Alzheimer’s:
Short-term goals for a pt dx with Alzheimer’s Disease
o Nutritional intake
Alzheimer’s Stages 6 and 7
o Physiological changes
Stage 6 - Moderate to severe cognitive decline
o Disorientation to surr
...
Alzheimer’s:
Short-term goals for a pt dx with Alzheimer’s Disease
o Nutritional intake
Alzheimer’s Stages 6 and 7
o Physiological changes
Stage 6 - Moderate to severe cognitive decline
o Disorientation to surroundings is common and may not know the day,
season, or year. The person is also unable to manage AOLs without
assistance. Urinary and fecal incontinence are common.
o Psychomotor symptoms include wandering, agitation, and aggression.
Symptoms seem to worsen in late afternoon and evening (a phenomenon
termed sundowning).
Stage 7 - Severe cognitive decline
o In the end stages, the individual is unable to recognize family members.
He/she most commonly is bedfast and aphasic. Decubiti and contractions
may occur.
Early signs of dementia
= memory impairment (forgetfulness)
Stage 1 - No apparent symptoms
Stage 2 - Forgetfulness
o Losses in short term memory are frequent. The individual begins to lose
things or forget names of people.
Stage 3 - Mild cognitive decline
o In this stage, there is interference with performance, and this becomes
noticeable to others. There is difficulty recalling names or words. A
downturn is noticeable to family and close associates.
Stage 4 - Mild to Moderate cognitive decline
o The individual may forget significant events in history, experience a
declining ability to perform tasks. He/she may deny a problem exists by
covering memory loss with confabulation (creating imaginary events to fill
memory gaps).
Stage 5 - Moderate cognitive decline
o The individual loses the ability to perform some activities of daily living
independently. He/she may forget addresses, phone numbers, and names of
close relatives and friends. Disorientation to time and place becomes more
apparent.
Schizophrenia:
Increased stimulation
= (not good) increase in pacing and hallucinations
Negative symptoms of Schizophrenia
o (Doesn’t mean they’re lazy)
Importance of medical compliance with Schizophrenia
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