Neurocognitive Grief PDF

15 questions Neurocognitive Grief  Chapter 23 - (medical or psychological) &40 Delirium /Low level function ; reversible) (acute) py · Disturbance in attention Abrupt c...

15 questions Neurocognitive Grief  Chapter 23 - (medical or psychological) &40 Delirium /Low level function ; reversible) (acute) py · Disturbance in attention Abrupt col periods of lucidity , · onset Disorganized thinking · I Disorientation Anxiety and · agitation opoor recall · Delusions andhallucinations multifactorial physiological cause cognitive impairment immobilization psychoactive medications, · , , dehydration infection , sleep deprivation, vision , Process Application of the nursing · Overall Assessment and perceptual disturbances - Cognitive sheet for rats) · Illusion ; errors in perception (confuse · Hallucination ; false sensory stimulilmay feel bugs on them) dementia in the older patient Do not assume confusion is · ADPIE  and Minor Neurocognitive Disorders major oprogressive deterioration of cognitive function and global impairment of intellect (demential no change in · consciousness · Difficulty with memory , problem solving iscomplexattention , · Mild does not interfere col ADLs :does not necessarily progress · major: Interferes wol daily functioning and independence  Major Neurocognitive Disorders Alzheimer ; of dementia type - Frontotemporal lobar degeneration Leloy body disease - - Parkinson's disease Traumatic brain - injury Cerebrovascular disease -  Alheimer's brina a Disease tryingtoto maintain ot Important · to distinguish normal forgetfullness and memory deficits in dementic In dementi loss interferes wh ADLs imemory · All ; mild moderate Progression · severe Symptoms - · memory impairment disturbances · in executive functioning aphasia loss of language ability anomia ; · i apraxia loss of purposeful movement agnosia ; loss of sensory ability to recognize objects · · amnesia ;memory loss and female : Late onset most common · · Diogenes, cardio , head injury modifiable risk factorsexsp, socialengageme, is ·  Process ptApplication of Nursing -confabulation ; creation of stories in place of missing memories - Perseveration ; repetition of phrases or gestures long after Stimulus is gone Agraphia ; diminished ability - to read or write -Hyperirality itendency to put everything in mouth sundowning/sundown syndrome ; - tendency of woodto drop and agitation to rise as light of day leaves - Assess memory impairment Disturbances in executive functioning - problem of sowing, planning ,abstract thinking - Diminishment emotional Agnostic test - MSE - neuvo exam - meds,nutrition  Treatment Modalities Pharmacotherapy - medications for cognitive symptoms · cholinesterase inhibitors E Kivastigmine transdermal system (ExelonPatch) · N-methyl-D-aspartate (NMDA) receptor antagonist · - medications for behavioral symptoms (last resort none approved ; risk is high ; antipsychotic used off · label and extreme caution integrative Therapy -- Omega-3 fatty acids - diet  Chapter 30 Dying , Death , Grieving Kubler-Ross's 5 Stages · Denial and Isolation Anger · Bargaining · opepression · Acceptance Practice the Art of Presence - Ask · open-ended questions Grief Anticipatory Future loss is morned in advance · Adjusting life to accommodate the time thatis left · how the future will be Forseeing · component is a common Anger · Palliative Care for Patients vol Dementia o Anticipate needs · Encourage meaningful connections rol loved ones Identify patient goals for care · · educate family to minimize aggression during care manage pain is depression · of Developmental Task Dying (things people want to get done)  Grief Grief ; is a reaction to a loss Bereavement ; the period of after grieving a death mourning ; things people do to cope ol grief Grief versus Major Depressive Disorder Griefi feelings ; emptiness - and loss - Intense; sadness Banger that occurs in waves gradually subsides self-esteem, intact ; reorganization tasks may - impact sense of self of death- may focus on thoughts someday reuniting - rol the deceased disorder ; Major depressive Feelings depressed mod : is const a - self esteem:worthlessness self-loathing and of of dethifocused on ending the pain thoughts - for death depression ; may develop a plan  Types of Grieving and Associated nursing · care Grieving ; the painful experience after loss a nursing care ; listen provide eye contact, support - Persistent Complex Bereavement Disorder; - prolonged grieving reactive distress,that can lead to impairment of relationships, occupational performance nuusing care · of for dysfunctional beginsl nursing diagnosis - risk is grieving respondaso gering - but protecon assist as needed not everyday functioning - -senfranchised Grief; Grief experience not congment w/ a socially recognized relationship nursing care ; combine supportguidance cl individual -consider virtual support psychotherapy -Grief lauce by Public Tragedy media nursing care; acknowledgevalidate -- Self care  Chapter 31 Older Adults - Mental Health and Aging · Latelife mental illness disorder major depressive · · suicide disorder Anxiety medical condition opelirium ; secondary to general Disorders · neurocognitive · Alcohol use disorder · pain Pain - obaniers to accurate pain assessment · Assessment Tools Face - Wong Bakers - pain assessment · pain management -Pharmacotherapy non-opiods - Opiods - nonpharmacological pain treatments pt-Financial Burdens Caregiver Burden · Ageism ·