What is the most important piece of information given in this scenario? Why?
A TYPICAL PRESENTATION CASE STUDY
Order Description
Assignment Requirements
The finished Assignment should be 3–4 pages in length, excluding the title page and references. The viewpoint and purpose of this Assignment should be clearly established and sustained.
Atypical Presentation Case Study. (Developed by Deanna Gray-Miceli DNSc, APRN, FAANP)
In this Assignment, you will review the Atypical Presentation PowerPoint, the Urinary Incontinence PowerPoint, and the screening tools from http://consultgerirn.org/resources/. Read the case study and compose an expository paper in which you respond to the questions below.
Case Study:
Ms. N is a 74 year-old female who is accompanied for admission to the nursing home by her daughter Doris. Ms. N appears distracted and confused repeatedly saying “I want to go home, why am I here?” Doris reports for over the past 3 weeks her mother, who has lived with her for over 10 years, has gone downhill quickly and she can no longer manage her falling and urinary incontinence (UI) at home. Doris has sought nursing home admission for respite for the next few weeks, but plans to admit her mother permanently due to her inability to care for herself.
During your focused interview you learn that Ms. N is actually paranoid, saying, “that lady over there, brought me here to get rid of me, I think she’s trying to kill me.” You quickly integrate questions from the Mini-Mental State Examination into your causal, but focused interview. Ms. N scores a 20/30. You conclude she is probably suffering from Dementia of the Alzheimer’s type. A review of her medical records shows mild benign forgetfulness and recent confusion which was treated with Haldol 0.5 mg BID. Ms. N was independent in activities of daily living (ADL) up until 1 month ago. A typical day was spent driving herself to a part-time job at the local library.
A review of the medical record accompanying Ms. N reveals a recent CAT Scan of the head performed 1 week ago that was normal with no masses or atrophy. All other laboratory data is normal (CBC, B12, folate, and SMA-24). Missing are a routine urinalysis and thyroid function studies.
Questions:
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