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Gerontological Nursing 2 credit undergraduate course Page 8 of 20

Week 4: Dementia, depression, & delirium

Readings: Required:

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.

Optional:

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

Lecture/discussion:

  • 1.

    Normal age-related changes in the neurologic system

    • a.

      Structural

    • b.

      Functional

  • 2.

    Depression, delirium, dementia

    • a.

      Prevalence

    • b.

      Symptoms

    • c.

      Underlying causes

    • d.

      Assessment

    • e.

      Treatment strategies

  • 3.

    Contrast criteria for differentiating depression, delirium, and dementia in older adults

  • 4.

    Factors that commonly interfere with appropriate diagnosis and treatment

    • a.

      Provider, patient, family-related

  • 5.

    Nursing implications for psychotropic medication administration Permission is hereby granted to reproduce, post, download, and/or distribute, this material for not-for-profit educational purposes only, provided that Northwest Coalition for Geriatric Nursing Education is cited as the source. This material may be downloaded and/or distributed in electronic format, including PDF format. Available on the internet at www.geronursinged.org E-mail notification of usage to: soncgne@ohsu.edu

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