This is a sample of our (approximately) 4 page long Dementia notes, which we sell as part of the Psychiatry Notes collection, a MBChB (hons) (1st) package written at University Of Leicester in 2014 that contains (approximately) 43 pages of notes across 14 different documents.
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Dementia Global impairment of cognition with a normal level of consciousness Epidemiology
- 5% prevalence in >65
- 20% prevalence >85
Dementia is progressive Alzheimers is global Vascular is patchy Lewy-Body is Parkinsonion
- Early o Loss of short term episodic memory
Autobiographical e.g times, places, events
- Middle o Pervasive memory loss o Confabulation o Alterations in personality, affect and behaviour MMSE shows low scores o Distorted interpretation of senses on orientation + short
E.g unable to recognize people's term memory faces
- Late o Profound memory loss o Poor attention o Language deficits o Behaviour abnormalities
Memory and cognitive impairment Common in all types Memory problems
Short term memory is affected
Inability to recall information
Difficulty learning new skills
Live more in past as disease progresses
Disorientation to time and place=early sign
Cognitive problems 3 subdivisions: EXECUTIVE FUNCTION
Abstract and reasoning
Decision-making and judgement (e.g. do they want rx, making Will, capacity assessment by Dr needed??)
Processing VISUOSPATIAL ABILITY
Copying figures LANGUAGE
Difficulty finding words
Perseveration - shows organic cause
Non-cognitive symptoms Altered:
3. Emotion -depression, apathy
4. Behaviour - wandering, aggressive, irritable and restless
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