Gerontological Nursing – 2 credit undergraduate course Page 8 of 20
Week 4: Dementia, depression, & delirium
Gerontologic Nursing, 2nd edition Chapter 27: Cognitive and Neurologic Function p. 615-643
Insel, K. & Badger, T.A. (2002). Deciphering the 4 D‟s: cognitive decline, delirium, depression and dementia – a review. Journal of Advanced Nursing, 38(4), 360-368.
Segatore, M. & Adams, D. (2001). Managing delirium and agitation in elderly hospitalized orthopaedic patients: part 1- theoretical aspects. Orthopaedic Nursing, 20(1), 31-46.
McCarthy, M. (2003). Situated clinical reasoning: distinguishing acute confusion from dementia in hospitalized older adults. Research in Nursing & Health, 26, 90-101.
Inouye, S.K., Bogardus, S.T., Charpentier, P.A., Leo-Summers, L., & Acampora, D., et al. (1999). A multicomponent intervention to prevent delirium in hospitalized older patients. The New England Journal of Medicine, 340(9), 669-676.
Learning objectives: Describe normal age-related anatomical/physiological changes in the neurologic system and functional implications Describe the prevalence of depression in older adults Discuss symptoms and treatment strategies for depression in older adults Identify an assessment instruments for depression, dementia, & confusion in older adults Describe the prevalence of delirium and dementia in older adults Discuss the symptoms of delirium and dementia Discuss the assessment and treatment strategies for delirium and dementia Differentiate between depression, delirium, and dementia in older adults
Normal age-related changes in the neurologic system
Depression, delirium, dementia
Contrast criteria for differentiating depression, delirium, and dementia in older adults
Factors that commonly interfere with appropriate diagnosis and treatment
Provider, patient, family-related
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