HESI Neurocognitive Disorder (Alzheimer’s Disease) Case Study

Judgment
-give mary a photo of a clock and ask her to fill in times
-ask mary what she would do if she smelled gas in the house
-fruits, animals, colors
forgetting to serve dinner after preparing meal
changes in behavior and personality often occur
does anyone in your family have alzheimer’s?
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changes consistent with alzheimer’s/other conditions that can cause Mary’s symptoms
Normal lab tests can help rule out other causes
stabilizes cognitive decline
provides most benefit to early stages AD, start it right away
serum liver
mary sleeps through the night
-history of cardiac
-MAOIs
-complaining of perineal pain
help recognize strong emotions
you are right to balance feelings and reality
picture of toilet on bathroom door
chronic, no set sequence, 5-20 years
every person responds differently, but it is likely that her ability to function will continue to decline
-establish toileting schedule
-keep commode at bedside
-take to bathroom q 2 hours
-keep some light on in the bathroom at night
-relaxing backrub at bedtime
-calm atmosphere during the day
-what activities outside of home?
-what do you find most stressful in daily life?
-how are your children coping?
adult day care
encourage all to use humor as coping mechanism
-ensure opportunities for physical activity
-pet therapy
-group involvement
-calm, consistent environment
-provide forms of moderate sensory stimulation
provide a snack
redirect mary’s attention towards stuffed animal
-med will prevent from harming herself
-mary says her hip hurts; has prescription
-may not need to administer med, let me calm her
-mary needs to be calmed down immediately; her husband is upset
0.5
evaluate vitals
educate about arising slowly after sitting
-calculate I&Os
-administer first PO dose
-home health nurse who visits every other week
you have many conflicting emotions right now
remain with sam
every person responds differently, but it is likely that her ability to function will continue to decline
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