea
Assessment of Dementia - active tasks - logical reasoning tasks - questioning - can probe with aphasia assessments to address overall lang. functioning as well - quality of life screener
Therapy Options for Dementia - compensatory strategies - caregiver training
Managing Memory Deficits - simplify lang - reduce sentence length - speak slowly - provide multimodal cues - memory books & wallets - proper nouns over pronouns - talk about concrete things - talk about present - perform ADLs together
Created by: KarleeAJones
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