NURSE 2253
South University
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Dementia SKINNY Reasoning William “Butch” Welka, 72 years old
- Exam (elaborations) • 6 pages • 2022
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Dementia 
SKINNY Reasoning 
 
 
 
 
William “Butch” Welka, 72 years old 
 
Primary Concept 
Cognition 
Interrelated Concepts (In order of emphasis) 
 • Pain 
 • Mood and Affect 
 • Psychosis 
 • Clinical Judgment 
 • Patient Education 
NCLEX Client Need Categories 
Percentage of Items from Each Category/Subcategory 
Covered in Case Study 
Safe and Effective Care Environment 
 
 • Management of Care 
17-23% 
 
 • Safety and Infection Control 
9-15% 
 
Hea...
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Dementia SKINNY Reasoning William “Butch” Welka, 72 years old
- Exam (elaborations) • 6 pages • 2022
-
- $8.99
- + learn more
Part I: Recognizing RELEVANT Clinical Data 
History of Present Problem: 
William “Butch” Welka is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and 
dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a resident 
of Pineville Estates, a local long-term care facility the past four months because his dementia progressed and his wife 
Rita was unable to care for him. When Rita visited Butch th...
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