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NSG
6440 Week 6 Discussion
NSG 6440 Week 6
Discussion:
This
week’s content discussed common psychiatric disorders in the Adult
and Older Adult client. Often times a secondary diagnosis is masked due to their
psychiatric disorder. Review the following case study and answer the following
questions.
Mr.
White is a 72-year-old man, with a history of hypertension, COPD and moderate
dementia, who presents with 4 days of increased confusion, nighttime
restlessness, visual hallucinations, and urinary incontinence. His physical
exam is unremarkable except for tachypnea, a mildly enlarged prostate,
inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12
today.
Mr.
White’s presentation is most consistent with an acute delirium (acute
change in cognition, perceptual derangement, waxing and waning consciousness,
and inattention).
What is the most likely diagnosis to frequently cause acute
delirium in patients with dementia?
What additional testing should you consider if any?
What are treatment options to consider with this patient?
Submission Details:
Post your response to the Discussion
Area by the due date assigned .
Respond to atleast two posts by the end of the week.
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