Alzheimer's Disease Overview

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Questions and Answers

What is the primary goal of interventions for patients with Alzheimer's disease?

  • To cure the disease completely
  • To delay the progression of the disease (correct)
  • To boost immediate memory recall
  • To enhance emotional responses

Which area of the brain is primarily involved in understanding time and navigation?

  • Frontal Lobe
  • Hippocampus
  • Amygdala
  • Entorhinal Cortex (correct)

What is one characteristic of the pre-clinical stage of Alzheimer's disease?

  • Changes occur in the brain without noticeable symptoms (correct)
  • Patients exhibit severe memory loss
  • It is marked by pronounced cognitive symptoms
  • Symptoms rapidly progress to require intervention

As Alzheimer's progresses, which part of the brain is affected last as a result of disease progression?

<p>Cerebral Cortex (B)</p> Signup and view all the answers

Which of the following is a typical behavior that caregivers should encourage in clients with Alzheimer's disease?

<p>Remind, orient, and reorient them to their environment (D)</p> Signup and view all the answers

What is the main function of neurons affected by beta-amyloid plaques?

<p>To receive and send messages (D)</p> Signup and view all the answers

What chemical is released when microtubules are cut during neuron injury?

<p>Tau protein (C)</p> Signup and view all the answers

At what age can symptoms of Alzheimer's disease appear, according to the information?

<p>30 years old (C)</p> Signup and view all the answers

What impact does beta-amyloid plaque formation have on neurons?

<p>Causes problems in communication (C)</p> Signup and view all the answers

What diagnostic procedure can reveal the presence of beta-amyloid in the brain?

<p>Imaging (B)</p> Signup and view all the answers

What characterizes MILD cognitive impairment during the pre-clinical stage?

<p>Subtle memory changes that do not hinder functioning (D)</p> Signup and view all the answers

Which intervention is most effective for encouraging a patient to eat?

<p>Eating with the patient to redirect focus (B)</p> Signup and view all the answers

What is a common symptom in early-stage Mild Alzheimer’s?

<p>Difficulty in remembering newly learned material (C)</p> Signup and view all the answers

How long can mild cognitive impairment last before possibly progressing to more severe symptoms?

<p>Several years (A)</p> Signup and view all the answers

What is the primary purpose of cholinesterase inhibitors like Donepezil?

<p>To facilitate breakdown of acetylcholine (B)</p> Signup and view all the answers

Which symptom is commonly associated with the side effects of cholinesterase inhibitors?

<p>GI upset (D)</p> Signup and view all the answers

What type of changes may a person with mild cognitive impairment experience in their thoughts?

<p>Feelings of confusion in familiar places (B)</p> Signup and view all the answers

What is a recommended approach when providing nourishment to patients?

<p>Limit food options to reduce confusion (C)</p> Signup and view all the answers

What early signs of Alzheimer’s can others commonly notice?

<p>Mild forgetfulness noticeable to others (C)</p> Signup and view all the answers

Which aspect of hygiene is critical for patient care regarding hydration?

<p>Ensuring easy access to refreshments (C)</p> Signup and view all the answers

What is Alzheimer's disease classified as?

<p>A chronic brain disease (A)</p> Signup and view all the answers

Which population is reported to have a higher risk of developing Alzheimer's disease?

<p>Hispanics and African Americans (A)</p> Signup and view all the answers

What typically occurs when neurons cannot communicate effectively in Alzheimer's disease?

<p>Neurons eventually die (C)</p> Signup and view all the answers

At what age do signs and symptoms of Alzheimer's disease commonly begin to appear?

<p>At 65 years old or earlier (A)</p> Signup and view all the answers

What is the function of amyloid precursor protein related to beta-amyloid plaques?

<p>Absorbs beta-amyloid (C)</p> Signup and view all the answers

Which of the following is NOT a recognized risk factor for Alzheimer’s disease?

<p>Eating a high-carb diet (A)</p> Signup and view all the answers

Which of these statements about neurons in Alzheimer's is accurate?

<p>Neurons lose the ability to communicate and eventually die (A)</p> Signup and view all the answers

How many Americans were reported to have Alzheimer’s disease in 2021?

<p>6.2 million (B)</p> Signup and view all the answers

What intervention is recommended to prevent wandering in patients with Alzheimer's disease?

<p>Wear a bracelet (D)</p> Signup and view all the answers

Which method is emphasized for communication with Alzheimer's patients?

<p>Tailoring communication to their ability (D)</p> Signup and view all the answers

Which of the following is a severe symptom associated with Alzheimer's disease?

<p>Minimal language and communication skills (B)</p> Signup and view all the answers

What type of assessment is used to test for Alzheimer's disease?

<p>Cognitive assessment and mental evaluation (D)</p> Signup and view all the answers

What is a common risk for patients with Alzheimer's due to swallowing and eating issues?

<p>Lung infections like pneumonia (D)</p> Signup and view all the answers

What is one important role of nurses in the care of Alzheimer's patients?

<p>Educating caregivers about disease progression (B)</p> Signup and view all the answers

Which of the following lifestyle choices is suggested to benefit Alzheimer's patients?

<p>Regular exercise (B)</p> Signup and view all the answers

What should be removed to minimize wandering risks in patients with Alzheimer's?

<p>Doors and windows (C)</p> Signup and view all the answers

Flashcards

What is Alzheimer's Disease?

Alzheimer's Disease is a chronic brain disease that leads to memory loss, thinking and behavioral problems. It's the most common type of dementia.

What happens to brain cells in Alzheimer's?

The neurons in the brain lose their ability to communicate with each other and eventually die. This is why Alzheimer's is a progressive disorder, slowly getting worse over time.

What are beta-amyloid plaques?

Beta-amyloid plaques are clumps of protein that build up outside brain cells. This disrupts communication and makes it more difficult for neurons to function.

What happens to beta-amyloid in Alzheimer's?

Beta-amyloid plaques normally get absorbed with the help of the Amyloid Precursor Protein (APP). However, in Alzheimer's, the beta-amyloid doesn't get absorbed properly, forming plaques outside neurons.

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What is the prevalence of Alzheimer's?

Alzheimer's Disease is the 5th leading cause of death among adults 65 and older. It affects 6.2 million people in the United States, and this number is expected to rise to 14 million by 2060.

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Who is at higher risk for Alzheimer's?

Women are more likely to develop Alzheimer's than men. Hispanics and African Americans have a higher risk compared to other racial groups.

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What are some common risk factors for Alzheimer's?

Family history is a risk factor for Alzheimer's, meaning it can be inherited. Age also increases the risk, as the aging process can lead to changes in the brain that make it more susceptible.

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What are other risk factors for Alzheimer's?

Other risk factors for Alzheimer's include: Diabetes, Heart Disease, and unhealthy lifestyle choices like smoking and excessive alcohol consumption.

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Beta-Amyloid Plaque

A protein clump that accumulates outside of neurons, hindering communication and causing neuron death.

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Neurofibrillary Tangles

Twisted strands of a protein called tau that form inside neurons, disrupting their function and contributing to cell death.

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Function of Neurons

The primary function of neurons is to receive and transmit signals through the nervous system, enabling communication and information processing.

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Alzheimer's Disease

A condition characterized by a progressive decline in cognitive function, including memory, thinking, and language, often caused by the formation of beta-amyloid plaques and neurofibrillary tangles.

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Early Onset Alzheimer's

Alzheimer's Disease can manifest in individuals as early as 30 years old, leading to cognitive impairment and eventual dementia.

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Memory

The ability to recall past events and experiences, finding your way around, and locating objects.

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Entorhinal Cortex

A brain region essential for navigation, spatial awareness, and memory formation.

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Amygdala

The brain's emotional hub, processing and responding to feelings, and influencing behavior.

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Pre-clinical Alzheimer's

The initial stage of Alzheimer's disease without noticeable symptoms.

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Plaques and Tangles

The characteristic changes in the brain that mark the progression of Alzheimer's disease, including plaques and tangles that disrupt normal brain function.

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Mild Cognitive Impairment (MCI)

A stage of Alzheimer's disease where memory changes are subtle and do not affect daily activities. People may forget recent events, have trouble concentrating, or feel confused about their surroundings.

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Mild Alzheimer's (Early Stage)

The earliest stage of Alzheimer's disease, where memory problems become noticeable to others.

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Mild Forgetfulness

Experiences of 'brain fog,' difficulty recalling new information or recent events, and forgetting important tasks or appointments. These symptoms are common in both MCI and early-stage Alzheimer's.

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Memory Issues in Mild Alzheimer's

Trouble remembering new information, such as the names of people they just met, conversations they had recently, or new material they have learned.

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Alzheimer's Symptoms and Brain Regions

Changes in cognitive abilities, including memory, thinking, speaking, and movement, that are characteristic of Alzheimer's disease.

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What are cholinesterase inhibitors?

Donepezil, Rivastigmine, and Galantamine are medications that help break down acetylcholine, a neurotransmitter involved in memory and learning. They are commonly used to treat Alzheimer's Disease.

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What are some common side effects of cholinesterase inhibitors?

Cholinesterase inhibitors can cause gastrointestinal upset, nausea, vomiting, diarrhea, and muscle spasms.

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How should Donepezil be taken?

Donepezil is a cholinesterase inhibitor that should always be taken with food.

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What are helpful interventions for patients with difficulty eating?

To help patients eat, offer small, healthy, and familiar foods that are easy to swallow. Avoid overwhelming choices and encourage them to eat with someone.

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What are the key medical needs of Alzheimer's patients?

Hygienic care includes bathing, grooming, mouth care, incontinence management, and dressing. Staying hydrated means providing access to fluids and considering the patient's thirst. Nourishment involves addressing any eating challenges like loss of appetite or swallowing difficulties.

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How does beta-amyloid function in Alzheimer's?

In Alzheimer's Disease, Beta-amyloid does not get absorbed properly, forming plaques outside neurons. This disrupts neuronal communication, affecting brain function.

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How is Alzheimer's diagnosed?

Cognitive assessment, mental evaluation, diagnostic imaging, and biomarkers analysis are used to diagnose Alzheimer's.

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What triggers wandering in Alzheimer's patients?

Patients with Alzheimer's might experience wandering episodes triggered by crowded or stressful environments, the need to fulfill unmet needs, or disruptions in their routine.

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How do we effectively communicate with Alzheimer's patients?

It's important to communicate with Alzheimer's patients, even if they struggle to express themselves. Adapt your communication style to their abilities and use non-verbal cues.

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What medications are used for Alzheimer's?

The medication used in Alzheimer's treatment aims to control symptoms and slow the progression of the disease.

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Study Notes

Alzheimer's Disease

  • Chronic brain disease, a type of dementia
  • Most common type of dementia
  • Neurons lose ability to communicate, eventually die
  • Not regenerative, thus progressive
  • Chronic brain disease, affecting neurons over years

Pathophysiology

  • Beta-amyloid plaques: Normally absorbed by amyloid precursor protein. Beta-amyloid proteins bind together forming plaques outside neurons, interfering with communication and contributing to neuron death
  • Neurofibrillary tangles: Tau proteins inside neurons bind together forming tangles, disrupting intracellular transport systems and damaging neurons.

Alzheimer's Facts

  • 5th leading cause of death among adults over 65
  • 6.2 million Americans have Alzheimer's in 2021
  • Projected to rise to 14 million by 2060
  • Women more likely to develop
  • Higher risk for Hispanics, African Americans
  • Symptoms often appear after 60 (or earlier)
  • Risk factors: family history, age 65+, gender, diabetes, heart disease, smoking
  • Early-onset Alzheimer's (symptoms before 65) exists, appearing as early as 30s or 40s

Diagnostic Procedures

  • Cognitive assessment
  • Mental evaluation
  • Imaging (may reveal beta-amyloid plaques)
  • Biomarkers (may reveal increased tau protein levels)
  • Results from tests indicate progressive memory loss

Stages

  • Pre-clinical: Brain changes, no symptoms (mild cognitive impairment)

  • Mild Alzheimer's (early stage): Mild forgetfulness, noticed by others. Trouble with short-term memory, remembering new things, and learning. Repeating questions, language problems, mental instability, affecting sleep.

  • Moderate: Confusion, impaired function, needs held, supervision, wandering, mental instability, anxiety, hallucinations. Sundowning syndrome.

  • Severe: Severe symptoms, minimal language/communication, motor/swallowing difficulties, constant care needed, risk of lung infections.

Interventions

  • Patient-centered care: Clear communication, using simple instructions. One question or instruction at a time. Avoiding correction, focusing on the patient's needs. Maintaining a calm, stable environment.
  • Medication: Cholinesterase inhibitors (Donepezil, Rivastigmine, Galantamine) help break down acetylcholine (important neurotransmitter).
  • Lifestyle factors: Provide healthy, soft foods, avoiding overwhelming food choices, prompting eating, remembering food routines, appropriate hydration, and hygiene.
  • Safety Measures: Safety is paramount, with supervision and minimizing risks of wandering and fall.

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