OF
PATIENT
WITH
DEMENTIA
PRESENTED BY:
H. RUFUS RAJ,
LECTURER, ACON
DEFINITION
“Deprived of mind"
ØHuntington’s disease
VENTRICULAR
vHypothyroidism
DISORDERS
vHyperglycemia
oWilson’s disease
syndrome ØAnticolinergics
oHepatic encephalopathy
§Infections
ØOpoids
§Meningitis
ØHypnotics
TRAUMA §Encephalitis
ØAntiypertensives
Head injury §Neurosyphilis
CLASSIFICATION
ASSESSMENT
MINI MENTAL STATUS EXAMINATION
Orientation to time
Registration
Naming
Reading
IMAGING STUDIES
MANAGEMENT
PREVENTIVE MEASURES
Treatment of risk factors
§ Hypertension
§ Diabetes
§ Smoking
§ Orthostatic hypertension
§ Cardiac dysrythmias
PHARMACOLOGICAL THERAPY:
Cholinestrase inibitorsAcetylcholinesterase
inhibitors: Tacrine (Cognex), donepezil
(Aricept), galantamine (Razadyne), and
rivastigmine (Exelon)
Donezepil
Amyloid deposit inhibitors: Minocycline and
Clioquinoline
Antidepressant drugs
Anxiolytic drugsbenzodiazepines like
diazepam (Valium)
NURSING
CARE
OF
PATIENTWITH
DELIRIUM
DEFINITION
Inability to concentrate
Irritability
Insomnia
Loss of appetite
Restlessness
Confusion
Agitation
Misperception
DRUG THERAPY