Screening for Delirium, Dementia and Depression in Older Adults
Screening for Delirium, Dementia and Depression in Older Adults
Screening for Delirium, Dementia and Depression in Older Adults
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<strong>Screen<strong>in</strong>g</strong> <strong>for</strong> <strong>Delirium</strong>, <strong>Dementia</strong> <strong>and</strong> <strong>Depression</strong> <strong>in</strong> <strong>Older</strong> <strong>Adults</strong>Appendix B: Glossary of TermsActivities of Daily Liv<strong>in</strong>g (ADLs): Self-ma<strong>in</strong>tenance skills such as dress<strong>in</strong>g, bath<strong>in</strong>g,toilet<strong>in</strong>g, groom<strong>in</strong>g, eat<strong>in</strong>g <strong>and</strong> ambulat<strong>in</strong>g.Affective Lability: Rapidly chang<strong>in</strong>g or unstable expressions of emotion or mood.Agnosis: Loss or impairment of the ability to recognize, underst<strong>and</strong>, or <strong>in</strong>terpret sensorystimuli or features of the outside world, such as shapes or symbols.56Akathisia: Restlessness.Aphasia: Prom<strong>in</strong>ent language dysfunction, affect<strong>in</strong>g the ability to articulate ideas orcomprehend spoken or written language.Apraxia: Loss or impairment of the ability to per<strong>for</strong>m a learned motor act <strong>in</strong> the absenceof sensory or motor impairment (e.g., paralysis or paresis).Cognition: The conscious faculty or process of know<strong>in</strong>g, <strong>in</strong>clud<strong>in</strong>g all aspects of awareness,perception, reason<strong>in</strong>g, th<strong>in</strong>k<strong>in</strong>g <strong>and</strong> remember<strong>in</strong>g.Cognitive Disorder: Presentations characterized by cognitive dysfunction presumed tobe the direct physiological effect of a general medical condition that do not meet the criteria<strong>for</strong> any of the specific deliriums, dementias or amnestic disorders.Cognitive Functions: Mental processes, <strong>in</strong>clud<strong>in</strong>g memory, language skills, attention,<strong>and</strong> judgment.<strong>Delirium</strong>: A temporary disordered mental state, characterized by acute <strong>and</strong> suddenonset of cognitive impairment, disorientation, disturbances <strong>in</strong> attention, decl<strong>in</strong>e <strong>in</strong> level ofconsciousness or perceptual disturbances.<strong>Dementia</strong>: A syndrome of progressive decl<strong>in</strong>e <strong>in</strong> multiple areas (doma<strong>in</strong>s) of cognitivefunction eventually lead<strong>in</strong>g to a significant <strong>in</strong>ability to ma<strong>in</strong>ta<strong>in</strong> occupational <strong>and</strong> socialper<strong>for</strong>mance.