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ch 44 the spinal cord/brain B
ch 44 spinal cord/ brain B
30
Other
Not Applicable
11/03/2013

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Term
alzheimers
Definition
chroic progressive degenreative disease
Term
what are some normal brain changes that occur with age
Definition
less in wieght
less spces
widening sulci
enlarged ventricles
Term
what are some micorscopic changes in the brain of those with alzeihmiers
Definition
neurofibrillary tangles plaques and granulovascular degeneraiton
Term
neurofibrilary tangle what is it and whos it found in
Definition
tangled mass of fibers hru the neruons- same mass is found in those with down syndrome and aLZHEIMERS
Term
neurtiic plaques what is it and wheres it found
Definition
degenerating nerve terminalsin the hippocampus
Term
who is affectedmore with alzheimers
Definition
women
chemical imbalances
more african americans
certain viruses
Term
what is one of the first s/s noticed with alzheimers
Definition
sort term memory loss
Term
apraxia
Definition
inability to use owrds and objects correclty
Term
aphasia
Definition
inability to speak or undrestnad
Term
anomia
Definition
inability to find words
Term
agnosia
Definition
loss of sensory comprehension
Term
early s/s alzheimers
Definition
still independant and denies symptoms, may forget names, may be less engaged or would like ot go to new places but travels with someone
Term
middle stages of alzheimers
Definition
impairment of all cognitive funcitons inluding speech. time, handling money
Term
late stage alzheimers
Definition
bedridden totally dependant for adls and loss of facial recogintion
Term
mini mental exam for alzheimers
Definition
five areas; speech
recal
calclaiton
attention
orientation and it goes from 0 t 30 the lower the score, the greater the dementia
Term
no lab tests can confirm alzheimers it is usually based on
Definition
brain tissue at autopsy
Term
what can an eeg show in those with alzehimers
Definition
slow delta waves
Term
prospangnosia
Definition
inability to regonize self and others
Term
if an alzheimers pt is talking to oneself in the mirror what should be done
Definition
allow it if the pt is content if they are frightened then cover the mirror
Term
what shoule be established in those with alzheimers
Definition
routine keep accespries in the same place
Term
the pt in late stages of alzhemiers orientation wont work so what is done
Definition
validtion therapy; recognize the feelings and concerns do not argue but do not reinforce pts beliefs
Term
why shouldnt you use side rails in a pt with alzehimers
Definition
because they will get frightened and try to crawl over them causingmore harms
Term
aphasia\
anomia
apraxia
Definition
cant speak or understand
hard to find words to name object
difficulty recognizing words
Term
drug therapy for alzheimers- what is it and what is the action on the brain
Definition
choinerterase inhibitors- improve cholinergic transmision in the brain by delaying ach- slows the onset of cognitive decline
Term
n methyl d aspartte receptor agonist what is its use and how does it work
Definition
blocks exces amounts of glutamate that can damage nerve cells slows the pace of alzheimers
Term
psycotropic durgs when are they used and why woudl it be reserved
Definition
reserved for those with emotional and behavioral issues like hallucination and delusions becuase this drug is considered a chemical restraint
Term
what is one important thing to teach the family of alzheimers
Definition
id bracelet
prevent overstimulation'
Term
huntingtons disease how does a person get it and what is it
Definition
autosomal trait inheritance from conception
movement disorder
Term
choreiform movements in huntingtons
Definition
rapid jerky moves in the limbs trunk and face
Term
huntingtons has excessive dopmaine in the cortex what is another deformaty in this disease
Definition
decreased gamma aminobutric acid in the basal ganglia which causes increased activity in the thalamus
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