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WELCOME TO IS IT DEMENTIA, DELIRIUM, OR DEPRESSION ?

Date post: 26-Dec-2015
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WELCOME TO IS IT DEMENTIA, DELIRIUM, OR DEPRESSION?
Transcript
  • Slide 1
  • Slide 2
  • WELCOME TO IS IT DEMENTIA, DELIRIUM, OR DEPRESSION ?
  • Slide 3
  • IS IT DEMENTIA, DELIRIUM, OR DEPRESSION? THIS IS A FUN INTERACTIVE GAME THAT TESTS YOUR KNOWLEDGE OF THE SIMILARITIES AND DIFFERENCES OF THIS TRIAD OF ISSUES THAT AFFECTS OLDER ADULTS.
  • Slide 4
  • 10 POINTS B. DELIRIUM A DEMENTIA- C. -DEPRESSION D. DELIRIUM AND DEPRESSION A. DEMENTIA WHICH OF THE FOLLOWING HAS AN INSIDIOUS ONSET OF SYMPTOMS?
  • Slide 5
  • 25 POINTS B 30 % A. 8% C. 40%10-30%nswer D. 50%wer B. 30% WHAT IS THE INCIDENCE OF OLDER ADULTS ADMITTED TO AN ACUTE CARE UNIT WITH DELIRIUM?
  • Slide 6
  • 50 POINTS B. COGNITIVE SLOWING A. -BEHAVIORAL ISSUES C. - SOMATIC COMPLAINTS D ALL OF THE ABOVED. ALL OF THE ABOVE DEPRESSION IN OLDER ADULTS OFTEN PRESENTS IN AN ATYPICAL MANNER WHEN COMPARED TO YOUNGER ADULTS. WHAT IS AN EXAMPLE OF THIS PRESENTATION?
  • Slide 7
  • 75 POINTS B. MINI-COG A. -GDSswer C CAM D. MoCA C. CAM WHICH OF THE FOLLOWING EVALUATION TOOLS DIFFERENTIATES DEMENTIA FROM DELIRIUM?
  • Slide 8
  • 100 POINTS B. IRREVERSIBLE SYMPTOMS A. CHANGE IN MENTAL STATUS C. DISTRACTABILITY D BOTH A & CD. BOTH A&C SYMPTOMS OF DELIRIUM INCLUDE WHICH OF THE FOLLOWING?
  • Slide 9
  • 125 POINTS B. VITAL SIGNS A BASELINE LEVEL OF FUNCTIONING C. BRAIN IMAGING D. FAMILY HISTORY OF DEMENTIA A. BASELINE LEVEL OF FUNCTIONING WHAT IS THE MOST IMPORTANT ASSESSMENT IN UNDERSTANDING COGNITION?
  • Slide 10
  • 150 POINTS URINARY TRACT INFECTION DEHYDRATION MEDICATION ELECTROLYTE IMBALANCES PNEUMONIA ALCOHOL WITHDRAWAL NAME THREE COMMON CAUSES FOR DELIRIUM IN OLDER ADULTS?
  • Slide 11
  • 175 POINTS B TREATING THE UNDERLYING CAUSE A. KEEPING THE PATIENT SEDATED C. KEEPING THE PATIENT STIMULATED D. MEDICATING FOR PAIN B. TREATING THE UNDERLYING CAUSE WHICH OF THE FOLLOWING IS THE PRIORITY IN CARING FOR AN OLDER ADULT WITH DELIRIUM?
  • Slide 12
  • 200 POINTS WHICH GROUP OF MEDICATIONS IS MORE LIKELY TO CONTRIBUTE TO A CHANGE IN MENTAL STATUS WITH OLDER ADULTS? B. ANTICHOLINERGIC MEDS A. SEDATIVE HYPNOTICS C. - OPIOIDS D ALL OF THE ABOVED. ALL OF THE ABOVE
  • Slide 13
  • 225 POINTS B PRESCRIPTION DRUG INTOXICATION A. CONCURRENT DIAGNOSIS OF CANCER C. IMPAIRED HEARING D. HEART FAILURE B. PRESCRIPTION DRUG INTOXICATION WHEN CARING FOR THE CLIENT DIAGNOSED WITH DELIRIUM, WHICH CONDITION IS THE MOST IMPORTANT FOR THE NURSE TO ASSESS FIRST?
  • Slide 14
  • 250 POINTS B. ADVANCING DEMENTIA A. - RENAL FAILURE C. DEPRESSION D - DELIRIUM D. DELIRIUM AN 87-YEAR-OLD WOMAN IS SEEN IN THE EMERGENCY DEPARTMENT WITH THE FOLLOWING LABS: BUN: 20 mg/dL Creatinine: 1.4 mg/dL Serum potassium: 4.3 mEq/L Serum sodium: 129 mEq/L SHE HAS A DIAGNOSIS OF ALZHEIMERS DEMENTIA, BUT HER DAUGHTER SAID SHE IS MORE AGITATED AND PARANOID ABOUT EATING OVER THE PAST WEEK. SHE IS LIKELY TO HAVE:
  • Slide 15
  • 275 POINTS B. - STROKE A - NONE OF THE BELOWwer C. - DELIRIUM D. DEMENTIA A. NONE OF THE BELOW A PATIENT LIVING INDEPENDENTLY AND BEING TREATED FOR DEPRESSION COMPLAINS THAT SHE FORGOT TWO OF HER APPOINTMENTS THIS WEEK. SHE IS LIKELY TO HAVE A CONCURRENT :
  • Slide 16
  • 300 POINTS CAM TALK WITH FAMILY ABOUT HER BASELINE LEVEL OF FUNCTIONING. EVALUATE HER LEVEL OF FEARFULNESS REGARDING THE VISUAL HALLUCINATIONS. SAFE AND REASSURING ENVIRONMENT BETTER UNDERSTAND THE ETILOGY OF LIKELY DELIRIUM. IM 92 YEARS OLD AND I AM STUCK IN THIS PLACE. THEY ARE KEEPING ME CAPTIVE. THEY CALL IT A HOSPITAL. LOOK AT THE CHILDREN HIDING UNDER THE BED. CALL THE POLICE. YOU ARE THE NURSE RIGHT? HOW ARE YOU GOING TO HELP ME?
  • Slide 17
  • 400 POINTS INCREASE IN CONFUSION FROM BASELINE CHANGE IN SENSORIUM OR LEVEL OF CONSIOUSLNESS USUALLY DELINIATES DELIRIUM CHANGES IN SLEEP, APPETITE, ENERGY, AND BEHAVIOR MAY HAVE BEEN SEEN PRIOR TO EMERGING DELIRIUM BASELINE COGNITIVE DEFICITS CAUSED BY DEMENTIA MAY WORSEN WITH CONCURRENT DELIRIUM AND DEPRESSION. CAN A PATIENT HAVE DEMENTIA, DELIRIUM, AND DEPRESSION CONCURRENTLY? IF SO HOW WOULD THEY PRESENT?
  • Slide 18

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