Upgrade to remove ads
Case Study - Alzheimer's Disease
Terms in this set (9)
Case Study - Alzheimer's Disease
An 82 yr old woman was Brough to her PCP by her daughter to address the progressive increase in memory impairment she had observed in her mother over the past several months. The daughter noticed gradual worsening of her mother's ability to remember and noted that her mother had difficulty finding words. Her daughter also detected a general decline in her mother's self-care and in the housekeeping at her mother's place. Her mother was engaging and alert, and her general neurological examination was normal. However, she tended to use very vague terms when talking, often referring to 'things' and 'stuff'. She was able to giver her name, but she did not know her current age, and she stated an incorrect birth month, although she quickly became aware of this and corrected it. She did not know what year she was born or the name of the current U.S. president. Further evaluation was done and it was concluded that she possibly had Alzheimer's disease, that she would require complete supervision around the clock to ensure her safety, and that she would benefit from social stimulation provided by a group living situation.
What is Alzheimer's disease and what is our understanding of the causes of this disorder? Briefly describe our understanding of the disease mechanism underlying AD.
cause of AD is unknown
memory losses r/t damage & destruction of neurons
plaque formation on neurons which causes inflammatory responses leading to altered mental states
What are the major symptoms of AD?
ranges from mild to severe impairment
self care/awareness of environment deficits
use of vague terms when speaking/describing things
What is dementia? What is mild cognitive impairment? What characterizes or typifies the following stages of Alzheimer's disease: predementia, early, moderate, and advanced?
dementia - is a general term of losing mental fx
early/mild AD -
moderate AD -
advanced AD -
Who gets AD? Discuss age of onset, gender patterns, etc.
thought to be a disease of age so as age increases so does the risk of AD
affects males and females
Distinguish between familial and sporadic AD.
sporadic - no genetic/familial component [most common]
genetic associated - autosomal dominant [not common]
How is Alzheimer's disease diagnosed and why is it important to make this diagnosis?
memory assessment tests
radiologic scans [CT, MRI]
clinical presentation [s/s]
need to best address the underlying disease that is causing the disorder and also to r/o other problems [UTI, vitamin B12 deficiency]
Vitamin b12 [cyanocobalamin] is a precursor for myelin, helps make myelin
How is Alzheimer's treated?
no cure, treat symptoms
social interactions / therapy
self-care deficits addressed
cannot reverse the symptoms; we can stabilize how the patient is but once they stop taking their medications they get worse quickly. if they restart the meds they won't reverse any of the deficits they can only stabilize where they are currently at
What kinds of things are though to prevent or delay the onset of Alzheimer's?
YOU MIGHT ALSO LIKE...
Alzheimer Disease Case
PHA 529 Exam 3-Distinguishing The Most Common Deme…
Townsend Ch. 22: Neurocognitive Disorders
OTHER SETS BY THIS CREATOR
Kaplan Sample Test 2
Test 03022020 review
Case Study: Neurocognitive Disorder (Alzheimer's D…