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GARY (Dementia (Symptoms (New problems with words when speaking or writing…

- - - - Moderate
      - Severe
      - Early
        
        Gradual symptom progression and worsening
  - - - over 71 years old
        
        13.9%
      - over 90 years old
        
        37.4%
  - - - Possible causes
        
        Parkinson's Disease dementia
        
        Frontotemporal dementia
        
        Lewy body dementia
        
        Cerebrovascular disease
        
        Alzheimer's Disease
        
        Vitamin deficiencies (B1, B12, Folate, D)
        
        Anemia
        
        Protein energy malnutrition
        
        Age-Related Cognitive Decline
        
        Drug-induced
        
        Depression, anxiety
        
        Obstructive sleep apnea
        
        Head Injury
        
        Normal pressure hydrocephalus
        
        Brain Tumor
- - - - Toileting
      - Grooming
      - Bathing
      - Feeding
      - Upper/Lower Body Dressing
  - - - Measure independent performance in ADLs
      - Ten personal activities
        
        Feeding
        
        Personal toileting
        
        Bathing
        
        Dressing and undressing
        
        Getting on and off a toilet
        
        Controlling bladder
        
        Controlling bowel
        
        Moving from chair to bed
        
        Walking on level surface
        
        Ascending and descending stairs
    - - Assessment for detecting cognitive impairment
      - Assessed cognitive domains
        
        Short-term memory recall
        
        Visuospatial abilities
        
        Executive functioning
        
        Attention, concentration, and working memory
        
        Language
        
        Orientation to time and place
    - - Testing available muscular strength when addressing fall risk
    - - Assesses gait and balance in older adults
      - Good indicator of fall risk for home and community mobility
- - - - History of falling (fall risk)
      - Limited bowel and bladder control
      - Often unaware of his surroundings
      - No longer communicating
      - Gary constantly wanders and gets lost (elopement risk)
      - In need of a consistent caregiver
      - Increased aggression and decreasing emotional control
      - General safety concern
- - - - Impaired judgement, executive function, lack of insight. Evidenced by lack of bowel and bladder control and unawareness
    - - Distracted, cannot hold focus while wandering from home
    - - Increased aggression
  - - - Lack of awareness of self and not alert
    - - Not oriented to person, place, or self as evidenced by frequent elopements, falls, and bowel/bladder issues
    - - Decreased emotional stability, lack of self expression/communication, decreased impulse control