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chapter 35

Confusion, Delirium, and Dementia

Cognitive function relates to Thinking and reasoning
If a client is confused after moving to a long- term care facility, this confusion is likely to be Due to emotional stress caused by the move
A common sign or symptoms of dementia is Poor Judgement
People in early stage of dementia Usually remain in their homes with support
Secured units Prevent the confused client from wandering and getting lost
Sundowning means that Behaviors become worse in the late afternoon and evening hours
Support workers usually have much contact with family members in the following ways Providing support and relief to the family
a type of dementia that is caused by a series of small strokes resulting in brain tissue death is called Vascular dementia
Agitation Being excited, restless, or troubled
Delusions Believing things that are not true
Depression Becoming withdrawn and having no energy or interest in doing things
Hallucinations seeing things that are not real
Hoarding collecting and putting things away in a guarded manner
Pacing walking back and forth in the same area
Sundowning becoming restless and agitated in the late afternoon or night
wandering moving from one area to another aimlessly
Cognitive Functions Memory, Thinking, Reasoning, ability to understand, judgement, behaviour
S& S of Confusion Not recognizing people, not knowing where one is, Not knowing the date and time
Forms of dementia Brain injury, brain tumor, alcohol, and thyroid deficiency
Stages of dementia Stage 1: Mild, Stage 2: Moderate, and stage 3: Severe
S& S of Stage 1 dementia Mild forgetfulness, difficulty learning new things, difficulty performing everyday tasks, poor judgement, bad decisions
S& S of stage 2 dementia Memory loss, restlessness, communication problems, movement and gait problems, dulled senses
S& S of Stage 3 dementia Seizures, total urinary/ fecal incontinence, constant state of confusion, inability to process info.
PIECES stands for Physical, Intellectual, Emotional, Capabilities, Environment, Social
Created by: mackenziemarie21