Assignment: Assessing, Diagnosing, and Treating Dementia, Delirium, and Depression<\/p>\n
Photo Credit: Getty Images
\nWith the prevalence of dementia, delirium, and depression in the growing geriatric population, you will likely care for elderly patients with these disorders. While many symptoms of dementia, delirium, and depression are similar, it is important that you are able to identify those that are different and properly diagnose patients. A diagnosis of one of these disorders is often difficult for patients and their families. In your role as an advanced practice nurse, you must help patients and their families manage the disorder by facilitating necessary treatments, assessments, and follow-up care.
\nTo prepare:
\n\u2022 Review the case study provided by your Instructor. Reflect on the way the patient presented in the case, including whether the patient might be presenting with dementia, delirium, or depression.
\n\u2022 Reflect on the patient\u2019s symptoms and aspects of disorders that may be present. What distinct symptoms or factors would lead you to a diagnosis of dementia, delirium, or depression?
\n\u2022 Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the case.
\n\u2022 Access the Focused SOAP Note Template in this week\u2019s Resources.
\nThe Assignment:
\nComplete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following:
\n\u2022 Subjective: What was the patient\u2019s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria\u00ae, and consider alternative drugs if appropriate. Provide a review of systems.
\n\u2022 Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results? How would you interpret and address the results of the Mini-Mental State Examination (MMSE)?
\n\u2022 Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority. Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
\n\u2022 Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned.
\n\u2022 Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow Help write my thesis – APA 7th edition formatting.
\nWeek 2: Psychosocial Disorders
\nTo prepare:
\n\u2022 Review the case study you chose. Reflect on the way the patient presented in the case, including whether the patient might be presenting with dementia, delirium, or depression.
\n\u2022 Reflect on the patient\u2019s symptoms and aspects of disorders that may be present. What distinct symptoms or factors would lead you to a diagnosis of dementia, delirium, or depression?
\n\u2022 Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the case.
\n\u2022 Access the Focused SOAP Note Template in this week\u2019s Resources
\n\u2022 In Blackboard (BB) read the required and recommended readings.
\n\u2022 Complete the Engage IL modules to receive your certificate (you can save and use this for CEs for your license in addition to credit in this course.) Be sure to open an account in Engage IL so you can view all the modules and receive credit \u2013 this is free as it was created by grant money \u2013 so it is completely free to you.
\n\u2022
\nREMEMBER TO REVIEW THE GRADING RUBRIC FOR EACH ASSIGNMENT FOR EACH WEEK. THIS IS IMPORTANT!<\/p>\n
You will choose ONE of the case studies below to respond to:<\/p>\n
Week 2 Case 2
\nMs. Washington is a 67-year-old African American female who is brought to your office by her daughter with concerns of \u201cforgetfulness.\u201d She has lived with her daughter for 4 years now, and her daughter reports noticing she asks the same questions even after they have been answered. She even reports her mom getting lost in Walmart recently. Ms. Washington has lived with her daughter since losing her husband of 57 years, about 4 years ago. Her daughter states her mother is a retired teacher and usually very astute but notices more forgetfulness.
\nAccording to Ms. Washington\u2019s daughter, Angela, her mom has been demonstrating increased forgetfulness of more recent things but can easily recall historical moments and events. She also reports that sometimes her mom has difficulty \u201cfinding the right words\u201d in a conversation, and then will shift to an entirely different line of conversation. She also said her mother will \u201claugh off\u201d things when she forgets important appointments and\/or become upset or critical of others who try to point these things out.
\nNote: Be sure to review the Mini-Mental State Exam (MMSE) and how to interpret results. Use the MMSE, in the attached document, to determine the patient\u2019s MMSE score in the video. Make sure you document the patient\u2019s score in your SOAP note document: Mental State Assessment Tests.
\nMs. Washington is a 67-year-old female who is alert, cooperative with today\u2019s clinical interview. Her eye contact is fair. Speech is clear and coherent but tangential at times. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She is alert and oriented to person, partially oriented to place but is disoriented to time and place. (She reported that she thought was headed to work but \u201cwound up here,\u201d referring to your office, at which point she begins to laugh it off.) She denies any falls or pain.
\nAll other Review of System and Physical Exam findings are negative other than stated.
\nPMH: Hypertension, Hyperlipidemia, Osteoporosis
\nAllergies: Penicillin: rash, Lisinopril: cough
\nMedications:
\n\u2022 Amlodipine 10mg daily
\n\u2022 HCTZ 12.5mg daily
\n\u2022 Multivitamin daily
\n\u2022 Atorvastatin 40mg daily
\n\u2022 Alendronate 70mg orally once a week
\nSocial History: As stated in Case Study
\nROS: As stated in Case study
\nDiagnostics\/Assessments done:
\n1. CXR\u2014no cardiopulmonary findings. WNL
\n2. CT head\u2014diffuse Cerebral Atrophy
\n3. MMSE\u2014Ms. Washington scores 18 out of 30 with primary deficits in orientation, registration, attention and calculation, and recall. The score suggests moderate dementia.
\nPlease add your expected vital signs, and what PE you would perform. Remember \u2013 this is a virtual soap note, so use your past experiences to formulate your soap.<\/p>\n","protected":false},"excerpt":{"rendered":"
Assignment: Assessing, Diagnosing, and Treating Dementia, Delirium, and Depression Photo Credit: Getty Images With the prevalence of dementia, delirium, and depression in the growing geriatric population, you will likely care for elderly patients with these disorders. While many symptoms of dementia, delirium, and depression are similar, it is important that you are able to identify […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2474,2482,2483],"tags":[2368,2479,2477,2485,2476,1481,2475,2484,2478],"class_list":["post-6942","post","type-post","status-publish","format-standard","hentry","category-psyc-essays","category-psyc-paper-writing-service","category-psychology-dissertation-writing-service","tag-masters-essays","tag-psyc","tag-psychology-assignment","tag-psychology-case-study","tag-psychology-dissertations","tag-psychology-essays","tag-psychology-research-papers","tag-psychology-thesis","tag-sociology-essays"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/posts\/6942","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/comments?post=6942"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/posts\/6942\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/media?parent=6942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/categories?post=6942"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/nursing\/wp-json\/wp\/v2\/tags?post=6942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}