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oryMemory impairment with at least one or more of the followingImpaired executive function (poor abstraction, mental flexibility, planning, andAlzheimer diseaseTypical earliest deficits are in memory and visuospatial abilities• Social graces may be retained despite advanced cognitive declinePersonality changes and behavioral difficulties (wandering, aggression)Hallucinations, delusions, and symptoms of depression often occur as dementia
DEMENTIA DEFINITIONSAphasiaApraxiaAgnosia
Aphasia (typically, word finding difficulty)Apraxia (inability to perform previously learned tasks)Agnosia (inability to recognize objects)
DEMENTIAEnd-stage disease characterized by:
near-mutism, inability to sit up or hold headdifficulty with eating or swallowing, weight loss, incontinence
HistoryLewy body dementiaMay be confused with delirium. WHY
HistoryLewy body dementiaMay be confused with delirium, as fluctuating cognitive impairment is frequently observed• Rigidity and bradykinesia (slowness of movement and speed as movements continued) areprimarily noted• Hallucinations--classically visual and bizarre-may occur