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AM Hartman's Nursing Assistant Care Chapter 5, 6, & 7 Flashcards | Quizlet 1/ 16 Hartman's Nursing Assistant Care Chapter 5, 6, & 7 exam actual questions and answers with complete solutions verified latest update graded a++ Terms in this set (99) ConfusionThe inability to think clearly or make decisions Delirium Severe confusion which occurs suddenly - usually temporary- Drugs and alcohol usually involved but could also be due to disease, illness, fluid imbalance, poor nutrition Causes of Confusion UTI, Low Blood Sugar, Dehydration, Fever, Lack of Oxygen, Infections, Brain Tumor Guidelines of Care for Residents experiencing Confusion Do NOT leave resident alone, provide a quiet environment, introduce self each time you see the resident and use their name, Keep a routine and talk to residents about plan for the day, use calendars - remind them of date, time, place Signs of Delirium Agitation, Irritability, Anger, Depression, Diorientation, Trouble focusing, Aphasia, Changes in Perspective & Sensations, Changes in Consciousness, STM loss Goal of Treatment for Control or Reverse the cause 1 / 3
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AM Hartman's Nursing Assistant Care Chapter 5, 6, & 7 Flashcards | Quizlet 2/ 16 Delirium CognitionThe ability to think logically and clearly & make decisions Cognitive Impairment Inability to think logically & clearly (Not rational) Dementia Symptom not a diagnosis. Loss of thinking, reasoning, remembering, & communicating. No recovery. Difficulty to perform ADL's.Cause Dementia Alzheimer's, Multi-Infarc/Vascular Dementia (series of CVAs causes damage to the brain, Lewy Body Dementia, Parkinson's, Huntington's.Lewy Body Dementia Most common type of dementia. It involves fluctuations between alertness and attention, meaning that one moment resident may seem completely fine and the next he is staring into space and drowsy. It also involves frequent hallucinations and gradual loss of motor skills.Huntington's Disease Caused by a faulty gene on chromosome 4. The faulty gene leads to a damage of the nerve cells in areas of the brain, including the the basal ganglia and cerebral cortex.This leads to gradual physical, mental and emotional changes. It is a dominant hereditary disease.The hallmark symptom is uncontrolled movement of the arms, legs, head, face and upper body. Also causes a decline in thinking and 2 / 3
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AM Hartman's Nursing Assistant Care Chapter 5, 6, & 7 Flashcards | Quizlet 3/ 16 reasoning skills, including memory, concentration, judgment and ability to plan and organize.Other symptoms include alterations in mood, especially depression, anxiety, and uncharacteristic anger and irritability, obsessive-compulsive behavior, leading a person to repeat the same question or activity over and over.Alzheimer's Disease Most common cause of dementia in the "elderly". Women are more prone to the disease (possibly hormone imbalances). Causes "tangled nerve fibers (tangles)" and protein deposits to form in the brain. No known cause or cure. Only sure way to "diagnose is by autopsy".Skills a person has used over a lifetime (playing instruments) are usually kept longer.Alzheimer's Care Guidelines Encourage independence to keep mind and body active as possible. Problem solving, socializing , reading, working/projects all help slow the disease.CNA's attitude when dealing with Alzheimer's should
be:
Empathetic, DON"T take things personally, "Let's..." Team Effort Approach Approach from front (so as not to startle) Determine patient's "space
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