This document discusses delirium and dementia. It defines delirium as a disturbance of consciousness and cognition that develops rapidly. Common causes include medical conditions, substances, and trauma. Dementia involves a progressive decline in cognitive functions due to brain damage or disease. Alzheimer's disease is the most common cause of dementia. The document stages the progression of Alzheimer's disease from no symptoms to severe cognitive decline. It also discusses various types of dementia and their neurological underpinnings.
The word delirium means “out of one’s furrow” which refers to the dramatic behavior changes that the person may experience. Some have called delirium "brain failure” because it may represent a variety of caused such as heart failure does in cardiac health.
Delirium is an outcome of a general medical condition, head injury and drug intoxication or withdrawal.
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
The word delirium means “out of one’s furrow” which refers to the dramatic behavior changes that the person may experience. Some have called delirium "brain failure” because it may represent a variety of caused such as heart failure does in cardiac health.
Delirium is an outcome of a general medical condition, head injury and drug intoxication or withdrawal.
hii guys this is my ongoing presentation from my speciality class i hope u guys lije that please so i hope it is been useful for u in ur specialities by getting little help with that
Personality disorder ppt MENTAL HEALTH NURSINGvihang tayde
Most definition of normal personality includes some or all of the following features,
Present since adolescence.
Stable overtime despite fluctuations in mood.
Manifest in different environment.
Recognizable to friends and acquaintance.
MENTAL RETARDATION
PRESENTED BY –MISS MANJOT KAUR GILL
MENTAL RETARDATION
Intellectual disability, also known as general learning disability and mental retardation is a generalized neurodevelopment disorder characterized by significantly impaired intellectual and adaptive functioning.
Mental retardation is defined as significantly sub average general intellectual functioning and impairment in cognitive and adaptive functioning.
CAUSES
Prenatal/antenatal causes- infection- syphilis, meningitis, rubella.
Physical damage – injury, hypoxia
Intoxications- lead poisoning, certain drugs
Placenta dysfunction- toxemia, nutritional growth retardation.
Prenatal causes- birth asphyxia
Prolonged birth
Difficult birth
Obstructed labour
Premature birth
Birth injury
Instrumental delivery
Postnatal causes – injury
Accident
Child abuse
Infection e.g. encephalitis, meningitis
malnutrition
Genetic causes
Social-cultural causes- deprivation of socio-cutural stimulation
Isolation
TYPES OF MENTAL RETARDATION
MILD – I.Q.= 50-70
MODERATE- I.Q. 30-50
SEVERE- less than 30
PROFOUND – Less than 15
PROBLEMS DE TO MENTAL RETARDATION
Personal
Social
Educational
Sexual and marital
PREVENTION OF MENTAL RETARDATION
Primary prevention-
Good antenatal, intranatal and postnatal care
Improve the socio-economic status of the community.
Education of the public.
Genetic counseling to at risk patients.
Syphilis and AIDS screening.
Vaccination of girls with rubella vaccine.
Avoiding consanguinal marriage.
Prevention measures to reduce child abuse, road traffic accident and home accidents.
Secondary prevention-
Early detection and treatment of preventable disorders.
Amniocentesis and medical termination of pregnancy .
Early detection of correctable disorders.
Prevention of further damage of impaired children.
Tertiary prevention- treatment of physical and psychological problems by drugs , by behavior modification.
Hospitalization and custodial care of severe mentally retarded or those with psychological problems.
Education and training of mentally retarded to avoid handicaps.
Make plans according to the problems and capacity of mentally retarded child.
REHABLITATION AND NURSING CARE
Assessment of the needs
Education
Training
Custodial care
THANKS
Dementia is a broad term which describes symptoms affecting memory, thinking ability that creates hindrance in performing daily activities. Two important brain functions are badly hit namely- memory and judgement.
SO GUYS ONCE AGAIN HERE I PRESENT U THE OWN MADE PRESENTATION ON THE TOPIC DEMENTIA I HOPE U LIKE THAT IT IS BEEN USEFUL U WHILE MAKING PSYCHIATRIC PRESENTATION
mania is an alteration in mood that is characterized by extreme happiness, extreme irritability, hyperactivity, little or no need for sleep. the main etiological factors include biological factors, biochemical influences, physiological factors, and psycho social theories. mania is broadly classified into three categories- hypo mania, acute mania and delirious mania. there are three types of treatment for mania- pharmacological treatment, psycho-social treatment and ECT.
These slides,describes the general and possible causes of mental disorders.
These slides can be used by Psychiatric students,mental health nurses,Doctors and clinical officer students including whoever interested in mental disorders etiology.
Personality disorder ppt MENTAL HEALTH NURSINGvihang tayde
Most definition of normal personality includes some or all of the following features,
Present since adolescence.
Stable overtime despite fluctuations in mood.
Manifest in different environment.
Recognizable to friends and acquaintance.
MENTAL RETARDATION
PRESENTED BY –MISS MANJOT KAUR GILL
MENTAL RETARDATION
Intellectual disability, also known as general learning disability and mental retardation is a generalized neurodevelopment disorder characterized by significantly impaired intellectual and adaptive functioning.
Mental retardation is defined as significantly sub average general intellectual functioning and impairment in cognitive and adaptive functioning.
CAUSES
Prenatal/antenatal causes- infection- syphilis, meningitis, rubella.
Physical damage – injury, hypoxia
Intoxications- lead poisoning, certain drugs
Placenta dysfunction- toxemia, nutritional growth retardation.
Prenatal causes- birth asphyxia
Prolonged birth
Difficult birth
Obstructed labour
Premature birth
Birth injury
Instrumental delivery
Postnatal causes – injury
Accident
Child abuse
Infection e.g. encephalitis, meningitis
malnutrition
Genetic causes
Social-cultural causes- deprivation of socio-cutural stimulation
Isolation
TYPES OF MENTAL RETARDATION
MILD – I.Q.= 50-70
MODERATE- I.Q. 30-50
SEVERE- less than 30
PROFOUND – Less than 15
PROBLEMS DE TO MENTAL RETARDATION
Personal
Social
Educational
Sexual and marital
PREVENTION OF MENTAL RETARDATION
Primary prevention-
Good antenatal, intranatal and postnatal care
Improve the socio-economic status of the community.
Education of the public.
Genetic counseling to at risk patients.
Syphilis and AIDS screening.
Vaccination of girls with rubella vaccine.
Avoiding consanguinal marriage.
Prevention measures to reduce child abuse, road traffic accident and home accidents.
Secondary prevention-
Early detection and treatment of preventable disorders.
Amniocentesis and medical termination of pregnancy .
Early detection of correctable disorders.
Prevention of further damage of impaired children.
Tertiary prevention- treatment of physical and psychological problems by drugs , by behavior modification.
Hospitalization and custodial care of severe mentally retarded or those with psychological problems.
Education and training of mentally retarded to avoid handicaps.
Make plans according to the problems and capacity of mentally retarded child.
REHABLITATION AND NURSING CARE
Assessment of the needs
Education
Training
Custodial care
THANKS
Dementia is a broad term which describes symptoms affecting memory, thinking ability that creates hindrance in performing daily activities. Two important brain functions are badly hit namely- memory and judgement.
SO GUYS ONCE AGAIN HERE I PRESENT U THE OWN MADE PRESENTATION ON THE TOPIC DEMENTIA I HOPE U LIKE THAT IT IS BEEN USEFUL U WHILE MAKING PSYCHIATRIC PRESENTATION
mania is an alteration in mood that is characterized by extreme happiness, extreme irritability, hyperactivity, little or no need for sleep. the main etiological factors include biological factors, biochemical influences, physiological factors, and psycho social theories. mania is broadly classified into three categories- hypo mania, acute mania and delirious mania. there are three types of treatment for mania- pharmacological treatment, psycho-social treatment and ECT.
These slides,describes the general and possible causes of mental disorders.
These slides can be used by Psychiatric students,mental health nurses,Doctors and clinical officer students including whoever interested in mental disorders etiology.
This Article is provided by the senior care professionals, to Reveal the various types of dementia, Its symptoms and affects on patients.
http://www.homecareassistancetroy.com/
Definition, epidemiology, classifications based on etiology and site of involvement, stage of dementia, clinical signs and symptoms, investigations and management
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. Introduction
These disorder were previously identified as organic
mental disorder and syndrome . With the publication
of the DSM –IV the name was changed .
These disorders constitute of large and growing public
health problems. Scientists estimates 4.5 million
people currently have Alzheimer’s diseases , the most
common type dementia .
The objective is to provide these individual with
diginity and quality of life they deserve .
3. Delirium
Delirium is characterized by disturbance of
consciousness a change in cognition that develop
rapidly over short period of time .
Delirium can be defined as mental state characterized
by a disturbance of,
cognition,
excitement,
confusion,disorientation,hallucination and illusions
are common .
4. ICD CLASSIFICATIONOF DELIRIUM
F05 –DELIRIUM NOT INDUCED BY ALCOHOL AND
OTHER PSYCHOACTIVE SUBSTANCES
F05.0- DELIRIUM ,NOT SUPERIMPOSED ON
DEMENTIA ,SO DESCRIBED.
F05.1- DELIRIUM ,SUPERIMPOSED ON DEMENTIA
F05.8-OTHER DELIRIUM
F05.9- DELIRIUM ,UNSPECIFIED
5. Causes
Delirium due to general medical condition
Substance induced delirium
Substance intoxication
Substance withdrawal
Multiple etiologies .
Other causes includes – head trauma ,metabolic
thiamine deficiency, vascular –hypertensive and etc.
6. Clinical features
Disorientation to time and place .
Mental confusion
Impairment of recent memory
Sleep may fluctuate between hypersomnolency and
insomnia .
Psychomotor activity may fluctuate between agitated
,purposeless movements .
Emotional instability manifested by – fear, anxiety ,
anger ,euphoria or apathy .
7. Cont…
Various emotion includes – crying, cursing, muttering,
And etc .
Autonomic manifestations – tachycardia ,sweating ,
flushed face , dilated pupils .
9. Treatment
Identify the cause and treat the cause .
Symptomatic treatment
Additional attention should be given to fluid and
electrolyte status , hypoxia , anoxia , and diabetic
problems .
10. Dementia
Dementia can be classified as primary or secondary .
Dementia is not a disease by itself ,but rather a group
of symptoms that are caused by various disease
conditions . If it is severe , it will interfere with a
person’s daily functioning . The word dementia is
derived from 2 latin word ‘de’ ,means apart or away
and ‘mens’ or mentis means mind .
11. Definition
A/c to Marry Townsend dementia is defined by loss of
previous level of cognitive, executive and memory
function in a state of full alertness.
Or
A/c to wikipedia – the progressive decline in cognitive
functions due to damage or disease in brain beyond,
what might be expected from normal agings.
12. ICD CLASSIFICATION
F00-09 ORGANIC ,INCLUDING SYMPTOMATIC
MENTAL DISORDER .
F01-VASCULAR DEMENTIA
F02- DEMENTIA IN OTHER DISEASES CLASSIFIED
ELSEWHERE
F03- UNSPECIFIED DEMENTIA.
F04-ORGANIC AMESIC SYNDROME ,NOT INDUCED BY
ALCOHOL AND OTHER PSYCHOACTIVE SUBSTANCES.
F06-OTHER MENTAL DISORDER DUE TO BRAIN
DAMAGE AND DYSFUNCTION AND TO PHYSICAL
DISEASE
13. Etiologies
Common causes:-
Degenerative disease
Fronto temporal lobar degeneration
Toxic reaction
Senile dementia.
Less common causes:-
Parkinson’s disease
Down syndrome
Metal poisoning
Hypoglycemia .
14. Clinical manifestation
Abstract thinking
Judgement
Impulse control
Social conduct are often disregarded
Language may or may not be affected
Aphasia
Personal appearance and hygiene
Some individual may have difficulty naming objects
Personality change
Apraxia
15. Diagnosis
Ct scan and MRI
Neuropsychological testing
Geropsychologist
Mini mental status examination
Assessment of daily activity
16. Etiological factors implicated the
development of delirium and
dementia
Biological factors Exogenous factors
Hypoxia
Nutritional deficiencies
Metabolic disturbance
Endocrine dysfunction
Cardiovascular disease
Primary brain disorder
Infection
Intracranial neoplasm's
Congential defects
Birth trauma
Cranial trauma
Volatile inhalant
Heavy metals
Substance abuse
Other medications
17. Treatment modalities
Validation therapy
Reality orientation training
Cognitive and behavioral intervention remotivation
therapy
18. Nursing diagnosis
Risk for trauma related to impairments in cognitive
and psychomotor functioning
Distrubed thought process related to cerebral
degeneration evidenced by confusion and inaccurate
interpretation of the enviroment .
Self care deficit related to memory deficits evidenced
by inability to fulfill ADLs
19. Plan nursing care as above mentioned nursing
diagnosis.
20. Dementia of the Alzheimer’s type
Several causes have been described for the syndrome
of dementia but dementia of the alzheimer’s type
accounts for 50-60 percent of all cases . The
progressive nature of symptoms associated with DAT
has been described according to stages .
It includes 7 stages .
21. Cont…
Stage -1 – no apparent symptoms
Stage -2-forgetfulness
Stage -3- mild cognitive decline
Stage -4- mild to moderate cognitive
Stage -5- moderate cognitive decline early dementia
Stage -6- moderate to severe cognitive decline middle
dementia.
Stage -7- severe cognitive decline ;late dementia
22. Cont…
Stage 1- in this first stage of the illness there is no
apparent decline in memory
Stage -2- the individual begins to lose things or forget
names of people . Losses in short term memory are
common . The individual is aware of the intellectual
decline and may feel ashamed ,becoming anxious and
depressed ,which in turn may worsen the symptoms .
Stage -3- in this stage ,there is interference with work
performance ,which becomes noticeable to coworkers .
The individual may get lost when driving his or her car.
23. Cont…
Stage -4-at this stage ,the individual may forget major
events in personal history ,such as his or her own
child’s birthday . He or she, may deny that a problem
exists by covering up memory loss with confabulation .
Stage -5 – in this early stages of dementia ,the
individual loses the ability to perform some ADL .
Stage -6- at this stage the individual is unable to recall
recent major life events or even the name of his or her
spouse . Symptoms seems to worsen by sundowning .
Stage -7-in this end stage of DAT ,the individual is
unable to recognize family members.
24. Etiologies
A/c TO DSM –IV
Dementia of the alzhemier type
Vascular dementia
Dementia due to hiv diseases
Dementia due to head trauma
Dementia due to parkinson’s disease.
Dementia due to huntington disease.
Dementia due to pick’s diseases
Dementia due to crutzfeldt jakob ,general medical
conditions ,multiple etiologies.
Substance induced persisting dementia .
25. NEUROTRANSMITTERS
A decrease in the neurotransmitters acetylcholine has
been implicated in the etiology of alzheimer’s disease
.cholinergic sources arises from brainstem and the
basal forebrain and basal forebrain to supply areas of
the basal ganglia ,thalamus ,limbic
structure,hippocampus , and cerebral cortex .