cognitive_disorder

cognitive_disorder - Cognitive Disorders Recognize the...

Info iconThis preview shows pages 1–12. Sign up to view the full content.

View Full Document Right Arrow Icon
Cognitive Disorders impaired thinking, memory, and perception Psychopathology of Alzheimer’s dis Nursing diagnoses & care plan
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Category Delirium: alterations in consciousness & cognition; reduced ability to focus, sustain, or shift attention; sensory misperception; psychomotor agitation. Dementia: memory & cognition disturbances. Gradual in onset and progressive in course Amnestic disorder: memory impairment (inability to learn, to recall) Others
Background image of page 2
Delirium Etiology – physical dis. - Ac or chr. Illness ie. Fever; DM, substance Abuse – Stress – after accident, surgery, … unknown Tx – Causes; med.; environment Px - poor
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Common causes of delirium Substances – CNS stimulants/ depressants Infections – meningitis, pneumonia … Meta. Dis – hypoxia, hypoglycemia, electrolyte imbalance, Vit B1 deficiency (Wernicke’s encephalopahty), hyper/ hypothermia Drugs – digitalis, lithium, Neurological dis – seizures, head trauma … Tumor – Psychosocial stressors -
Background image of page 4
Dementia S/S – confused, impaired judgment/ attention span, alteration in memory/ perception, … Alzheimer’s dis 50-75% of dementia F > M Average victim living – 8-10 years
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
4 As in dementia Amnesia memory impairment Aphasia language disturbance Apraxia unable to perform motor activities Agnosia difficulty in identifying objects
Background image of page 6
Alzheimer’s disease Etiology - Genetic; Toxin; Infection; Cholinergic function deficit Tx –Med. Tacrine (Cognex), may hurt liver ; blood check every week for 3 months donepezil (Aricept), less hepatoxity, enhance cholinergic function NSAIDs, steroids, Vit E, antioxidants Family considerations
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Parkinson’s Disease S/S –involuntary movements, tremor, bradykinesia, rigidity, monotone, confused, depressed, disoriented Etiology – extrapyramidal system, dopamine deficiency 2% of 65 y/o and older; F = M
Background image of page 8
Huntington’s Disease S/S – uncontrollable, hyperkinetic, memory loss, paranoia, irritability, … Onset – 25-45 y/o; F = M Incidence – 5/100,000 Etiology – 50% genetic Complications – heart failure, pulmonary complications -> death
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Alcoholic Dementia Victim – 15-20 years history of drinking Etiology -> toxic to neurons; nutritional deficit; damage to major organs S/S – amnesia, slowness of thinking, impaired judgment, Wernicke’s encephalopathy, Korsakoff’s psychosis (neurodegenerative processes; confusion, short-term memory loss)
Background image of page 10
Delirium & Dementia Acute onset; duration is hours to days Fluctuating levels of consciousness Disorientation is most severe at night Visual, tactile hallucinations Could be life- threatening Insidious & progressive; M to years Short/long term memory are affected No or slow change on EEG Confabulations or preservation
Background image of page 11

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 12
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 60

cognitive_disorder - Cognitive Disorders Recognize the...

This preview shows document pages 1 - 12. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online