"a 72 year old patient with dementia, you report that"

by Deron Stokes III 10 min read

The Seven Stages Of Dementia

30 hours ago  · Symptoms, Types, and Diagnosis. Dementia is the loss of cognitive functioning — thinking, remembering, and reasoning — to such an extent that it interferes with a person's daily … >> Go To The Portal


How is dementia diagnosed?

How does a doctor test for dementia? There is no single diagnostic test for Alzheimer’s disease and other causes of dementia. Dementias are diagnosed by evaluating and understanding a person’s memory and thinking patterns.

What are the signs of dementia in a 68-year-old patient?

A 68-year-old patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient, the nurse would expect to find a. excessive nighttime sleepiness. b. difficulty eating and swallowing. c. loss of recent and long-term memory. d. fluctuating ability to perform simple tasks.

What do doctors mean when they say you have dementia?

Varano explains that “If a physician says, ‘you have dementia,’ it’s the same thing as saying, ‘you have cancer.'” She says it’s critical to identify exactly which type of dementia it is. “Is it Lewy body dementia? Is it vascular?” etc.

What happens to a 71-year-old patient with Alzheimer's disease?

The patient with severe AD will probably not be able to remember events from the past A 71-year-old patient with Alzheimer's disease (AD) who is being admitted to a long-term care facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?

How do you respond to an elderly person with dementia?

Ten Tips for Communicating with a Person with DementiaSet a positive mood for interaction. ... Get the person's attention. ... State your message clearly. ... Ask simple, answerable questions. ... Listen with your ears, eyes, and heart. ... Break down activities into a series of steps. ... When the going gets tough, distract and redirect.More items...

How do you deal with dementia patients?

Try to:be tactful and patient.help the person find the answer themselves, for example, if they keep asking the time, buy an easy-to-read clock and keep it in a visible place.look for any underlying theme, such as the person believing they're lost, and offer reassurance.More items...

What assessments were important for a patient with dementia?

Patient history, physical examination, functional assessment, cognitive testing, laboratory studies, and imaging studies are used to assess a patient with suspected dementia.

What happens if you tell a dementia patient they have dementia?

Dementia and the problem of truth-telling The subjects were cognitively impaired and because of the memory deficits, might not have been able to recall what they had been told. In the milder cases, the cognitive decline may be seriously threatening for many patients.

What do you say to a dementia patient?

Reassure the person verbally, and possibly with arm touches or hand-holding if this feels appropriate. Let the person know that they are safe. It may help to provide reassurance that the person is still cared about. They may be living somewhere different from where they lived before, and need to know they're cared for.

What are six communication techniques you should use when communicating with a person with dementia?

Top communication tools for seniors with dementiaLimit potential distractions. ... Speak naturally and use gestures. ... Use your name and others' names. ... Talk about one thing at a time. ... Use nonverbal cues. ... Avoid overwhelming questions. ... Be creative. ... Be patient and avoid jumping in.More items...•

What is the assessment for dementia?

People with symptoms of dementia are given tests to check their mental abilities, such as memory or thinking. These tests are known as cognitive assessments, and may be done initially by a GP. There are several different tests. A common one used by GPs is the General Practitioner Assessment of Cognition (GPCOG).

How do you examine a dementia patient?

The following procedures also may be used to diagnose dementia: Cognitive and neurological tests. These tests are used to assess thinking and physical functioning. These include assessments of memory, problem solving, language skills, and math skills, as well as balance, sensory response, and reflexes.

What are some of the nursing interventions to implement with a patient with dementia?

The nursing interventions for a dementia client are:Orient client. Frequently orient client to reality and surroundings. ... Encourage caregivers about patient reorientation. ... Enforce with positive feedback. ... Explain simply. ... Discourage suspiciousness of others. ... Avoid cultivation of false ideas. ... Observe client closely.

What do you do if you suspect dementia in a family member?

Summary. A person who is exhibiting warning signs of Alzheimer's needs to be evaluated by a healthcare provider. The first step in getting the person the help they need is to talk to other people who know the person to see if they've also noticed warning signs. Sit down with your loved one and use "I" statements.

Should you tell your parent they have dementia?

As soon as you receive the diagnosis, make plans to tell your parent they have dementia. This disease is a progressive disorder, so get on with the discussion before the symptoms get worse.

Should you tell someone with Alzheimer's that they have it?

Generally, it's best for the physician to explain the diagnosis. New information doesn't always "stick," however, so don't be surprised if someone with Alzheimer's disease continues to ask what's wrong. In such cases, you can offer a reassuring but brief explanation. You may also need to talk to family and friends.

How is dementia diagnosed?

To diagnose dementia, doctors first assess whether a person has an underlying, potentially treatable, condition that may relate to cognitive difficulties. A physical exam to measure blood pressure and other vital signs, as well as laboratory tests of blood and other fluids to check levels of various chemicals, hormones, and vitamins, can help uncover or rule out possible causes of symptoms.

Who can diagnose dementia?

However, neurologists — doctors who specialize in disorders of the brain and nervous system — are often consulted to diagnose dementia. Geriatric psychiatrists, neuropsychologists, and geriatricians may also be able to diagnose dementia. Your doctor can help you find a specialist.

What are the signs and symptoms of dementia?

Signs and symptoms of dementia result when once-healthy neurons, or nerve cells, in the brain stop working, lose connections with other brain cells, and die. While everyone loses some neurons as they age, people with dementia experience far greater loss.

What causes dementia?

While research has found that some changes in the brain are linked to certain forms of dementia, in most cases, the underlying causes are unknown. Rare genetic mutations may cause dementia in a relatively small number of people.

What is the term for a form of dementia caused by abnormal deposits of the protein alpha-synu?

Lewy body dementia , a form of dementia caused by abnormal deposits of the protein alpha-synuclein, called Lewy bodies.

What is the most common dementia in older adults?

Alzheimer’s disease, the most common dementia diagnosis among older adults. It is caused by changes in the brain, including abnormal buildups of proteins, known as amyloid plaques and tau tangles.

Why do people with dementia donate their brains?

Sometimes, a person with dementia will agree to donate their brain. Brain donation helps researchers study brain disorders, such as Alzheimer’s disease and related dementias, which affect millions of people. By studying the brains of people who have died, researchers learn more about how types of dementia affect the brain and how we might better treat and prevent them. When donating as part of a research study or to the NIH NeuroBioBank, there is no cost to the family for the donation and an autopsy report.

How do you know if you have progressive dementia?

Common signs and symptoms include acting out one's dreams in sleep, seeing things that aren't there (visual hallucinations), and problems with focus and attention. Other signs include uncoordinated or slow movement, tremors, and rigidity (parkinsonism).

What is the most common type of dementia?

These tend to be more noticeable than memory loss. Lewy body dementia. Lewy bodies are abnormal balloonlike clumps of protein that have been found in the brains of people with Lewy body dementia, Alzheimer's disease and Parkinson's disease. This is one of the more common types of progressive dementia.

What is mixed dementia?

Autopsy studies of the brains of people 80 and older who had dementia indicate that many had a combination of several causes, such as Alzheimer's disease, vascular dementia and Lewy body dementia. Studies are ongoing to determine how having mixed dementia affects symptoms and treatments.

Why can't people with dementia chew?

Poor nutrition. Many people with dementia eventually reduce or stop eating, affecting their nutrient intake. Ultimately, they may be unable to chew and swallow.

What is dementia in psychology?

Dementia describes a group of symptoms affecting memory, thinking and social abilities severely enough to interfere with your daily life. It isn't a specific disease, but several different diseases may cause dementia.

How does dementia affect the brain?

Dementia is caused by damage to or loss of nerve cells and their connections in the brain. Depending on the area of the brain that's affected by the damage, dementia can affect people differently and cause different symptoms.

How long after a TBI can you get dementia?

The risk increases in people with more-severe and multiple TBIs. Some studies indicate that the risk may be greatest within the first six months to two years after the TBI. Sleep disturbances. People who have sleep apnea and other sleep disturbances might be at higher risk of developing dementia.

What is dementia in nursing?

Ann Kriebel-Gasparro, a faculty member in Walden University's master of science in nursing program, describes dementia as a group of symptoms rather than a particular disease. This term encompasses a variety of conditions that affect memory, problem-solving, and decision-making. The loss of cognitive functions associated with dementia symptoms interferes with the ability to carry out everyday activities such as driving, paying bills, or living alone. Alzheimer's, the most common type of dementia, affects 60-80% of all patients diagnosed with dementia.

Why is routine important for dementia patients?

Creating a nursing care plan helps to reduce restlessness, anxiety, and other challenging behaviors.

What is Kriebel-Gasparro's role in dementia?

As dementia progresses, Kriebel-Gasparro reminds nurses not to make assumptions about a patient's ability to communicate and comprehend. The symptoms of dementia and Alzheimer's disease affect each person differently from the early to moderate states. Patients need to be treated with kindness and support, using these communication techniques:

What are the emotions of dementia?

As their patients progress through the disease, nurses may experience a range of emotions---anxiety, sadness, guilt, anger, and depression.

How many people in the world have dementia?

Over 55 million people across the globe live with dementia. According to the World Health Organization, dementia, which includes the diagnosis of Alzheimer's disease, is one of the leading causes of disability for the world's elderly population and ranks as the seventh leading cause of death among all diseases. The demand for nurses with the training and sensitivity to care for dementia and Alzheimer's patients has never been greater.

What is the CDC's Alzheimer's program?

The CDC's Alzheimer’s Disease and Healthy Aging Program (AD+HAP) has developed several resources to educate and inform caretakers for older adults. Its REACH OUT community-based action guide offers tips, websites, and additional references.

Does dementia affect the elderly?

Dementia mainly affects the elderly , but aging does not necessarily lead to a diagnosis. Risk factors such as genetics, lifestyle choices, and underlying health conditions also play a role. However, as life expectancy increases, the prevalence of dementia among the aging population has emerged as a major challenge to caretakers and healthcare providers. One in three seniors dies of some form of dementia. Alzheimer's disease causes more fatalities than prostate cancer and breast cancer combined.

What causes dementia?

Dementia is caused by damage to nerve cells and connections in the brain. Depending on the area of the brain affected, dementia can cause different symptoms.

What is end-of-life care for dementia?

End-of-life care should help the person to live peacefully until death by taking care of their:

When can you diagnose dementia?

Early-onset dementia can begin in people who are in their 30s, 40s, and 50s. Diagnosing dementia in its early stages is important as early treatment can slow the progression of symptoms and help to maintain mental functions.

What is dementia test?

Dementia Test (Self-Assessment) Do I Have Dementia? Dementia describes a wide range of symptoms associated with impairments in thought, communication, and memory that interfere with an individual's ability to perform everyday activities.

How long does dementia last?

Dementia symptoms typically progress slowly. People with dementia will progress from mild to severe dementia at varying speeds and may be diagnosed earlier or later in life. Some people with dementia may live for up to 20 years after their diagnosis, though according to the Alzheimer's Association research shows that the average person lives for four to eight years after a diagnosis of dementia. It's important to point out that the diagnosis of dementia is often missed, delayed, or diagnosed when the illness is moderate or advanced. The impact of that variable may not be accurately reflected in the research regarding the years of life post-diagnosis.

What is dementia in psychology?

The term dementia refers to a specific group of symptoms related to a decline in mental ability. Often, people who experience subtle short-term memory changes, are easily confused, or exhibit different behaviors or personality traits are mistakenly thought to have dementia. These symptoms could be the result of a variety of other conditions or disorders, including other neurocognitive disorders such as Parkinson’s disease, brain growths or tumors, mild cognitive impairment (MCI), and mood disorders, like depression.

How quickly does dementia progress?

Dementia symptoms are typically mild at first and progress over time to moderate and then severe, over several years . The speed as which dementia progresses varies between individuals, but some factors can cause dementia to progress more quickly. These include the person’s age, the type of dementia, and other long term health problems. Dementia tends to progress more slowly in people over 65 compared to younger people below 65.

How to diagnose Alzheimer's disease?

Dementias are diagnosed by evaluating and understanding a person’s memory and thinking patterns. Doctors will consider a person’s memory, grasp of language, mood states, problem-solving skills, ability to maintain focus and perform complex tasks. Evaluation may include in-office cognitive screening (or brief test), physical examination, and review of labs. Labwork helps to determine whether there are vitamin deficiencies or hormonal changes at play. In some cases, evaluation may require neuropsychological testing, brain imaging (CT scan or MRI), and genetic testing.

What is the term for a person who has difficulty remembering things?

Dementia is a syndrome (or cluster of symptoms) that causes a person to develop difficulty and problems with their memory or their ability to think. Unlike the normal changes that happen in a person’s memory and thinking over time, dementia affects someone’s ability to function in their daily life activities and their normal routine (e.g. work, hobbies, social life).

What test is used to diagnose dementia?

Parkinson’s disease. Thyroid problems. Family members should also ensure that their senior loved one receives the Mini-Mental State Examination — a test that is considered the gold standard in helping to diagnose dementia. 6.

What are the symptoms of dementia?

According to Dr. Varano, many times a physician notes a senior patient with memory problems, then jumps too quickly to the assumption that it is possible dementia. “Dementia is a diagnosis of exclusion, so to be fair to the patient and to the caregiver, things have to be excluded.” She adds that other conditions, including side effects of medications, must be ruled out. Some conditions that mimic dementia symptoms may include: 1 Depression 2 Insomnia 3 Low B12 Levels 4 Parkinson’s disease 5 Thyroid problems

What are the options for senior living after dementia diagnosis?

Senior living options include: An assisted living community. In-home care. Memory care. Long-term care (skilled nursing)

How many people with dementia don't have any insight?

According to A Place for Mom’s Alzheimer’s expert, Megan Carnarius, in a recent article, 50% of people with dementia “don’t have any insight” and fail to understand the degree that their cognitive skills are impaired. She says, “A lot of people… mystify their loved ones by trying to force them to understand that they have memory loss instead of just moving on.”

What is the gold standard for dementia?

Family members should also ensure that their senior loved one receives the Mini-Mental State Examination — a test that is considered the gold standard in helping to diagnose dementia.

Is Alzheimer's disease the same as cancer?

Alzheimer’s disease is one of several causes of dementia. Dr. Varano explains that “If a physician says, ‘you have dementia,’ it’s the same thing as saying, ‘you have cancer.'”. She says it’s critical to identify exactly which type of dementia it is.

What is the test for Alzheimer's?

Lab tests: A new test called a Precivity AD test looks at the amounts of proteins such as beta amyloid and Apo E in blood. The presence or absence helps determine the probability of whether an imaging study (like a PET scan) can detect plaques in the brain, which indicate a possible Alzheimer's diagnosis.

How to treat dementia?

First Steps. Tests. Information for Your Doctor. Some symptoms of dementia can be treated with medication or physical therapy, so it can be helpful to find out what’s causing them sooner rather than later. It can make planning for the future and decisions about health care, finances, living options, and legal matters easier, too.

What are cognitive tests?

Cognitive tests: These measure your ability to think. They focus on things like memory, counting, reasoning, and language skills.

Can a doctor tell if you have dementia?

There’s no single test that will tell your doctor if you have dementia. It’s a process. You may have several of the following, then your doctor will put all the information together to make a diagnosis.

What are the problems with dementia?

The patient with moderate dementia will have problems with short- and long-term memory and will need reminding about the hospitalization. The other interventions would be used for a patient with severe dementia, who would have difficulty with swallowing, self-care, and immobility. Click again to see term 👆.

Is confusion a sign of dementia?

The degree of disorientation does not differentiate between delirium and dementia. Increasing confusion for several years is consistent with dementia. Fragmented and incoherent speech may occur with either delirium or dementia

Can a nurse take a nap with dementia?

Taking a nap will interfere with night time sleep. Hourly orientation will not be helpful in a patient with dementia. The nurse's initial action for a patient with moderate dementia who develops increased restlessness and agitation should be to. a. reorient the patient to time, place, and person.

Is dementia progressive or progressive?

Loss of both recent and long-term memory is characteristic of moderate dementia. Patients with dementia have frequent nighttime awakening. Dementia is progressive, and the patient's ability to perform tasks would not have periods of improvement. Difficulty eating and swallowing is characteristic of severe dementia.

Is reorienting the patient appropriate during the examination?

Reorienting the patient is not appropriate during the examination. Antianxiety medications may increase the patient's delirium. The nurse is concerned about a postoperative patient's risk for injury during an episode of delirium. The most appropriate action by the nurse is to.