NURSING 2LA2 Lecture Notes - Lecture 3: Psychomotor Agitation, Cerebral Circulation, Dsm-5
22 Sep 2018
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Document Summary
Key terms/concepts: acetylcholine, antipsychotics, cam instrument, cognition flucuating course, neuroinflammatory hypothesis, acute onset, astrocyte, cerebral blood flow, cytokines, hyper-/hypo-active, perceptual disturbances, predisposing factors, pro-inflammatory, altered consciousness, blood-brain barrier, cholinergic hypothesis, dopamine, microglia, precipitating factors, psychomotor disturbances. Delirium- life threatening and preventable acute decline in cognitive processes of brain namely attention and cognition learning goal 2: cognitive fxn fluctuates throughout day- unreported 2/3 cases due to fluctuation and wide range symptoms. Wide range of symptoms and pt characteristics may exhibit periods of inattention, disorganized thinking, changes in loc, disorientation, delusions, perceptual disturbances, impaired memory, speech, sleep and psychomotor activity. Might use term confusional state or encephalopathy when diagnosing delirium. Only 40% hlthcare workers routinely screen for delirium in at risk pts diagnostic criteria for delirium. Disturbance in attention(reduced ability to direct, focus, sustain, and shift attention and awareness (reduced orientation to environment.
