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  • Sundowning

Vacuslar Dementia

July 2009

November 2008

Mini-Mental State Examination

  • Blurred Vision
  • Frontal Lobe Dementia

Vocabulary

  • apraxia
  • aspiration pheumonia
  • What is the date, day, month, year, and season. (5)
  • Orthostatic Hypertention
  • What is your current location (facility, floor, town, state, country) (5)

Causes

  • poorly controled diabetes
  • Name 3 objects and ask the patient to mermember them. (3)
  • high blood pressure

Death

  • high cholesterol
  • stroke
  • dementia

February 2010

second most common type of dementia

  • dehydration
  • infection
  • Spell the word "world" backwards or subtract 7 from 100 serially (stop after 5 answers) (5)
  • malnutrition
  • aspiration pneumonia
  • hospice
  • Ask the patient to remember the 3 objects from the registration portion of the test. (3)
  • Identify a pencil and a watch. (2)
  • Repeat this phrase "no ifs, ands, or buts. (1)"

Symptoms

How to Help

  • Follow a three step command (3)
  • used to be thought to be hardening of the arteries
  • Encourage loved ones to make decisions about end of life eartly
  • TIAs
  • Read and obey, "close your eyes." (1)
  • usually will have Alzheimers as well

January 2010

  • apraxia
  • Write one sentence down on paper. (1)
  • Share information with members of the family, back up with facts
  • inability to do tasks at times
  • Copy a set of interlocking pentagons. (1)
  • symptoms vary depending on what part of the brain is being effected
  • Create a Photo Album of Memories
  • agitation and frustration
  • physical lack of equilibrium

Abnormal score is less than 24

  • Gently Remind Never Reprimand
  • urinary frequency or incontinence

September 2009

  • night wandering/sundowning
  • Get Power of Attorney asap
  • depression
  • difficulty planning ahead
  • Look for a Great Care Facility
  • cognitive decline in thought organization
  • tremors
  • laughing or crying inappropriately
  • Average Lifespan 6 months after diagnosis
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