Shared Flashcard Set

Details

Cognitive disorders
alzheimers, dementia, delirium
22
Health Care
Undergraduate 3
04/01/2009

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Cards

Term
What are some cognitive disorders?
Definition
  • Delirium
  • Amnestic disorders
  • dementia
  • cognitive disorders NOS
  • Alzheimers disorder
Term
Disorders caused by changes in the brain are marked by disturbances in:
Definition
  • Orientation
  • Memory
  • Intellect
  • Judgment
  • Affect
Term
When are most cognitive disorders seen in life?
Definition
  • in "Late life"
  • Medical conditions such as TBI (Trauamtic brain injury), toxin exposure
Term

Short term and long term memory loss sufficient to cause some impairment in the absence of other cognitive impairments ( due to a medical condition) but does not occur exclusively during the course of delirium or dementia.

Definition
Amnestic disorders
Term
What are the 3 D's of late life?
Definition
  • Delirium
  • Dementia
  • Depression
Term
Characterized by a disturbance of consciousness and a change in cognition such as impaired attention span that develops over a short period of time.
Definition

Delirium

Term

What groups are at risk for delirium?

Definition
  • Those hospitalized
  • Elderly medically ill patients
Term
What is the percentage of nursing home residents 75 years or older can be delirious at any one point in their life?
Definition
about 60%
Term
What is the percentage of those w/ terminal illness develop delirium near death?
Definition
about 80%
Term

Where do nurses frequently encounter delirium in the hospital?

Definition
Medical and surgical units.
Term
Delirium is often seen in children also. How is this seen in children?
Definition
Children who have high fevers experience temporary delirium.
Term

if Delirium is delayed or missed diagnosed what serious implications could occur?

Definition

The condition could cause permanent damage to the person.

Term
What is the acute onset symptom of delirum?
Definition
acute confusion
Term
What is the priority treatment for someone with delirium?
Definition
Assess the cause and intervene so that permanent damageto neurons does not result.
Term

How does a nurse assess for delirium?

Definition
  • easily distracted, attention deficts
  • memory deficts
  • misinterpretation of reality
    • Illusions, hallucinations (visual and tactile are common)
    • generally aware that something is wrong
Term
Why is safety an important issue with a person with delirium?
Definition
Patient with delirium are commonly known for disorientation, wandering in the halls, falling out of bed.
Term
How can a nurse help a person with delirium become reoriented with the hospital?
Definition
  • Allow pt. to wear eyeglasses
  • hearing aids
  • adequate light can hellp maximize the prson's ability to accurately interpret environment
  • short periods of interaction help reduces anxiety or misinterpretation
Term
What are automatic signs of delirium?
Definition
  • tachycardia
  • sweating
  • flushed face
  • dilated pupils
  • elevated BP
  • changes in sleep-wake cycle
Term
Delirium often causes moods such as fear, anger, anxiety, euphoria, depression, apathy which is called
Definition
mood lability
Term
Labile moods are often associated with what other type of behavior?
Definition
physical behavior
Term

Changes in the sleep=wake cycle

appears normal during the day then becomes disoriented to place, date, and person which worsens in the later afternoon and evening and can occur in both dielirium and dementia.

Definition
sundowning: nocturnal delirium
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