Scenario: A 74-year-old male, retired accountant, with a long-standing history o
ID: 126278 • Letter: S
Question
Scenario:
A 74-year-old male, retired accountant, with a long-standing history of hypertension and atherosclerosis, begins to exhibit some personality changes, deterioration in grooming, trouble understanding news events, and difficulty managing personal finances. He also stopped attending social events and dropped out of his chess club. His wife of 50 years becomes concerned and schedules an appointment with his healthcare provider, who diagnoses him with Vascular Dementia, Alzheimer’s type. Arrangements have been made for a visiting RN to come to the house once weekly.
Initial Discussion Post:
Address the following:
In what stage of Alzheimer’s disease is this client? What criteria did you use to determine this?
What are 3 priority RN assessments when home visits are made?
What are some anticipated caregiver issues that this client’s spouse will personally experience?
List and describe 3 intercollaborative referrals that may be needed for this client within the next year or so.
Explanation / Answer
In what stage of Alzheimer’s disease is this client? What criteria did you use to determine this?
The client is in Middle stage (Moderate Alzhemer's disease).
Based on the following criteria:
Mild Alzhemer’s disease (Early stage):
Moderate Alzhemer’s disease (Middle stage):
Severe Alzhemer’s disease (Latestage):
What are 3 priority RN assessments when home visits are made?
The nursing assessment priorities include:
What are some anticipated caregiver issues that this client’s spouse will personally experience?
Caregivers of Alzhemer's diseases repeatedly complain about Stress. They apparently shows the symptoms of stress:
List and describe 3 intercollaborative referrals that may be needed for this client within the next year or so.
According to the client, he needs some referrals based on his condition. They are:
Neurologist referral: To treat hypertension and also to manage the Alzhemer's symptoms for better progress.
Memory deficit clinics: To evaluate and treat the signs and symptoms of dementia
Home care agencies referral: To provide care at home and making it possible to the clients to recieve care at home environment.
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