Neurocognitive Disorders

Neurocognitive disorders can be very devastating for both the patient and their family members.
•Compare two types of neurocognitive disorders and include disease trajectory and any scale/measure to identify worsening disease.
•Give one pharmacologic treatment and one nonpharmacologic treatment for the disorders.

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Alzheimer’s Disease

  • Disease Trajectory:

    • Insidious Onset: Alzheimer’s typically has a slow and insidious onset, with subtle cognitive changes often overlooked initially.  
    • Gradual Decline: Cognitive decline progresses gradually, affecting memory, learning, language, and eventually, daily living skills.  
    • Progressive Deterioration: As the disease progresses, individuals may experience significant memory loss, confusion, behavioral changes, and difficulty with basic activities of daily living (ADLs).  
    • Terminal Illness: Alzheimer’s is a progressive neurodegenerative disease with no current cure.  
  • Scale/Measure:

    • Mini-Mental State Examination (MMSE): A brief cognitive screening tool that assesses orientation, attention, memory, language, and visuospatial skills. It can help track cognitive decline over time.  
    • Alzheimer’s Disease Assessment Scale-Cognitive Subscale (ADAS-Cog): A more comprehensive assessment tool that evaluates cognitive function in more detail, including memory, language, attention, and praxis

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