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One exception is Parkinson's disease dementia, for which rivastigmine, a cholinesterase inhibitor, is FDA-approved. This will help the patient with Alzheimers disease to prevent tripping and falls. As an outpatient department nurse, she has honed her skills in delivering health education to her patients, making her a valuable resource and study guide writer for aspiring student nurses. Assess the patients functioning, including the patients social situation, physical condition, and psychological functioning. Medicine and Science in Sports and Exercise. Its possible that external controls are required. 2019;, 1-25. doi:10.1007/s00415-019-09493-9 [Metasynthesis,Meta-analysis,Systematic Review], Demurtas, J.; Schoene, D.; Torbahn, G.; Marengoni, A.; Grande, G.; Zou, L.; et al. D. Inability to perform self-care activities. Fixation amnesia refers to the loss of immediate memory. Clinical Practice Guidelines represent a consistent/standardized approach to the care of patients with specific diagnoses. St. Louis, MO: Elsevier. Find trials and resources at: The Alzheimers.gov website has information about Talking With Your Patients About Alzheimer's and Related Dementias Clinical Trials. Acts mindlessly without due consideration of the consequences. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Answer: B. Further testing may include blood and urine tests, nerve tests, and brain imaging tests such as computerized axial tomography (CAT) scans or magnetic resonance imaging, depending on the results (MRI). Reality orientation assists the patient in being more aware of themselves and their environment. Encouraging the family members to visit the patient may help maintain socialization and orientation. BMJ Open. 5. Medications may be available to treat certain behavioral and mood symptoms associated with various forms of dementia, including delusions and depression. The brains of these patients are oftentimes compromised and would have problems about: Patients with cognitive impairment almost always have long-term consequences due to the organ involved, which will depend on the degree or severity of the damage. Saunders comprehensive review for the NCLEX-RN examination. Cushings disease causes melancholy, mood swings, and anxiety, which can be treated with psychotherapy. In some circumstances, such as after a stroke, treatment can help patients recall how to perform things like walk or tie their shoes. Nursing Diagnosis: Impaired Memory related to hypoxemia, brain tumors, and/or generalized systemic opportunistic infection, CVA/hemorrhage, vasculitis, renal failure, severe electrolyte imbalance, and hepatic insufficiency, medication metabolism/excretion changes, hazardous elements accumulate secondary to HIV/AIDS as evidenced by distractibility, altered attention span, memory impairment, delusional thinking, disorientation, cognitive dissonance, disturbances in sleep, impaired decision-making/problem-solving abilities, inability to follow complex commands/mental tasks, and loss of impulse control. Identifying and managing cognitive impairment Altered mental status (AMS) may refer to one or a combination of the following: ambiguity, amnesia (impaired memory), loss of attentiveness, mental confusion (not fully aware of self, time, or place), deficiencies in personal judgment or thought, unusual or peculiar behavior, inadequate coping styles, and instabilities in perception, psychomotor