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Alzheimer's disease More common in the United States and northern Europe
Higher rates in African Americans
Highest rates in women
Rates increased for Japanese who immigrated to the United States
Vascular Dementia This form of dementia occurs when blood vessels or arteries which
supply blood to the brain are blocked or become damaged. A person with high blood pressure,
diabetes, high cholesterol levels or history of smoking is especially at risk for this form of
dementia, etc.
A brain affected by Alzheimer's disease Plaques - clumps of a protein called beta-amyloid
may damage and destroy brain cells in several ways, including interfering with cell-to-cell
communication.
Tangles - brain cells depend on an internal support and transport system to carry nutrients and
other essential materials throughout their long extensions.
,S/S of Alzheimer's Disease Progressive short-term memory loss
Slow, progressive loss of intellectual ability
Difficulty in learning new things
Small but noticeable changes in ability to perform at work or socially
Decline in ability to plan ahead
Decreased ability to perform usual ADLs
Variable mood; depression is common and worsens symptoms
Noticeable personality change
Social withdrawal
warning signs of Alzheimer's disease Memory loss that disrupts daily life
Challenges in planning or solving problems
Difficulty completing familiar tasks at home, at work, or at leisure
Confusion with time or place
Trouble understanding visual images and spatial relationships
New problems with words in speaking or writing
Misplacing things with the inability to retrace steps
Decreased or poor judgment
,Withdrawal from work or social activities
Changes in mood or personality
Reality Orientation This method includes the use of verbal communication techniques, as
well as written signs indicating the current date, month, or room identification. Clocks with large
numbers are included to help the patient know the correct time.
Generalized anxiety disorder A person who experiences persistent, unrealistic or
excessive worry about two or more life circumstances for 6 months or longer is exhibiting
symptoms associated with generalized anxiety disorder (GAD). GAD usually develops slowly
and is chronic in nature.
Phobic Disorder A person with a phobic disorder experiences excessive fear of a situation
or object. This fear can lead to avoidance or extreme anxiety that interferes with normal
responsibilities and routines.
Panic Disorders A panic attack is a brief period of intense fear or discomfort. It is always
accompanied by various physical and emotional reactions. The duration of the actual attack is
short (1-15 minutes), with a peak in anxiety after about 10 minutes.
, Obsessive Compulsive Disorders An obsession must be persistent, recurring,
inappropriate, and distressing. Compulsions are not just habits. They are specific behaviors that
must be performed to reduce anxiety.
Recurrent and persistent thoughts, impulses, or images that are intrusive or inappropriate and
cause marked anxiety or distress. The thoughts, impulses, or images are not simply excessive
worries about real-life problems.
s/s Post-Traumatic Stress Disorder Symptoms of PTSD involve an intense fear, horror, or
helplessness that was associated with the precipitating event(s). Individuals become emotionally
numb, extremely alert, and guarded.
Systematic desensitization: This step-by-step method gradually removes the anxiety from
the distress-causing event and allows clients to develop more effective ways of perceiving their
anxiety.
Flooding This method for treating phobias rapidly and repeatedly exposes clients to the
feared object or situation until anxiety levels diminish.