Assessing And Treating Clients With Dementia

Assessing And Treating Clients With Dementia

The Alzheimer’s Association defines dementia as “a general term for a decline in mental ability severe enough to interfere with daily life” (Alzheimer’s Association, 2016). This term encompasses dozens of cognitive disorders of impaired memory formation, recall, and communication. The care and treatment of clients with dementia is dependent on multiple factors, including the stage of dementia, comorbidities, family support, and even the care setting. In your role, as the psychiatric mental health nurse practitioner, you must be prepared to not only treat clients with these various cognitive disorders, but also the multiple behavioral issues that often accompany them. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with dementia.
 
Reference: Alzheimer’s Association. (2016). What is dementia? Retrieved from http://www.alz.org/what-is-dementia.asp
 
To prepare for this Assignment:
· Review this week’s Learning Resources. Consider how to assess and treat clients requiring therapy for dementia.
 
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. At each decision point stop to complete the following:
Introduction regarding disease state
 
High-level summary of patient case
 
Purpose of the essay statement
Decision #1
What options were listed?
 
Which decision did you select?
 
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
 
Why didn’t you select the other two options?
 
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
What options were listed?
 
What option did you choose?
 
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
 
Why didn’t you select the other two options?
 
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
What options were listed?
 
What option did you choose?
 
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
 
Why didn’t you select the other two options?
 
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.
 
Note : Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.
Note:  To access this week’s required library resources, please click on the link to the Course Readings List, found in the  Course Materials  section of your Syllabus.
 
References
 
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapter, click on the Essential Psychopharmacology, 4th ed tab on the Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left navigation bar for each chapter.
 
· Chapter 13, “Dementia and Its Treatment”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University Press.
 
To access information on the following medications, click on The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the appropriate medication.
 
Review the following medications:
For insomnia
· donepezil
· galantamine
· memantine
· rivastigmine
 
Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia. American Family Physician, 85(1), 20–22. Retrieved from http://www.aafp.org/journals/afp.html
 
Note: Retrieved from from the Walden Library databases.
 
Meltzer, H. Y., Mills, R., Revell, S., Williams, H., Johnson, A., Bahr, D., & Friedman, J. H. (2010). Pimavanserin, a serotonin receptor inverse agonist for the treatment of Parkinson’s disease psychosis. Neuropsychopharmacology, 35, 881–891. Retrieved from http://www.nature.com/npp/journal/v35/n4/pdf/npp2009176a.pdf
 
Required Media
 
Laureate Education. (2016h). Case study: An elderly Iranian man with Alzheimer’s disease [Interactive media file]. Baltimore, MD: Author.
 
Note: This case study will serve as the foundation for this week’s Assignment.

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