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Chapter 8

Unit 2: Nursing care of clients with neurosensory disorders

Alzheimer's Disease: (Pg. 82) Nonreversible type of dementia (60% of cases >65yrs old) -Progressively develops -7 stages -
What is dementia? Multiple cognitive deficits that impair memory and can affect language, motor skills & abstract thinking
How long do you live for? Some die 4-6 yrs after dx -Others up to 20 years
What is the number one risk factor of AD? After the age of 65
Major characteristics of AD? Memory loss, judgment issues, personality changes
Risks of AD? Advanced age, genetic predisposition (ApoE), env't, head injury previously, sex (female)
Lab tests for AD Genetic testing for ApoE
Are there any dx procedures? No -Brain tissue exam after death -Can only rule out other diseases during life
Patient centered care.. Pg. 84 Basic/common sense.. see book
Medications for AD.. target what issues Behavioral/emotional; anxiety, agitation, combativeness & depression Ex. antidepressants, antipsychotics, anxiolytics -They temporarily slow the course of the disease
What theory of AD are the meds based on? AD is the result of depleted levels of the enzyme acetyltransferase (produces acetylcholine)
Donepezil (Aricept) .. (Pg. 85) Prevents the breakdown of ACh -Increased nerve impulses at nerve sites
Side effects of Aricept Frequent stools/upset stomach Dizziness/headache Lightheaded, unsteady gait Caution w COPD/asthma
Alternative therapy for AD -Estrogen -Ginkgo -Estrogen for women: may prevent AD, but does not decrease preexisting dementia -Ginkgo biloba: herbal product to increase memory & blood circulation
Created by: mary.scott260!