Chapter 5 Confusion, Dementia, and Alzheimer's
Chapter 5 Confusion, Dementia, and Alzheimer's
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Hartman's s Chapter 5 Confusion, Dementia, and Alzheimer's Disease With Correct Answers onset of confusion - ANSWER may come on suddenly or gradually and can either be temporary or permanent delirium - ANSWER state of serious confusion that occurs suddenly (usually temporary) -causes: infections, disease, fluid imbalance, and poor nutrition -goal: control or reverse cause s&s of delirium - ANSWER -agitation -anger -depression -irritability -disorientation -trouble focusing when communicating with someone who is confused/disorented, the na should: - ANSWER -keep voice low -use their name and speak in clear simple sentences -use facial expressions and body language to aid in understanding -reduce distractions -be gentle cognitive impairment - ANSWER as a person ages, some ability to think logically and clearly may be lost -help them make lists of things to remember dementia - ANSWER serious loss mental abilities such as thinking, remembering , responding, and communication -make hard to preform ADL's common causes of dementia - ANSWER -alzheimers -parkinsons -huntingtons alzheimers - ANSWER causes tangled nerve fibers and protein deposits to form dementia Alzheimers disease facts - ANSWER -most common cause of dementia in elderly -women more likely to develop disease and dementia -gets worse, causing great loss of health and abilities -length of time it takes to process from onset to death varies greatly -disease progresses to a complete loss of all ability to care for self -skills person has used over a lifetime are usually kept longer with Alzheimers, na's should - ANSWER -encourage independence, regardless of signs a person shows -encourage adl's -encourage working, socializing, reading, problem solving, and exercising communication techniques: - ANSWER -always approach from front and don't startle -determine how close they want you to be -calm area with little background noise/distraction -identify self first and use their name -speak slow, low tone of voice -repeat self -use signs, pictures, gestures, or written words -break complex tasks into smaller simpler ones if resident frightened or anxious: - ANSWER -keep them calm, speak slow and low -simple words and short sentences -check their body language -see and hear themselves as they might if resident forgets or shows memory loss - ANSWER -repeat self -use same words but if they don't understand use a similar word -residents use perseveration where they repeat (don't try to stop this, answer question using same words until they stop) -message simple if resident has trouble finding words or names - ANSWER -suggest one that sounds correct -don't try to correct them -as words become more difficult, touching/smiling/hugging can show care if resident doesn't understand basic instruction - ANSWER -ask them to repeat words
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