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CASE PRESENTATION
ON
DEMENTIA
RABBI SINGH
INTRODUCTION
 The cognitive, functional and behavioural changes that
characterized dementia eventually destroy a persons
ability to function.
 Dementia is a syndrome – usually of a chronic or
progressive nature – in which there is deterioration in
cognitive function (i.e. the ability to process thought)
beyond what might be expected from normal ageing.
ANATOMY AND PHYSIOLOGY
 LOBES OF THE BRAIN
 The cerebral hemisphere have distant ,fissure.
Which divides the brain into lobes .Each
hemisphere have 4 lobes
 Frontal lobe:- The frontal lobe Is the part of the
brain. Whixh controls important cognitive skills.
 PARIETAL LOBE:- It is the one of the major
lobe.process the sensory information it receives
from the outside world.
 OCCIPITAL LOBE :- It is the visual process Center.
 TEMPORAL LOBE :- involves in sensory outcomes.
 Mainly affect tho hippocampus which is licated
in the temporal lobe
DEFINITION
 Dementia is a chronic disorder of the mental
processes caused by brain disease or injury
and marked by memory disorders,
personality changes, and impaired
reasoning.
PATHOPHYSIOLOGY
 Altered App (amyloid precursor protein)
Processing
 Overproduction BAP(6-Benzylaminopurine)
Production
 Plaque formation
 Neurodegeneration
 Neuronal loss
 Dementia
CLINICAL MANIFESTATION
 CONFUSION
 IRRITATBILIY
 HALLUCINATIONS
 SLEEP DISORDERS
 ANXIETY
 BEHAVIORAL CHANGES
ETIOLOGY
 Damage or loss of nerve cells
 Disoriented
 Confusion
 Traumatic brain injury
 Alcohol and drug abuse
 Infection in central nervous system
COMPLICATIONS
 Loss of previous ability to function or care for
self.
 Reduced lifespan
 Increase infection within the body.
 Difficulty in problem solving
 Misplacing items.
 Difficulty reading or writing
DIAGNOSTIC TESTS
 Cognitive and neuropsychological tests.
 Brain imaging
1. CT SCAN
2. MRI
 EEG
MANAGEMENT
 MEDICAL MANAGEMENT
 PHARMACOLOGICAL MANAGEMENT
1. Aricept
2. Exelon
3. Razadyne
NON- PHARMACOLOGICAL
MANAGEMENT
1. Familier environment
2. Daily routine
3. Environmental modifications
NURSING INTERVENTION
 Disturbed thought process related to disorientation as
evidence by disorientation to time, place and person
 Disturbed sleeping patterns related to dementia as
evidence by intrupted sleep
 Impairmed verbal communication related to dementia
as evidence by repetitive speech
 Social isolation related to unacceptable behavior as
evidence by observation
 Risk for infection related to lack of hygiene
HEALTH EDUCATION
 Diet- green leafy vegetables, nuts, fish
 Personal hygiene – keep yourself clean
 Medication – take prescribed
medications on time.
 Lifestyle modifications – avoid smoking
and alcohol
CONCLUSION
Dementia

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Dementia

  • 2. INTRODUCTION  The cognitive, functional and behavioural changes that characterized dementia eventually destroy a persons ability to function.  Dementia is a syndrome – usually of a chronic or progressive nature – in which there is deterioration in cognitive function (i.e. the ability to process thought) beyond what might be expected from normal ageing.
  • 3. ANATOMY AND PHYSIOLOGY  LOBES OF THE BRAIN  The cerebral hemisphere have distant ,fissure. Which divides the brain into lobes .Each hemisphere have 4 lobes  Frontal lobe:- The frontal lobe Is the part of the brain. Whixh controls important cognitive skills.  PARIETAL LOBE:- It is the one of the major lobe.process the sensory information it receives from the outside world.
  • 4.  OCCIPITAL LOBE :- It is the visual process Center.  TEMPORAL LOBE :- involves in sensory outcomes.  Mainly affect tho hippocampus which is licated in the temporal lobe
  • 5. DEFINITION  Dementia is a chronic disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning.
  • 6. PATHOPHYSIOLOGY  Altered App (amyloid precursor protein) Processing  Overproduction BAP(6-Benzylaminopurine) Production  Plaque formation  Neurodegeneration  Neuronal loss  Dementia
  • 7.
  • 8. CLINICAL MANIFESTATION  CONFUSION  IRRITATBILIY  HALLUCINATIONS  SLEEP DISORDERS  ANXIETY  BEHAVIORAL CHANGES
  • 9. ETIOLOGY  Damage or loss of nerve cells  Disoriented  Confusion  Traumatic brain injury  Alcohol and drug abuse  Infection in central nervous system
  • 10. COMPLICATIONS  Loss of previous ability to function or care for self.  Reduced lifespan  Increase infection within the body.  Difficulty in problem solving  Misplacing items.  Difficulty reading or writing
  • 11. DIAGNOSTIC TESTS  Cognitive and neuropsychological tests.  Brain imaging 1. CT SCAN 2. MRI  EEG
  • 12. MANAGEMENT  MEDICAL MANAGEMENT  PHARMACOLOGICAL MANAGEMENT 1. Aricept 2. Exelon 3. Razadyne
  • 13. NON- PHARMACOLOGICAL MANAGEMENT 1. Familier environment 2. Daily routine 3. Environmental modifications
  • 14. NURSING INTERVENTION  Disturbed thought process related to disorientation as evidence by disorientation to time, place and person  Disturbed sleeping patterns related to dementia as evidence by intrupted sleep  Impairmed verbal communication related to dementia as evidence by repetitive speech  Social isolation related to unacceptable behavior as evidence by observation  Risk for infection related to lack of hygiene
  • 15. HEALTH EDUCATION  Diet- green leafy vegetables, nuts, fish  Personal hygiene – keep yourself clean  Medication – take prescribed medications on time.  Lifestyle modifications – avoid smoking and alcohol