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Scenario: You are the nurse doing home visits in a retirement community. Your client an 85-year-old man who has been diagnosed with Alzheimer’s disease (AD). His adult children are with him for the visit. They want to know about the disease and what treatment options exist.
After you explain the progression of the disease, they ask if is curable. How should you answer?
A. There are medications that may help delay cognitive decline, but the disease is not curable
B. If treatment is started early, the disease progression ca be reversed.
C. Drugs exist that can cure AD, you just have to find the one that works for you
D. If treatments in initiated before complete neuronal damage, disease progression can be stopped.
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- You are responding to a private residence for an 80-year-old female, with altered mental status. The husband called 911. When you arrive, their adult son is on the scene. He was not aware of the 911 call and says his dad has dementia and must have gotten scared and called just before he got there. He says his mom is a diabetic and this is a pretty common occurrence, but he's not sure how it happened this time. The son said her blood sugar was 400, and he was just about to administer her normal dose of insulin. He says that since her sugar is so high, he wants to increase the dose. He is willing to sign a refusal on her behalf. Do you allow him to give the insulin? Assume the insulin is not expired and is prescribed to her. If yes, do you allow the refusal? Why or why not? Explain your decision to the son, including what is happening on a physiologic level (in terms a layman can understand) What is the long-term solution for this situation of repeated episodes of hyperglycemia?A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor the client for which of the following adverse effects?A CLIENT HAS BEEN DUALLY DIAGNOSED WITH ALZHEIMERAND AN INTELLECTUAL DISABILITY. WHAT RESOURCES ARE AVAILABLE FOR CANADIANS WHO WOULD LIKE TO LEARN MORE ABOUT THE ILLNESS AND DISABILITY. IDENTIFY THE CORRESPONDING ORGANIZATIONS.
- is brought to the physician's office by his daughter, a registered nurse. She states her concerns about her father: During the past 2 months, he has been found wandering in the neighborhood because he forgets where he lives. Neighbors see him, note that he appears confused, and bring him home. is worried that her father is showing signs of early Alzheimer's disease. 1. Describe the physical changes that occur in the cortex of the brain. 2. Describe the stages of Alzheimer's disease. 3. Describe the physiological and psychological changes that occur during Alzheimer's dementia. 4. What would be the concerns of the family when a person is diagnosed with this disease?The Importance of Nursing Interventions A. Palliative Care- Discuss the importance of palliative care and symptom management in Parkinson's treatment. B. Emotional and Psychological Support- Explain how nursing interventions can offer emotional and psychological support. C. Medication Management- Describe how proper medication management can make a significant difference in the quality of life.A. describe what Parkinson's Disease is and its prevalence in the elderly population. B. Discuss why improving the quality of life is crucial for elderly patients with Parkinson's. C. Highlight the role that nursing interventions can play in improving the quality of life for these patients. Please give me some sources or reference where you got the answers
- Histological and brain imaging methods can be used to detect or confirm Alzheimer’s disease. Select ALL that apply: Functional MRI imaging of neuronal activity during episodic memory tasks shows increased activity in the hippocampus. The sulci appear larger The gyri appear thicker The lateral ventricles are enlarged Functional imaging shows a decreased metabolic activity in the temporoparietal cortex at resting states indicating defects in episodic memoriescan you comment on the cognitive dysfunction that patients with DMD can possibly experience? Can you please help me with that question? Thank you in advance!You are a nursing student who is assigned to a busy medical-surgical unit that specializes in the care of patients with various neurologic disorders. One of your patients for the day is Mr. Choudhary, a 56 year old South Asian male with a primary diagnosis of cerebrovascular accident of hemorrhagic origin. You enter the room to conduct your morning assessment and you find that Mr. Choudhary is non-verbal but does seem to understand you. How do you think Mr. Chowdhary feels being unable to verbalize with you? How do you think you may best conduct your assessment while still being therapeutic to your non-verbal patient? How could you modify your assessment to be more certain that your non-verbal patient understands you?
- A 76-year-old female client visits the clinic and tells the nurse about not feeling well for the last 2 weeks. The nurse observes that the client’s speech is slow; she has an unkempt appearance and maintains poor eye contact with the nurse. The nurse asks her to clarify what she means by not feeling well. The client states “I feel like I am losing my mind. Since my husband died a year ago, I can’t seem to remember anything. I lose my keys and wallet all the time. The other day, I even forgot how to get home from the supermarket. My neighbor saw me walking around aimlessly and came over to me. I was a block from home. I am getting worried that something may be wrong.” The nurse questions her further regarding her daily activities and learns that she lives alone and hardly goes out. Her son and daughter live out of state, and she doesn’t see them often, although they talk on the phone every week. The client’s medical and surgical history is negative for medical conditions or surgeries.…What are three differences between dementia and delirium? Can a client who has dementia also experience delirium? How is the focus of nursing care different for clients who have dementia vs.. clients who have delirium?The nurse is conducting a presentation for family members on personality disorders. What would be included in this presentation? a. Personality disorders only occur as a product of certain home environments b. Personality traits can be challenging to change c. Medications can quickly treat the problematic symptoms of personality disorders d. Stress has an impact on daily behaviors and attitudes e. Personality traits are formed early in life.