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3
Dementia Exam Fall 2021 Nursing
Course
Terms in this set (33)
Study sets, textbooks, questions
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Stage 1: Normal
aging
Stage 2: Possible
mild cognitive
impairment
(subjective)
Stage 3: Mild
Cognitive
Impairment (MCI)
& ADL intact (
some difficulty
with complex
task)
Stage 4: Mild
dementia and > 1
ADL impacted
Stage 5:
Moderate
dementia and
needs help
selecting
appropriate attire
Stage 6 a-e:
Write out each of the 7 stages
of Dementia ?
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a. Needs help
putting on
clothing
. Needs help
ath
c. Needs help
toileting
d. Urinary
incontinence
e. Facial
incontinence
Stage 7 a-f:
a. Speaks 5-6
words during the
day
. Speaks only
one word clearly
c. Can no longe
walk
d. Can no longe
sit up
e. Can no longe
smile
f. Can no longe
hold head up
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Discrimination
______ is the largest ba
ier to
dementia ?
Aducanuma
"Aduhelm"
This new dementia drug was
controversially fast tracked
approved by the FDA in 2021 to
treat mild cognitive impairment
?
Caregivers (family
and friends)/ 4.5
years
Over 16 million ___ provide 18.4
illion hours? An the average
length of time spent is approx __
?
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Dementia
capable system
_____ is an infrastructure that
works to meet the needs of
people with dementia and thei
caregivers through providing
education, support and
services.
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.
Surveillance/monitoring
2. Risk and
Reduction/primary
preventation
3. Early detection and
diagnosis
4. Educate the public
5. Train health care
providers
6. Improve access
7. Safety and quality of
care
8. Improve the voice
and rights of the
dementia patient
Describe the role that public
health can provide fo
prevention (at least 3 tools) ?
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•African
American 2 times
greater risk.
•Hispanics are 1.5
time greater risk
•Cardiovascula
is more common
•Lower levels of
education,
•Socioeconomic
status
African- Americans are ___ times
at great risk for dementia and
_____ are ___ times greater risk.
What are some of the risk
factors related to race and
ethnicity?
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Increase Risk
• Smoking
*Mild Obesity
*HIgh Blood
Pressure
*Physical Activity
•Heart healthy
diets such as
medite
anean
•Mental and
social activity
Please provide 5 examples of
modifiable risk factors ?
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1. Maintain quality
of life
2.Maximize
functioning in
ADL's
3. Foster a safe
environment
4. Promote social
engagment
5. Cardiovascula
movement
therapy
6. Fine motor and
langage therapy
7. Supportive
language to
educe stress
8. Improve Sleep
There is no cure for and very
few effective drug to treatment
for AZ. List out the goals of
existing treatment?
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ethnoracial group
diversity
_________ ______ have historically
unde
epresented in clinical
studies, underscoring the need
for more ____ in dementia
esearch
Triall Match
www.alz.org/trialmatch
This organization is advocating
for free clinical studies
matching services designed to
provide a customized list of
potential study matches to
each users. There are over 350k
user, 600+ studies in over 500+
locations
39
In 2021, according to the U.S
Centers for Disease
Control____% of nursing home
staff was unvaccinated ?
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Stress
____is a major risk factor fo
vascular and cardiovascular in
ethnoracial minority groups.
sporadic
AZ is the most cause of
dementia with most case being
____, there are rare families with
dominantly inherited early
onset AZ due to a variation o
mutation in APOE.
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1. Support Group
2. Wellness
Programs
3. Care service (
including in home
care)
4. Financial and
Legal services
5. Residential an
memory care
services
6. Transportation
services
7. Adult day care
8. Hospice care
9. Walking groups
10. Occupational
and physical
therapy
11. Education
12. Caregive
support
Look up your local Alzheime
association and provide 6
examples of local support ?
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1. Basic education
of the different
types dementia
2. Risk and
enefits of early
onset and
diagnosis
3. How to
address physical,
cognitive,
language,
emotional and
ehavio
symptoms
4. How to assist
caregivers
5. Managing co-
mo
idities
6. Use of
validated
assessment tools
If you were creating a
workforce training program fo
healthcare and direct care
workers what would be some
program goals (list at least 4) ?
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1. Healthcare
workers
2. Direct care
workers
3. Public Health
providers
4. Non- profit
organization
5. First
esponders
6. Transportation
providers
7. Emergency
oom staff
8. Frontdoor staff
at assisted living
and residential
living
9. Custome
service arena
10. Faith-based
organizations
Name the group that would
enefit from dementia care
training (provide at least 4 ) ?
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1. $181 billion
medicare 51%
2. $58 billion
medicaid 17%
3. $76 billion out
of pocket 21%
4. $39 billion o
other 11%
What are distribution of $355
illion dollars of aggregate
costs to care for American's
Age 65 and older with
ADRD(source Lewin model):
1. Medicare
2. Medicaid
3. Out of Pocket
4. Other
$11,570
What is the average out of
pocket cost for someone with
dementia ?
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1. Uncertainty
about the disease
process
2. How to
prepare for the
future
3. Family
decision-making
as disease
progress
4. The number of
unpaid caregive
hours
5. Physical
demands of
caregiving
6. Finding
support
management of
stress
7 Age of
caregiver who is
supporting the
dementia patient
Caregivers ca
y a great burden
of responsibility to care fo
dementia family members what
are some major reasons ( list 3)
?
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8. The high cost
of added care
9. Safety
10. Finding time
for myself
(caregiver)
11. Finding
activities fo
patient
12. Doctors visits
13. End of life
decisions
The NIA mission
is to :::
Write a short paragraph about
the NIA Impact collaboration
on dementia.
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Respite -
National Family
Caregive
Support Program
NFCSP
List the federal program and
espire programs for dementia
care ( at least two from each ) ?
...
Describe the
Health
ain
initiative.
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AIM Impact
Movement
The ____is a separately
incorporated advocacy affiliate
of the Alzheimers Association
and advances/develops
policies to overcome ADRD
through increased investment in
esearch, enhanced care and
improved support.
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ain.
LBD can have
three common
presentations:
Regardless of the
initial symptom,
over time all three
presentations of
LBD will develop
very simila
cognitive,
physical, sleep
and behavioral
features.Some
individuals will
start out with a
movement
disorder leading
to the diagnosis
of Parkinson’s
disease and late
develop
dementia. This is
diagnosed as
Write out the presentation of
Levy Body ?
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Parkinson’s
disease
dementia.Anothe
group of
individuals will
start out with a
cognitive/memory
disorder that may
e mistaken fo
AD, but over time
two or more
distinctive
features become
apparent leading
to the diagnosis
of ‘dementia with
Lewy bodies’
(DLB).Lastly, a
small group will
first present with
neuropsychiatric
symptoms, which
can include
hallucinations,
ehavioral
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problems, and
difficulty with
complex mental
activities, also
leading to an
initial diagnosis of
DLB.
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1. Physical
exercise
2. Social
Engagement
3. Intellectual
Activity
4. Diet
5. Education
6. Diabetes
control
7. Toxin reduction
8. Addressing
depression and
anxiety
9. Limiting head
trauma
10. Vitamins and
medication
Name 5 preventative activities
that may help lower ADRD risk
or delay decline ?
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vascula
____ Dementia symptoms include
challenges in executive
functioning, memory loss ,
word finding and many be
elated to stroke
Lewy Body vs
Parkinsons
In this type of dementia we the
ain symptoms develop
efore body system decline.
_____ vs ___ where movement is
impaired initially due to
dopamine reduction
Wernicke
encephalopathy
triad
__ syndrome is chronic
condition consisting of
impaired memory,
confabulation (making up
stories) and hallucination. If not
treated with Vitamin B1 the
progression of the disease
moves to Korsakoff syndrome
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Creutzfeldt -
Jakob Disease
Prions (misfolded protiens)
disease dementia. Fast acting
dementia and sometimes
efe
ed to as Mad Cow
Disease.
Frontotemporal
Dementia
This dementia often affects
younger people and early
symptoms