Neurocognitive Disorders: Expected Findings of Alzheimer's Disease (Active Learning Template - System Disorder, RM MH RN 10.0 Chp 17)
(Please fill every box, there are 14 boxes, thank you!)
Homework Answers
Systemic disease - Alzheimer's disease is a progressive , irreversible , degenerative neurologic disease that begins insidiously and is characterized by gradual losses of cognitive function and disturbances in behaviour and affect .
# Alteration in health include :-
- forgetfulness
- subtle memory loss
- patient gets lost in a familiar environment
- repeats the same stories
- conversation becomes difficult
- word -finding difficulties
- ability to formulate concepts and think abstractly disappears
- patient may exhibit inappropriate impulsive behaviour
- personality changes
- patient becomes depressed , suspicious ,paranoid , hostile and combative
- speaking skills deteriorate
- agitation and physical activity increase
- eventually patient requires assisstance in activity of daily living
# Pathophysiology :-
Alzheimer's disease attacks nerves and brain cells as well as neurotransmitters. The destruction of these parts causes clumps of protein to form around the brain cells . These clumps are known as plaques and bundles . The presence of plaques and bundles start to destroy more connection between the brain cells ,which make the condition worse . It causes degenerative changes and neuron loss causing dementia .
# Health promotion and disease prevention :-
- provide a safe environment to allow patient to move about as freely as possible
- prevent falls and other accidents by removing obvious hazards
- provide adequate lighting
- install handrails
- prohibit driving
- prohibit smoking
- reduce wandering behavior with gentle persuasion and distraction
- supervise all activities
- avoid restraints
- ensure that patient wears an identification bracelet
- simplify daily activities into short achievable steps
- maintain patients dignity and autonomy
- reducing anxiety and agitation by promoting emotional support
- providing calm environment
- keep the environment simple , familiar and noise free limit changes
- improving communication by reducing noises and distractions and use easy to understand sentences to convey messages .
- Promoting adequate nutrition
- balance activity and and rest
- promoting socialization
# Risk factors :-
- increasing age
- genetics
- neurotransmitter changes
- vascular abnormality
- stress hormone
- environmental factors
- dietary factors
- inflammatory factors
- head trauma
# Laboratory tests :-
- complete blood cell count
- chemistry profile
- vitamin B12
- thyroid hormone levels
- examination of CSF
# Diagnostic procedures :-
- Clinical symptoms are found through health history
- Mini -Mental Status Examination
- Electroencephalography
- Computed tomography
- Magnetic resonance imaging
# Medical management :-
- Cholinesterase inhibitors such as donepezil hydrochloride, rivastigmine tartrate , galantamine hysrobromide ,tacrine . These drugs enhance acetylcholine uptake in the brain to maintain memory skills
- Donepezil and the newest medication meantime can be used for management of moderate to severe AD symptoms .
# Nursing Interventions :-
provide a safe environment to allow patient to move about as freely as possible
- prevent falls and other accidents by removing obvious hazards
- provide adequate lighting
- install handrails
- prohibit driving
- prohibit smoking
- reduce wandering behavior with gentle persuasion and distraction
- supervise all activities
- avoid restraints
- ensure that patient wears an identification bracelet
- simplify daily activities into short achievable steps
- maintain patients dignity and autonomy
- reducing anxiety and agitation by promoting emotional support
- providing calm environment
- keep the environment simple , familiar and noise free limit changes
- improving communication by reducing noises and distractions and use easy to understand sentences to convey messages .
- Promoting adequate nutrition
- balance activity and and rest
- promoting socialization
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thank you!)
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME REVIEW MODULE CHAPTER DISORDER/DISEASE PROCESS Pathophysiology Related to Client Problem Health Promotion and Disease Prevention Alterations in Health (Diagnosis) ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Client Education Medications Therapeutic Procedures Interprofessional Care
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(Please fill every box! Thank you!!)
ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care
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fill in the blank
ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care ACTIVEARNING TEMPLATES THERAPEUTIC OCE A11
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