PBL 8 session 3

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PBL 8 session 3 by Mind Map: PBL 8 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.2.1. Trigger 1

1.2.1.1. Alzheimer patient

1.2.1.1.1. Progressive neurodegenerative disease

1.2.1.1.2. affects mental funtions

1.2.1.1.3. late stage affects motor functions

1.2.2. Trigger 2

1.2.2.1. She develops dysphagia

1.2.2.1.1. got aspiration pneumonia

1.2.2.2. UTI due to poor hygiene

1.2.2.3. delirium

1.2.2.3.1. Alzheimer

1.2.2.3.2. septicemia

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. Goals of managment

2.1.1.1. Alleviate acute symptoms

2.1.1.2. involve the patient/family with the decision

2.1.1.2.1. palliative + antibiotics

2.1.1.2.2. palliative only

2.1.1.3. Improve patient's quality of life

2.1.2. Secondary symptoms

2.1.2.1. antibiotics

2.1.2.2. pain control

2.1.2.3. Oxygen mask

2.1.2.4. Ng tube/percutanius

2.1.2.4.1. if needed

2.1.2.5. consult a neurologist/psychiatric

2.1.3. Alzheimer

2.1.3.1. Pharmacological

2.1.3.1.1. NMDA antagonist

2.1.3.1.2. Cholonestraise inhibitors

2.1.3.1.3. Others

2.1.3.1.4. They slow the progression of the disease

2.1.3.2. Nonpharmacological

2.1.3.2.1. Early on

2.1.3.2.2. Later stages

2.2. Prevention

2.2.1. Primary

2.2.1.1. Diet

2.2.1.1.1. medetarian

2.2.1.1.2. vitamin supplementation

2.2.1.1.3. antioxidants

2.2.1.2. Education

2.2.1.3. Training of working memory

2.2.1.4. Healthy lifestyle

2.2.1.5. No definitive prevention

2.2.2. Secondary

2.2.2.1. Early screening

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes