Podcast
Questions and Answers
What is the primary goal of interventions for patients with Alzheimer's disease?
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?
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?
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?
As Alzheimer's progresses, which part of the brain is affected last as a result of disease progression?
Which of the following is a typical behavior that caregivers should encourage in clients with Alzheimer's disease?
Which of the following is a typical behavior that caregivers should encourage in clients with Alzheimer's disease?
What is the main function of neurons affected by beta-amyloid plaques?
What is the main function of neurons affected by beta-amyloid plaques?
What chemical is released when microtubules are cut during neuron injury?
What chemical is released when microtubules are cut during neuron injury?
At what age can symptoms of Alzheimer's disease appear, according to the information?
At what age can symptoms of Alzheimer's disease appear, according to the information?
What impact does beta-amyloid plaque formation have on neurons?
What impact does beta-amyloid plaque formation have on neurons?
What diagnostic procedure can reveal the presence of beta-amyloid in the brain?
What diagnostic procedure can reveal the presence of beta-amyloid in the brain?
What characterizes MILD cognitive impairment during the pre-clinical stage?
What characterizes MILD cognitive impairment during the pre-clinical stage?
Which intervention is most effective for encouraging a patient to eat?
Which intervention is most effective for encouraging a patient to eat?
What is a common symptom in early-stage Mild Alzheimer’s?
What is a common symptom in early-stage Mild Alzheimer’s?
How long can mild cognitive impairment last before possibly progressing to more severe symptoms?
How long can mild cognitive impairment last before possibly progressing to more severe symptoms?
What is the primary purpose of cholinesterase inhibitors like Donepezil?
What is the primary purpose of cholinesterase inhibitors like Donepezil?
Which symptom is commonly associated with the side effects of cholinesterase inhibitors?
Which symptom is commonly associated with the side effects of cholinesterase inhibitors?
What type of changes may a person with mild cognitive impairment experience in their thoughts?
What type of changes may a person with mild cognitive impairment experience in their thoughts?
What is a recommended approach when providing nourishment to patients?
What is a recommended approach when providing nourishment to patients?
What early signs of Alzheimer’s can others commonly notice?
What early signs of Alzheimer’s can others commonly notice?
Which aspect of hygiene is critical for patient care regarding hydration?
Which aspect of hygiene is critical for patient care regarding hydration?
What is Alzheimer's disease classified as?
What is Alzheimer's disease classified as?
Which population is reported to have a higher risk of developing Alzheimer's disease?
Which population is reported to have a higher risk of developing Alzheimer's disease?
What typically occurs when neurons cannot communicate effectively in Alzheimer's disease?
What typically occurs when neurons cannot communicate effectively in Alzheimer's disease?
At what age do signs and symptoms of Alzheimer's disease commonly begin to appear?
At what age do signs and symptoms of Alzheimer's disease commonly begin to appear?
What is the function of amyloid precursor protein related to beta-amyloid plaques?
What is the function of amyloid precursor protein related to beta-amyloid plaques?
Which of the following is NOT a recognized risk factor for Alzheimer’s disease?
Which of the following is NOT a recognized risk factor for Alzheimer’s disease?
Which of these statements about neurons in Alzheimer's is accurate?
Which of these statements about neurons in Alzheimer's is accurate?
How many Americans were reported to have Alzheimer’s disease in 2021?
How many Americans were reported to have Alzheimer’s disease in 2021?
What intervention is recommended to prevent wandering in patients with Alzheimer's disease?
What intervention is recommended to prevent wandering in patients with Alzheimer's disease?
Which method is emphasized for communication with Alzheimer's patients?
Which method is emphasized for communication with Alzheimer's patients?
Which of the following is a severe symptom associated with Alzheimer's disease?
Which of the following is a severe symptom associated with Alzheimer's disease?
What type of assessment is used to test for Alzheimer's disease?
What type of assessment is used to test for Alzheimer's disease?
What is a common risk for patients with Alzheimer's due to swallowing and eating issues?
What is a common risk for patients with Alzheimer's due to swallowing and eating issues?
What is one important role of nurses in the care of Alzheimer's patients?
What is one important role of nurses in the care of Alzheimer's patients?
Which of the following lifestyle choices is suggested to benefit Alzheimer's patients?
Which of the following lifestyle choices is suggested to benefit Alzheimer's patients?
What should be removed to minimize wandering risks in patients with Alzheimer's?
What should be removed to minimize wandering risks in patients with Alzheimer's?
Flashcards
What is Alzheimer's Disease?
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?
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?
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?
What happens to beta-amyloid in Alzheimer's?
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What is the prevalence of Alzheimer's?
What is the prevalence of Alzheimer's?
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Who is at higher risk for Alzheimer's?
Who is at higher risk for Alzheimer's?
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What are some common risk factors for Alzheimer's?
What are some common risk factors for Alzheimer's?
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What are other risk factors for Alzheimer's?
What are other risk factors for Alzheimer's?
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Beta-Amyloid Plaque
Beta-Amyloid Plaque
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Neurofibrillary Tangles
Neurofibrillary Tangles
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Function of Neurons
Function of Neurons
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Alzheimer's Disease
Alzheimer's Disease
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Early Onset Alzheimer's
Early Onset Alzheimer's
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Memory
Memory
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Entorhinal Cortex
Entorhinal Cortex
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Amygdala
Amygdala
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Pre-clinical Alzheimer's
Pre-clinical Alzheimer's
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Plaques and Tangles
Plaques and Tangles
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Mild Cognitive Impairment (MCI)
Mild Cognitive Impairment (MCI)
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Mild Alzheimer's (Early Stage)
Mild Alzheimer's (Early Stage)
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Mild Forgetfulness
Mild Forgetfulness
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Memory Issues in Mild Alzheimer's
Memory Issues in Mild Alzheimer's
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Alzheimer's Symptoms and Brain Regions
Alzheimer's Symptoms and Brain Regions
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What are cholinesterase inhibitors?
What are cholinesterase inhibitors?
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What are some common side effects of cholinesterase inhibitors?
What are some common side effects of cholinesterase inhibitors?
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How should Donepezil be taken?
How should Donepezil be taken?
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What are helpful interventions for patients with difficulty eating?
What are helpful interventions for patients with difficulty eating?
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What are the key medical needs of Alzheimer's patients?
What are the key medical needs of Alzheimer's patients?
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How does beta-amyloid function in Alzheimer's?
How does beta-amyloid function in Alzheimer's?
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How is Alzheimer's diagnosed?
How is Alzheimer's diagnosed?
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What triggers wandering in Alzheimer's patients?
What triggers wandering in Alzheimer's patients?
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How do we effectively communicate with Alzheimer's patients?
How do we effectively communicate with Alzheimer's patients?
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What medications are used for Alzheimer's?
What medications are used for Alzheimer's?
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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)
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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.
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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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