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Neurogenic Comm Dis
Dementia
Question | Answer |
---|---|
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 |