Discuss the following scenario. 94-year-old woman is admitted to your hospital w

Question

Discuss the following scenario. 94-year-old woman is admitted to your hospital with dehydration, trouble breathing, and possible kidney failure. She is clearly in advanced Alzheimer's, weighs about 95 pounds, and shows multiple bruises on her body. She cannot talk. Her caregiver attributes the bruises to a blood disorder that reduces clotting.

A. What are your thoughts about this situation?

B.What kind of investigation would you conduct?

C.What actions would you take to be in compliance with ethical principles?

Explanation / Answer

ALZHEMIERS DISEASE:- It is defined as the neurodegerative disease usually starts slowly and worsens over time.the common syptoms are difficulty in remembering short term events,problems with language,disorientation, mood swings,loss of motivation,not able to manage self care,

early syptoms:-difficulties in language,agonosia,aparaxia,episodic memory,decreased word fluency,

Moderate symptoms:-inability to recall vocabulary,paraphasias,wandering,irritability,liable effect, aggression,llusionary misidentification,delusional symptoms,

Advanced symptoms:-language is reduced to simple phrases and even single words,complete loss of speech,exteme apathy and exhaustion,muscle mass and mobility deteriorates,infection of pressure ulcers and pneumonia, urinary incontinence

1A) Based upon the scenario the patient was almost 94years old . by seeing the symptoms the patient was in advanced stage of alzheimers disease.As the patient unable to walk is quiet commonwith progression of dementia,as their skin becomes think and can cause bruises more easily,if the patient is using asprin which inhibits clotting of blood which can cause even mor bruising of the skin.

2A)medical history of the patient from thr patient relatives and behavoural observations,CT scan of the bran and MRI,single photon emission computed tomography (SPECT) ,positron emission tomography(PET), mini mental state examnation is used to evaluate the cognitive functioning,blood tests to identify the other causes of dementia, and psychological tests

3A)Drugs like NSAIDS,changing of lifestyle like engaging in intellectual activities- reading,board games,cross word puzzels, playing musical instruements,regular social interaction,psychotherapy,validation therapy.sensory integration.

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