Clinical Case Study: A 74 year old woman was admitted to a long-term care facili

Question

Clinical Case Study:

A 74 year old woman was admitted to a long-term care facility. Her son reported that, over the past year he has noticed his mother progressively having problems with her mental capacity. The changes have developed gradually but have gotten worse. He reports that at times she is alert and other times she has been disoriented, depressed, and tearful.   She has been forgetting thins and doing things out of the ordinary. His neighbor found her down the street looking for his father who passed 2 years ago. Because her behavior has gotten worse and she has become more agitated she is no longer able to live alone. She has medical diagnoses of dementia, a history of transient ischemic attacks, congestive heart failure, status post–myocardial infarction, hypercholesterolemia, and a history of urinary tract infections (UTIs), and urinary incontinence. Two weeks after her admission, she is observed by the nursing staff to be more confused and agitated over the past few days. She falls asleep during meals, and upon awakening, she is disoriented to place and time, thinking she is only visiting at the nursing home. She frequently calls out for her son and becomes combative and is always trying to leave the nursing home. These are new behaviors for this patient. The night staff report she is confused, and they have overheard her talking to her son during the night. Before this week, she was slightly confused, extremely courteous older women. The CNA reports the resident’s urine is foul smelling and dark in color.

5.What medications would you suspect that she would be taking for her diagnosis of dementia?

Explanation / Answer

By seeing these side effects the Cognex may be the medication taking for dementia. For those with mild to moderate Alzheimer’s, Cognex may be a good choice. It reduces dementia symptoms by increasing certain substances in the brain that help with cognitive ability. As far as severe side effects go, it’s possible to develop dark urine, worsening coordination, an irregular heart beat, and constant dizziness, just to name a few. On the more common side, however, the situation isn’t as dire. there are more likely to have a loss of appetite and some digestive issues.

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