enlarged prostate, inattentiveness,
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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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