Modifiable risk factors of vascular dementia
- Cardiovascular disease
- Recurrent strokes
- Diabetes mellitus
- Dyslipidemia
- Lifestyle
Pathogenesis of vascular dementia
- Ischemic or infect injuries to part of the brain leading to brain
damage
Hemorrhagic
- Disease or weakened blood vessel can rupture or bleed into
brain
Ischemic
Narrowed or blocked blood vessel can impede blood flow or
systemic hypoperfusion
Clinical manifestation of vascular dementia
- Nature of vascular pathology
- Number of blood vessels involved
- Location and degree of damage
6 domains neurocognitive domains
1. Perceptual-motor function
2. Language
,3. Executive function
4. Complex attention
5. Learning and memory
6. Social cognition
Populations at risk for stress
- women
- 45-64 years old
- Hispanics
- Lower income, young adults
Risk factors for stress
- Financial strain
- Leads to stressful relationships, occupational stress, strained
family relationships
- Caregivers= chronic stress
- Brain disease or impaired cognition
Signs and symptoms of stress
- Irritability, nervousness, anxiousness, fatigue, overwhelmed,
depressed, sad
- Hair loss, lack of concentration, dizziness, sweating, back pain,
tightening of chest, palpitations
Adaptive coping practices for stress
lifestyle chances, relaxations, exercise, medication
Maladaptive coping practices for stress
Negative thoughts, alcohol
Acute stress
, - Occurs for a short period of time
Episodic acute stress
- Self inflicted stress or common for type A personalities
Chronic stress
- Harmful to health, long term
Primary prevention for stress
- Positive attitudes
- Counselling, health education, nutrition counselling, exercise
Secondary prevention for stress
Screening tools for stress
Atherosclerosis definition
Formation f plaques in large and medium sized arteries
What does atherosclerosis increase risk of?
- HTN
- Vascular dementia
Epidemiology of atherosclerosis
- Produces serious consequences in heart, brain and peripheral
arteries
- Atherosclerotic cardiovascular disease is the 2nd leading cause
of death in Canada after cancer
Theories of atherosclerosis
- Endothelial injury
- lipid infiltration