ACTonALZ. (2014, December 2).  Delivering an Alzheimer’s disease diagnosis [Video]. YouTube.   Case Scenario 

ACTonALZ. (2014, December 2). 
Delivering an Alzheimer’s disease diagnosis [Video]. YouTube.

 

Case Scenario 

You are the APRN at a large hospital outpatient memory clinic. You are working with a team that includes a geriatrician, neurologist, neuropsychologist, social worker, and ancillary providers. The current protocol for patient evaluation of cognitive conditions is based on evidence-based guidelines. In addition to a complete patient history and physical (H & P), this protocol includes lab value evaluations of vitamin B & D levels, a CMP, CBC, inflammatory markers, and a preliminary neuroimaging CAT scan. Additionally, a two-hour outpatient visit with the neuropsychologist for cognitive testing and depression screening is completed. Final results and the diagnosis will include the patient’s primary care provider (PCP) in the follow-up meeting.  

You have previously met the patient and his wife at the first clinic visit. They have completed the work up, as detailed above, which is similar to what is described in this video. They now come to the clinic for a final diagnosis. 

 

Follow-up final diagnosis meeting 

You and the PCP meet with the couple and relay the results of the testing. The conclusion is vascular dementia. After a few minutes, the PCP gets called away, and you are left with the couple who sits there looking bewildered. 

 

What should you do next?         

1. What questions would you ask the couple? 

2. How would you know when to proceed with the visit?  

3. How would you enhance the rapport you have already made during your previous meeting? 

4. How would you deliver your treatment plan? 

5. How would you follow up to monitor the plan interventions? 

Submit a Word document in APA format with the answers to these questions. Use evidence-based resources as citations and answer all five questions in order.  Please limit it to two pages.    

 

Please keep in mind a few things:  

Dementia is an umbrella term for many different diseases. People often think of Alzheimer’s disease (AD) as a different entity.  Sometimes a diagnosis of dementia does not mean as much as a diagnosis of AD. Yet, the outcomes are the same. People react differently to news, good or bad, and someone with dementia may not know how to react. 

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Week 6 Assignment: Nursing Informatics Project Proposal Your Name Program Name or Degree Name, Walden University Nursing 8210: Transforming

Week 6 Assignment: Nursing Informatics Project Proposal Your Name Program Name or Degree Name, Walden University Nursing 8210: Transforming Nursing Instructor Name Month XX, 202X Introduction Content: Brief introduction to the project requirements and objectives Formatting Notes: Choose formatting that presents your information in the most logical way. You may

Help responding to collegues  Please respond to the following colleagues AS Angela

Help responding to collegues  Please respond to the following colleagues AS Angela Stapleton-Burley Jun 25 10:56pm Manage Discussion by Angela Stapleton-Burley Reply from Angela Stapleton-Burley   Hi Everoyne, One significant benefit of incorporating big data into clinical systems is the enhancement of predictive analytics, which allows providers to proactively identify