Dementia Case Study Difficulty

The reporting party (RP) stated she received a call from resident John Tedford who resides in the assisted living portion of the facility. The RP stated the resident does not have dementia and maintains his cognitive abilities. The RP stated the resident disclosed that money was stolen from his checking account. The RP stated the bank was contacted regarding the account and disclosed that the account was closed on 7/17/15. The bank informed the RP there were two checks issued that were not cashed. According to the RP the resident's checking account contained $10,500 and the savings account contained $169,000 at the time the accounts were closed. The RP stated the bank reissued the checks to the resident and mailed them to his wife's resident.

On 12/13/16 at around 8:55 am the aide-Grier Gloria- call the agency to report that her patient- Tomasulo Catherine is missing since yesterday. As per the aide on 12/12/16 at around 4:30-5:00pm the patient became aggressive, stated that she wants to go outside, did not wait for the aide who needed to put on boots and coat, opened the door and leave the house. The patient lives alone in the privet house, has dementia, but was not prone to wandering before this day. The aide stated that by the time she was run out of the house she noticed direction the patient was heading, but when she reached the corner of the nearest streets the patient was disappear. She was looking for her until 6:30pm, return to the patient’s house to see if the patient

A.S is an 81-year LTC resident who is pleasant and cooperative but not a good historian due to her dementia. A.S has been having diarrhea, low graded fever, abdominal cramps, and decreased appetite, according to her records for the past 5 days. Staff reports that she has been having four to six stools per day primarily in the morning and evening. A conversation with the Nurse who was caring for miss A.S reveals that the resident likes to sneak fruits and cookies from the dining room and hides it in her room, and she would eat it sometimes after two to three days. The resident feels that her diarrhea is due to eating too many oranges. Nursing staff have been giving Miss A.S Tylenol 1000mg three times a day for fever and abdominal discomfort

A review of her medical records indicates that on 12/16/16 and 12/20/16 she has urine ordered for UA, C & S due to increased incontinence. On 1/3/17 she was ordered a psych consult due to mood changes. She is taking buspirone hcl 15 mg for agitation. She does suffer from advanced dementia. The facility nurse reports that she continues to suffers from co-morbidities of hypothyroid-stable, HTN-stable and anemia which is chronic. She is known to the palliative care team as she was admitted to palliative care July of 2016 due to her advanced dementia and weight loss, at which time she was in assisted living. She has since transferred to SNF at the gardens due to her progressive decline.

The patient is a 58-year-old female who presents to the ED because of progression of left-sided facial numbness of the face and arm with slurred speech. The facial droop which occurred approximately a week prior to admission, cleared spontaneously, recurred again and that is when she presented to the ED. The patient is known to have end-stage renal disease. In the ED showed mildly elevated troponins. CAT scan of the head showed progression of severe diffuse white matter lucencies. She is also known to have diverticular disease and cysts to kidney. The neurologic exam reveals a mild ataxic hemiparesis on the left and the patient was placed by the attending physician in observation status. Unfortunately she was discharged before condition

Due to the USPS officials returning 2117 Atkins drive Huntsville, Alabama 35810’s mail to senders, Property Owner Timberlake, files this mail fraud complaint against the USPS and its officials.

The patient is an 89-year-old woman who presented to the ED with altered mental status. She was unable to give any history. She is known to be long-term nursing home resident of care Dr. Cronin. She was transferred to the hospital on the 2nd because of altered mental status. In particular it was described that she had become nonverbal, as well as lethargic. She does have history of dementia but it does appear that her current mental status on presentation was worse than it had been previously

— Elderly people suffering from Dementia and Alzheimer meet with a progressive cognitive decline making them experience hardship in performing their everyday conventional activities especially in their outdoor navigation as they tend to forget landmarks even in familiar environments due to gradual decline in their memory and thinking abilities. Hence, disorientation and wandering become common issue. Providing assistive guidance to the elderly people in their outdoor mobility has become a challenging task for caretakers and family members as most of the elders prefer to live independently. Thus, there arises a need for efficient solutions that can monitor the elderly people movements and notify the caretakers in the event of disorientation or wandering being detected.

The patient is 79-year-old gentleman who is brought in by his family due to complaints of left sided facial droop over the past 7-10 days. He also complained of difficulty swallowing due to pocketing of food on the left side of his mouth. There are no complains of weakness, loss of consciousness or syncope. The patient is also complaining of incontinence occasionally. The patient admits to having difficulty ambulating secondary bilateral lower extremity pain and swelling. The patient was recently in the hospital from April 6 to April the 9th with hypertensive emergency which placed in congestive heart failure. He also has some hearing loss. It is noted that he is noncompliant with medications at home. He walks with a walker at baseline.

STUDY OF THE ASSOCIATION BETWEEN COGNITION AND LEVELS OF CYSTATIN C IN ELDERLY PATIENTS WITH CHRONIC KIDNEY DISEASE

As of 2010, an estimated 5.1 million Americans were affected by Alzheimer’s Dementia and related Dementias (Hebert et al., 2003). Dementia is a syndrome that results in decline of memory and at least one other cognitive ability, significant enough to interfere with daily life activities (American Psychiatric Association, 1994). Many individuals engage in pharmacological and non-pharmacological therapies to ameliorate the symptoms of dementia and improve quality of life for the individual and their caregivers. Traditional non-pharmacological therapies typically address quantitative behavioral goals such as improving a client’s memory. A client’s sense of self or identity is typically not prioritized in therapy (Basting, 2003). Sense of self

Dementia is considered globally health challenge. A significant increase of people having dementia is increasing yearly which is proportion to the population of New Zealand. According to Ministry of Health (n.d), dementia means loss of memory function due to the physical change of the brain. Extensive research and further improvement of the services particularly on dementia care is being conducted every year by the New Zealand Ministry of health as a counter action to the dilemma. Thus creating the structure or framework for dementia care in New Zealand is helpful and it was immediately used as a reference for all the services related to Dementia care.

(2008) reports the modality of (TT) as being highly beneficial to decrease agitation in dementia patients. The research of Wang and Hermann (2006) supports Coppa’s findings that touch therapies significantly reduce agitation in elderly dementia patients and also decrease the necessity for psychotropic medication in these same patients.

When a doctor tells an individual that they have dementia, this mean that their brain has a condition where they have problems with thinking and memory (Types of Dementia, 2005). As time progresses, dementia leads to loss of memory, loss of reasoning and judgment, personality and behavior changes, physical decline and death (Caring for a Person with Dementia, 2005). However, dementia patients are not the only ones who suffer from the progression of their condition. The care for dementia patient falls upon their families. While the family transitions into a caregiver role and the dementia patient needs are being met, how does the

Alice Howland is a fifty-year old woman; she is married to a successful man named John. Besides, she is the mother of two women and a man. Alice works as a linguistics teacher at Columbia University. One day, she was giving one of her common conferences, and she started forgetting some words she had to say. Nevertheless, this situation becomes worse as the time passes and she forgets everything, even where she was. For that reason, she decided to visit the doctor who prescribed her some tests to determine what she had. Later, when the doctor checked the tests, he realized that she is losing her memory. However, he tried to confirm that she got Alzheimer since it was weird in a young person such as Alice was.