Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
1. Dementia
A key feature of dementia is that it is progressive and irreversible, whereas
vs.
delirium can involve confusion and forgetfulness, but it's a temporary
delirium
condition of some patients in certain medical conditions, and it is
reversible. So if you were to meet a patient briefly for the first time, it will be
diflcult to tell dementia from delirium, but it's the time course and the
progression that is important to distinguish between them.
2. How common -A study in 2018 found that at that time, about 5.7 million people
is Alzheimer's lived with dementia in the United States. And of all of those people with
rela- tive to dementia, about two-thirds of them were diagnosed as having
other de- Alzheimer's disease
mentias? -Dementia is a condition of cognitive loss, whereas Alzheimer's disease is
one of the causes of dementia.
3. Vascular -results from a restriction of blood flow to parts of the brain. This can occur
demen- tia after a stroke or several many strokes.
-VaD is typically caused by white matter ischemic necrosis with neuronal
loss (leukoencephalopathy) and multiple brain infarcts (infarction is tissue
death), including lacunar infarcts.
Onset and course- Abrupt deterioration within 3 months after stroke;
course may be stable, improving or worsening (stepwise or fluctuating)
Cognitive profile- Deficits in memory and cognition; no disturbance of
conscious- ness; impaired function in daily life
Communication- Motor speech disorder; simplification of grammar and
impaired writing; slowness and reduced initiation; abulic at later stages
Physical signs- Gait disorder or frequent falls; hemiparesis; motor
and senso- ry changes in cranial nerve distributions; visual deficits;
pseudobulbar signs; dysarthria
, Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
Imaging- Single or multiple lesions in distribution of either large or
small vessels, including periventricular white matter
4. necrosis the death of most or all of the cells in an organ or tissue due to disease,
injury, or failure of the blood supply
5. Dementia -will be easily distracted from an activity. They'll also have diflculty
symp- toms - attending unless the input is quite simplified or restricted.
e.g., re-
peating the -memory loss, diflculty with episodic memory, remembering specific
same question autobio- graphical events from a person's life situations and
experiences that they have been to themselves
-short-term working memory. So the information that has just been heard
may be rapidly forgotten again
-problems with executive functioning or not having a good filter because
they may be more impulsive and will not be able to regulate what to
say as easily
-may be rigid in their thinking and will not have the agility to be able to
come up with alternate plans
-tend to stay on a topic and be unable to flexibly move onto another
one, ay also be manifest in asking the same questions repeatedly.
-anomia, or word finding, was one of the key challenges they're
looking for to express an idea, and the process they go through is
circumlocution, talking all around the actual word you want to get to
, Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
but not actually saying
it.
, Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
-may have great diflculty connecting a response to a question or
staying up with the topic of a conversation
-an individual with dementia might only be able to get the first step, or
possibly the second one. So it is diflcult for them to maintain enough
working memory to be able to hold those multiple sequential steps
-angry outbursts due to possible overstimulation or confusion, mood
swings are common
-may wander for a multiple of reasons, one being they thought they
were looking for something
6. Diagnosing -we do not make a medical diagnosis such as Alzheimer's or Lewy Body
cog- nitive disease; that is for a physician to do
communi-
cation -things that relate directly to our scope of practice in speech, language, and
disorders swallowing, we're certainly qualified to make a diagnosis on those
- who can issues
make the
diagnosis?
7. Perseveration - So they tend to stay on a topic and not be able to flexibly move onto
another one. And this may also be manifest in asking the same
questions repeatedly.
8. Restorative Compensatory- means that we are not trying actually to change or
vs. improve the person's cognitive function, but we are trying to provide
compensato
them with some means to cope with the problem and overcome its
ry
biggest ettects.
treatments
-compensatory help includes checklists of things that are coming up that
particular day. A daily planner or calendar could also be used here for
looking week or month to month for events they need to remember.
Answers
1. Dementia
A key feature of dementia is that it is progressive and irreversible, whereas
vs.
delirium can involve confusion and forgetfulness, but it's a temporary
delirium
condition of some patients in certain medical conditions, and it is
reversible. So if you were to meet a patient briefly for the first time, it will be
diflcult to tell dementia from delirium, but it's the time course and the
progression that is important to distinguish between them.
2. How common -A study in 2018 found that at that time, about 5.7 million people
is Alzheimer's lived with dementia in the United States. And of all of those people with
rela- tive to dementia, about two-thirds of them were diagnosed as having
other de- Alzheimer's disease
mentias? -Dementia is a condition of cognitive loss, whereas Alzheimer's disease is
one of the causes of dementia.
3. Vascular -results from a restriction of blood flow to parts of the brain. This can occur
demen- tia after a stroke or several many strokes.
-VaD is typically caused by white matter ischemic necrosis with neuronal
loss (leukoencephalopathy) and multiple brain infarcts (infarction is tissue
death), including lacunar infarcts.
Onset and course- Abrupt deterioration within 3 months after stroke;
course may be stable, improving or worsening (stepwise or fluctuating)
Cognitive profile- Deficits in memory and cognition; no disturbance of
conscious- ness; impaired function in daily life
Communication- Motor speech disorder; simplification of grammar and
impaired writing; slowness and reduced initiation; abulic at later stages
Physical signs- Gait disorder or frequent falls; hemiparesis; motor
and senso- ry changes in cranial nerve distributions; visual deficits;
pseudobulbar signs; dysarthria
, Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
Imaging- Single or multiple lesions in distribution of either large or
small vessels, including periventricular white matter
4. necrosis the death of most or all of the cells in an organ or tissue due to disease,
injury, or failure of the blood supply
5. Dementia -will be easily distracted from an activity. They'll also have diflculty
symp- toms - attending unless the input is quite simplified or restricted.
e.g., re-
peating the -memory loss, diflculty with episodic memory, remembering specific
same question autobio- graphical events from a person's life situations and
experiences that they have been to themselves
-short-term working memory. So the information that has just been heard
may be rapidly forgotten again
-problems with executive functioning or not having a good filter because
they may be more impulsive and will not be able to regulate what to
say as easily
-may be rigid in their thinking and will not have the agility to be able to
come up with alternate plans
-tend to stay on a topic and be unable to flexibly move onto another
one, ay also be manifest in asking the same questions repeatedly.
-anomia, or word finding, was one of the key challenges they're
looking for to express an idea, and the process they go through is
circumlocution, talking all around the actual word you want to get to
, Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
but not actually saying
it.
, Comd 4500 Exam 2 Study Guide Questions And Correct
Answers
-may have great diflculty connecting a response to a question or
staying up with the topic of a conversation
-an individual with dementia might only be able to get the first step, or
possibly the second one. So it is diflcult for them to maintain enough
working memory to be able to hold those multiple sequential steps
-angry outbursts due to possible overstimulation or confusion, mood
swings are common
-may wander for a multiple of reasons, one being they thought they
were looking for something
6. Diagnosing -we do not make a medical diagnosis such as Alzheimer's or Lewy Body
cog- nitive disease; that is for a physician to do
communi-
cation -things that relate directly to our scope of practice in speech, language, and
disorders swallowing, we're certainly qualified to make a diagnosis on those
- who can issues
make the
diagnosis?
7. Perseveration - So they tend to stay on a topic and not be able to flexibly move onto
another one. And this may also be manifest in asking the same
questions repeatedly.
8. Restorative Compensatory- means that we are not trying actually to change or
vs. improve the person's cognitive function, but we are trying to provide
compensato
them with some means to cope with the problem and overcome its
ry
biggest ettects.
treatments
-compensatory help includes checklists of things that are coming up that
particular day. A daily planner or calendar could also be used here for
looking week or month to month for events they need to remember.
