Unit 2: Nursing care of clients with neurosensory disorders
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Alzheimer's Disease: (Pg. 82) | Nonreversible type of dementia (60% of cases >65yrs old)
-Progressively develops
-7 stages
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| What is dementia? | Multiple cognitive deficits that impair memory and can affect language, motor skills & abstract thinking
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| How long do you live for? | Some die 4-6 yrs after dx
-Others up to 20 years
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| What is the number one risk factor of AD? | After the age of 65
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| Major characteristics of AD? | Memory loss, judgment issues, personality changes
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| Risks of AD? | Advanced age, genetic predisposition (ApoE), env't, head injury previously, sex (female)
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| Lab tests for AD | Genetic testing for ApoE
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| Are there any dx procedures? | No
-Brain tissue exam after death
-Can only rule out other diseases during life
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| Patient centered care.. Pg. 84 | Basic/common sense.. see book
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| Medications for AD.. target what issues | Behavioral/emotional; anxiety, agitation, combativeness & depression
Ex. antidepressants, antipsychotics, anxiolytics
-They temporarily slow the course of the disease
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| What theory of AD are the meds based on? | AD is the result of depleted levels of the enzyme acetyltransferase (produces acetylcholine)
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| Donepezil (Aricept) .. (Pg. 85) | Prevents the breakdown of ACh
-Increased nerve impulses at nerve sites
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| Side effects of Aricept | Frequent stools/upset stomach
Dizziness/headache
Lightheaded, unsteady gait
Caution w COPD/asthma
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| 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
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