Mr White is a 72-year-old man with a history of hypertension, COPD and moderate dementia

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.

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Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).

1. What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
2. What additional testing should you consider if any?
3. 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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NSG 6440 Week 7 Assignment 1 DiscussionThis week’s content addressed common techniques and testing that can be prescribed by the Nurse Practitioner.  Review ONE of the following videos and post for the class what you have learned this week:

Watch the following video on suturing

Suture Skills Course – Learn Best Suture Techniques

Watch the following video on EKG rhythms

Skillstat

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.