Exam (elaborations)
i-Human Janet Riley, Alzheimer’s Dementia Case Study 2023 LATEST UPDATE correct verified Answers
- Course
- Institution
i-Human Janet Riley, Alzheimer’s Dementia Case Study 2023 LATEST UPDATE correct verified Answers
[Show more]
Seller
Follow
hummidd
Content preview
new latestupdatei-Human Janet
Riley, Alzheimer’s Dementia Case Study
2023 LATEST UPDATE correct verified
Answers
Assessment
1. Alzheimer’s Dementia. Mrs. Riley has been experiencing symptoms of dementia such as memory
problems, difficulty concentrating, and forgetfulness that have progressively worsened over the past
2 to 3 years (U.S. Department of Health and Human Services, National Institute on Aging, 2019). Her
daughter now reports symptoms of impaired memory, judgment, and orientation; sundowning;
, new latestupdate
decline in ability to perform activities of daily living (ADLs); mood and personality changes; and
symptoms of depression (U.S. Department of Health and Human Services, National Institute on
Aging, 2019). The physical examination findings of generalized cortical atrophy and reduced
hippocampal volume on brain MRI coupled with her scoring on neurological exams (mini-mental
state, geriatric depression, mini-cog, clock-draw) indicating moderate cognitive impairment make this
diagnosis the most plausible (U.S.
Department of Health and Human Services, National Institute on Aging, 2019).
2. Vascular Dementia. Mrs. Riley possesses various risk factors for vascular dementia including coronary
artery disease (CAD) status-post stent placement, hypertension, and hyperlipidemia. Her history and
physical examination findings indicate a progressive worsening of her dementia symptoms as
opposed to a stepwise progression such as in vascular dementia (Mayo Clinic, 2018). Additionally, the
lack of evidence of previous infarction on brain MRI makes this diagnosis less likely (Mayo Clinic,
2018).
3. Occult Infection (Urinary Tract Infection). Mrs. Riley’s undergarments are noted to smell of urine
raising the suspicion of incontinence which may be a sign of a urinary tract infection (UTI).
Additionally, her daughter reports a decline in Mrs. Riley’s personal hygiene and excessive body odor
is noted on exam. Mrs. Riley’s mental status changes may represent nonspecific symptoms
3
associated with UTI in older adults (Moody, 2020). The urinalysis and complete blood count (CBC)
findings are within normal limits thereby ruling this diagnosis out.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller hummidd. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $35.45. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
74735 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now