Assignment: Alzheimer treatment

Assignment: Alzheimer treatment ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Alzheimer treatment Read the case study and background/mental heath information and make three decisions concerning the medication to prescribe to the client with Alzheimer disease. Be sure to provide a comparison of all three medications in all three decision levels and state you reason why you picked one medication over the other two. Include an ethical consideration as well. Assignment: Alzheimer treatment week_10_alzheimers.docx The Assignment Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease . You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes. Assignment: Alzheimer treatment At each decision point stop to complete the following: Decision #1 Which decision did you select? Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different? Decision #2 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different? Decision #3 Why did you select this decision? Support your response with evidence and references to the Learning Resources. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different? Also include how ethical considerations might impact your treatment plan and communication with clients. Assessing and Treating Clients with Alzheimer’s Disease BACKGROUND Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for “strange behavior.” Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkad’s behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. Assignment: Alzheimer treatment According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the client’s son, the family noticed that Mr. Akkad’s personality began to change a few years ago. He began to lose interest in religious activities with the family and became more “critical” of everyone. They also noticed that things he used to take seriously had become a source of “amusement” and “ridicule.” Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult “finding the right words” in a conversation and then will shift to an entirely different line of conversation. Assignment: Alzheimer treatment SUBJECTIVE During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so the PMHNP performs a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia. MENTAL STATUS EXAM Mr. Akkad is 76 year old Iranian male who is cooperative with today’s clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but “wound up here”- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkad’s standing up during the clinical interview and walking towards the door. When the PMHNP asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation. Assignment: Alzheimer treatment Diagnosis: Major neurocognitive disorder due to Alzheimer’s disease (presumptive) In summary: What needs to be in the essay. -Introduction regarding disease state -High-level summary of patient case -Purpose of the essay statement 1, Decision 1 -What options were listed -What option did you choose? -Why did you select that option? -Why didn’t you select the other two options? -What was your goal of treatment -Was the outcome what you expected? Why? 2, Decision 2 -What options were listed Assignment: Alzheimer treatment -What option did you choose? -Why did you select that option? -Why didn’t you select the other two options? -What was your goal of treatment -Was the outcome what you expected? Why? 3, Decision 3 -What options were listed -What option did you choose? -Why did you select that option? -Why didn’t you select the other two options? What was your goal of treatment -Was the outcome what you expected? Why? -Conclusion with Ethical considerations Resource: Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press Decision 1: Begin Exelon (Rivastigmine) 1.5mg orally BID with an increase to 3mg orally BID in 2 weeks. Decision 2: Increase Exelon to 4.5 mg orally BID Decision 3: Increase Exelon to 6 mg orally BID Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10