Vascular Dementia, Alzheimer’s type
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 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?
name the 3 priority RN assessments when home visits are made?
and some anticipated caregiver issues that this client’s spouse will personally experience?
List and describe 3 inter-collaborative referrals that may be needed for this client within the next year or so.
PLEASE USE REFERENCES SUPPLIED
Textbooks (Chapter numbers and titles may differ in subsequent editions of a given textbook. If your edition is different, use the Table of Contents in the textbook to locate the appropriate chapters to read):
Burchum, J. R., & Rosenthal, L.D. (2016). Lehne’s pharmacology for nursing care (9th ed.). St. Louis, MO: Elsevier.
Chapter 21: Drugs for Parkinson’s Disease
Read Chapter 22: Drugs for Alzheimer’s Disease
And Chapter 31: Antipsychotic Agents and Their Use in Schizophrenia
Also Chapter 34: Sedative-Hypnotic Drugs
As well as Chapter 36: Central Nervous Stimulants and Attention-Deficit/Hyperactivity Disorder
Hinkle, J., & Cheever, K. (2014). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Wolters Kluwer Health.
Chapter 11: Health Care of the Older Adult (section on “Mental Health Problems in the Older Adult”)
Ladwig, G., Ackley, B., & Makic, M. (2017). Mosby’s guide to nursing diagnosis (5th ed.). St. Louis, MO: Elsevier.
Review the nursing diagnoses specific to the content covered in this module.
Pillitteri, A. (2014). Maternal and child health nursing: Care of the childbearing and childrearing family (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Chapter 54: Nursing Care of a Family When a Child Has a Cognitive or Mental Health Disorder
Townsend, M. (2015). Psychiatric mental health nursing: Concepts of care in evidence-based practice (8th ed.). Philadelphia, PA: F.A. Davis.
Chapter 22: Neurocognitive Disorders
On Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
And Chapter 33: Children and Adolescents (sections on “Autism Spectrum Disorder” and “Intellectual Development Disorder”)
Chapter 34: The Aging Individual (section on “Psychological Aspects of Aging”)
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