13. Dementia in Palliative Care - 97.75 KB
... patients over 65 and doubles in incidence for every 5 years after; 50% over 85 years • Dementia is the 5th leading cause of death for persons over 65 years • Survival of 4-7 years following diagnosis ...
... patients over 65 and doubles in incidence for every 5 years after; 50% over 85 years • Dementia is the 5th leading cause of death for persons over 65 years • Survival of 4-7 years following diagnosis ...
Geriatric Psychiatry
... General sequence is memory, language, then visuospatial functions On autopsy: neurofibrillary tangles and neuritic plaques Involves cholinergic system arising in basal forebrain Death occurs in about 7 yrs ...
... General sequence is memory, language, then visuospatial functions On autopsy: neurofibrillary tangles and neuritic plaques Involves cholinergic system arising in basal forebrain Death occurs in about 7 yrs ...
DaTSCAN for Diagnosis - EPDA
... visual hallucinations, the diagnosis of dementia with Lewy bodies is considered. In uncertain dementia cases, DAT imaging may help to differentiate Alzheimer’s disease (normal SPECT) from dementia with Lewy bodies (pathological DAT distribution).8 Indeed, the loss of DAT binding in the asymptomatic ...
... visual hallucinations, the diagnosis of dementia with Lewy bodies is considered. In uncertain dementia cases, DAT imaging may help to differentiate Alzheimer’s disease (normal SPECT) from dementia with Lewy bodies (pathological DAT distribution).8 Indeed, the loss of DAT binding in the asymptomatic ...
Depression, Delirium, and Dementia in Older Adults
... consciousness, impaired cognition, and an identifiable underlying medical cause (medications, anesthesia, sleep disturbance, electrolyte imbalance, etc.) Dementia – an irreversible confusional state, acquired impairment of mental function, not the result of impaired level of arousal, with compromise ...
... consciousness, impaired cognition, and an identifiable underlying medical cause (medications, anesthesia, sleep disturbance, electrolyte imbalance, etc.) Dementia – an irreversible confusional state, acquired impairment of mental function, not the result of impaired level of arousal, with compromise ...
3 Lilly Research Laboratories
... patient population. Accordingly, we believe that psychosis associated with Alzheimer’s disease should constitute a distinct label indication. The psychosis of Alzheimer’s disease, while bearing some overlap with the psychosis of other diseases such as schizophrenia, has clinical features that are r ...
... patient population. Accordingly, we believe that psychosis associated with Alzheimer’s disease should constitute a distinct label indication. The psychosis of Alzheimer’s disease, while bearing some overlap with the psychosis of other diseases such as schizophrenia, has clinical features that are r ...
Cheryl Atherley-Todd, MD, CMD
... Interview-Based Impression of Change Scale plus Caregiver Input(CIBICS-CI) are the most commonly used instruments to establish effectiveness of AD medications in clinical trials. Lengthy and cumbersome. MMSE: familiar to most physicians but non specific. ...
... Interview-Based Impression of Change Scale plus Caregiver Input(CIBICS-CI) are the most commonly used instruments to establish effectiveness of AD medications in clinical trials. Lengthy and cumbersome. MMSE: familiar to most physicians but non specific. ...
clinical assessment of dementia
... approximately one hour; however, this process can be broken into several segments. A careful examination is accurate in 90% of cases when performed by a knowledgeable clinician. The value of laboratory studies or sophisticated brain imaging is ancillary rather than diagnostic. Recent advances in the ...
... approximately one hour; however, this process can be broken into several segments. A careful examination is accurate in 90% of cases when performed by a knowledgeable clinician. The value of laboratory studies or sophisticated brain imaging is ancillary rather than diagnostic. Recent advances in the ...
Managing Difficult Behaviors in the Home and LTC Facility
... Worsening of vascular risk factors (increased weight, lipids, diabetes) ...
... Worsening of vascular risk factors (increased weight, lipids, diabetes) ...
Antipsychotic Use in the Elderly - Blue Cross and Blue Shield of
... • AND one or both of the following: o The symptoms are identified as being due to mania or psychosis (such as: auditory, visual, or other hallucinations; delusions, paranoia or grandiosity); OR o Behavioral interventions have been attempted and included in the plan of care, except in an emergency. 1 ...
... • AND one or both of the following: o The symptoms are identified as being due to mania or psychosis (such as: auditory, visual, or other hallucinations; delusions, paranoia or grandiosity); OR o Behavioral interventions have been attempted and included in the plan of care, except in an emergency. 1 ...
Media Release
... supports the theory that very complex neurons like those found in the substantia nigra force the mitochondria to constantly work at burnout rates to produce energy. This would explain the accelerated cell deterioration,” Trudeau explained. “To use the analogy of a motor, a car that overheats will bu ...
... supports the theory that very complex neurons like those found in the substantia nigra force the mitochondria to constantly work at burnout rates to produce energy. This would explain the accelerated cell deterioration,” Trudeau explained. “To use the analogy of a motor, a car that overheats will bu ...
Lecture 11- Mental Disorders Overview
... •Prompts, cues, and guidance •Modeling •Positive reinforcement •Structure daily activities •modifications to environment •caregiver •Respite care •Provide education •info on the disease progression •communication strategies •support groups ...
... •Prompts, cues, and guidance •Modeling •Positive reinforcement •Structure daily activities •modifications to environment •caregiver •Respite care •Provide education •info on the disease progression •communication strategies •support groups ...
Schizophrenia
... Psychosocial interventions need to be integrated with psychopharmacological treatments Focus on improving social functioning in the hospital, community, at home and at work ...
... Psychosocial interventions need to be integrated with psychopharmacological treatments Focus on improving social functioning in the hospital, community, at home and at work ...
FRONTO-TEMPORAL DEMENTIA
... pathological causes. Among them are frontal lobe degeneration (FTLD) and Pick’s disease, as well as several other less commonly identified, pathological entities like semantic dementia and progressive non-fluent aphasia. Frontotemporal dementia (FTD) includes frontal lobe degeneration and Pick’s dis ...
... pathological causes. Among them are frontal lobe degeneration (FTLD) and Pick’s disease, as well as several other less commonly identified, pathological entities like semantic dementia and progressive non-fluent aphasia. Frontotemporal dementia (FTD) includes frontal lobe degeneration and Pick’s dis ...
Berman - LIFE at UCF - University of Central Florida
... or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual-motor, or social cognition) based on: 1. Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and 2. A substa ...
... or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual-motor, or social cognition) based on: 1. Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and 2. A substa ...
Parkinson`s Disease
... intellect is the essential feature, manifested as difficulty with memory, attention, thinking, and comprehension. Other mental functions can often be affected, including mood, personality, judgment, and social behavior. Although specific diagnostic criteria are found for various dementias, such as A ...
... intellect is the essential feature, manifested as difficulty with memory, attention, thinking, and comprehension. Other mental functions can often be affected, including mood, personality, judgment, and social behavior. Although specific diagnostic criteria are found for various dementias, such as A ...
Memory and Aging - Michigan State University
... – 10 to 30% of AD cases have LBs. – 32 to 89% of DLB cases have AD changes. – AD pathology in DLB is different, less severe, more diffuse plaques, rare tangles. – Familial form of DLB associated with triplication of SNCA gene. ...
... – 10 to 30% of AD cases have LBs. – 32 to 89% of DLB cases have AD changes. – AD pathology in DLB is different, less severe, more diffuse plaques, rare tangles. – Familial form of DLB associated with triplication of SNCA gene. ...
Unit15
... Previously termed dementia Progressive decline in cognitive function due to damage or disease in the brain beyond what might be expected from normal aging Develops slowly over several months or years Progression is typically irreversible Diagnosed by evaluation (i.e. mental status exam/MSE, ...
... Previously termed dementia Progressive decline in cognitive function due to damage or disease in the brain beyond what might be expected from normal aging Develops slowly over several months or years Progression is typically irreversible Diagnosed by evaluation (i.e. mental status exam/MSE, ...
Dementia
... • May appear similar to Alzheimer’s….. • Early treatment may reverse cognitive changes before they become permanent • Triad of symptoms: gait instability, urinary incontinence and dementia – Wide-based, shuffling gait with poor coordination – Incontinence follows gait change, includes urgency – Slow ...
... • May appear similar to Alzheimer’s….. • Early treatment may reverse cognitive changes before they become permanent • Triad of symptoms: gait instability, urinary incontinence and dementia – Wide-based, shuffling gait with poor coordination – Incontinence follows gait change, includes urgency – Slow ...
Visual hallucinations in the differential diagnosis - JNNP
... description of the Charles Bonnet syndrome. This syndrome describes complex VH with retained insight to the hallucinatory nature of the visual phenomena in the context of decreased visual input. VH may emerge following lesions causing loss of function in the occipital cortex,36 optic chiasm, optic r ...
... description of the Charles Bonnet syndrome. This syndrome describes complex VH with retained insight to the hallucinatory nature of the visual phenomena in the context of decreased visual input. VH may emerge following lesions causing loss of function in the occipital cortex,36 optic chiasm, optic r ...
Dementia and memory loss with the elderly
... memories tend to decline in reverse order to when they were experienced. People will often have difficulty remembering what happened a few minutes or hours ago, but can recall, in detail, life when they were much younger. However, as the condition progresses, even these long-term memories will event ...
... memories tend to decline in reverse order to when they were experienced. People will often have difficulty remembering what happened a few minutes or hours ago, but can recall, in detail, life when they were much younger. However, as the condition progresses, even these long-term memories will event ...
Steinberg – Medication Management of Behaviors in RCFEs
... Much of what we do in LTC is trial-and-error, not necessarily evidence-based Off-label use does not mean inappropriate use. Some offlabel use is absolutely appropriate. Treat people like you would want your own family members to be treated—but be mindful that not everyone will agree on specific trea ...
... Much of what we do in LTC is trial-and-error, not necessarily evidence-based Off-label use does not mean inappropriate use. Some offlabel use is absolutely appropriate. Treat people like you would want your own family members to be treated—but be mindful that not everyone will agree on specific trea ...
Dementia with Lewy bodies
Dementia with Lewy bodies (DLB), also known under a variety of other names including Lewy body dementia (LBD), diffuse Lewy body disease, cortical Lewy body disease, and senile dementia of Lewy type, is a type of dementia closely associated with Parkinson's disease. It is characterized anatomically by the presence of Lewy bodies, clumps of alpha-synuclein and ubiquitin protein in neurons, detectable in post mortem brain histology.Lewy body dementia affects 1.3 million individuals in the United States alone.