Shared Flashcard Set

Details

Dementia
general description & DAT
22
Other
Undergraduate 4
12/04/2011

Additional Other Flashcards

 


 

Cards

Term
two common neurological diseases causing dementia
Definition
Pick's & Alzheimers
Term
vascular disease causing dementia
Definition

multi-infarcts

mixed

subcortical

Term
early features of cortical dementia
Definition
affects memory, intellect, & language
Term
2 common cortical dimentias
Definition
Pick's & Alzheimer's
Term
Dementia is (primary/secondary) feature in cortical dementia and dementia is (primary/secondary) feature in subcortica dementia.
Definition

cortical: primary

subcortical: secondary

Term
(Cortical/Subcortical) dementia is confused with aphasics 
Definition
subcortical
Term
early and late features of subcoritcal dementia
Definition

early: motor impairment (basal ganglia, thalamus, brainstem)

 

late: memory, intellect, language (cortical structures)

Term
common subcortical dementias
Definition
HD, PD, HIV
Term
PD is caused by deterioration of what structures
Definition
basal ganglia, thalamus, substantia nigra
Term
HD is caused by loss of neurons in what areas
Definition
caudate nucleus, putamen, patchy loss in frontal and temporal lobes, occasional loss in cerebellum
Term
second most common type of dementia
Definition
vascular (mixed dementia)
Term
most common vascular dementia is multi-infarct; what are the 3 etiologica subgroups?
Definition

lacunar state (infarcts of arteries to basal ganglia, thalamus, midbrain, and brainstem)

 

multiple cortical infarcts (thrombotic or embolic)

 

Binswanger's disease (infarcts in subcortical white matter, usually in individuals with severe hypertension)

Term
Dementia assessments
Definition
MMSE, GMS (Geriatric Mental Status Interview), Arizona Battery for Com. Disorders of Dementia (Bayles & Tomoeda), Functional Linguistic Com. Inventory (Bayles & Tomoeda)
Term
dementia rating scales
Definition
GDS (Global Deterioration Scale), FAST (FUnctional Assessment Staging)
Term
intervention
Definition

Breakfast Club

 

Memory Wallet (Bourgeois, 1991)

 

The ABCs of Dementia & Spaced Retrieval

(Bayles & Tomoeda)

 

Focused Program (Ripich & Wykle)

 

Successful Com. with AD (Santo Pietro & Ostuni)

Term
Neurofibrilary tangles
Definition

synaptic endings become twisted and tangle

 

not unique to DAT (in PD and supranuclear palsy too)

Term

neuritic plaques

AKA senile/dendrite plaques

Definition

Small areas of tissue degeneration, remains of degenerated nerve fibers.

 

Granular deposits and remnants of neural processes.

 

Reduce concentration of functioning neurons.

 

Cortical & subcortical

Term
granulovacular degeneration
Definition

small fluid-filled cavities containing granular debris in nerve cells.

 

Affects pyramidal neurons in hippocampus (where memory is stored).

*if 10% or more are afected, dementia is present

 

Not unique to DAT

Term
other abnormalites of DAT
Definition

low acetylcholine (memory role)--neurotransmitter.

 

Changes in temporoparietal-occipital junctions and inferior tempotal lobes

 

Frontal/occipital lobes & motor/sensory strips unaffected.

Term
T/F: the three neuropathologies of DAT are visible through MRI or CT
Definition
False
Term
T/F: dementia is insidious, acquired, and persistent
Definition

True

 

*but, some cases in HIV progression is rapid. Pseudodementia is reversible (metabolic, nutritional, drugs, infection, toxin, or depression)

Term
Why is it important to recognize dementia in early stages?
Definition
To be proactive in preventing social, economic, and vocational consequences of unrecognizeed intellectual deterioration.
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