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    Dementia 1

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    lalitrajindolia
    JR, a 70-year-old man, is brought to an outpatient clinic by his daughter because of changes in his memory and behavior over the past 2-3 years. She has noticed him getting lost and needing constant supervision. On evaluation, JR can only remember 1 out of 3 objects and struggles with drawing a clock. His daughter appears anxious and says she does not know what else to do. A management plan should take a biopsychosocial approach, including medication like Donepezil, Rivastigmine, or Galantamine for his moderate dementia. He also needs caregiver support and community resources to help his daughter, such as adult day care and home care.

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    Dementia 1

    Uploaded by

    lalitrajindolia
    38 views2 pages
    JR, a 70-year-old man, is brought to an outpatient clinic by his daughter because of changes in his memory and behavior over the past 2-3 years. She has noticed him getting lost and needing constant supervision. On evaluation, JR can only remember 1 out of 3 objects and struggles with drawing a clock. His daughter appears anxious and says she does not know what else to do. A management plan should take a biopsychosocial approach, including medication like Donepezil, Rivastigmine, or Galantamine for his moderate dementia. He also needs caregiver support and community resources to help his daughter, such as adult day care and home care.

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    JR, a 70-year-old man, is brought to an outpatient clinic by his daughter because of changes in his memory and behavior over the past 2-3 years. She has noticed him getting lost and needing constant supervision. On evaluation, JR can only remember 1 out of 3 objects and struggles with drawing a clock. His daughter appears anxious and says she does not know what else to do. A management plan should take a biopsychosocial approach, including medication like Donepezil, Rivastigmine, or Galantamine for his moderate dementia. He also needs caregiver support and community resources to help his daughter, such as adult day care and home care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    38 views2 pages

    Dementia 1

    Uploaded by

    lalitrajindolia
    JR, a 70-year-old man, is brought to an outpatient clinic by his daughter because of changes in his memory and behavior over the past 2-3 years. She has noticed him getting lost and needing constant supervision. On evaluation, JR can only remember 1 out of 3 objects and struggles with drawing a clock. His daughter appears anxious and says she does not know what else to do. A management plan should take a biopsychosocial approach, including medication like Donepezil, Rivastigmine, or Galantamine for his moderate dementia. He also needs caregiver support and community resources to help his daughter, such as adult day care and home care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    For Student

    JR is a 70-year-old man who is brought into your outpatient clinic by his 45-year-old daughter
    (BG) because of a perceived inability to care for him at home. She states that he is generally
    healthy, but over the course of the last 2 to 3 years she has noticed changes in his memory and
    behavior. She is mostly concerned about his wandering and need for constant supervision.
    On history, she volunteers that she first noticed “something was off” when he started getting lost
    in the supermarket on grocery trips by himself. He used to be an excellent cook, but now can
    barely make himself a sandwich. JR also sometimes doesn’t recognize his grandchildren--- last
    week he yelled at his 10 year old grandson to “get off my property”.
    JR’s past medical history includes hypertension, coronary artery disease with a myocardial
    infarction 8 years ago. His medications include aspirin 81 mg daily, atenolol 25 mg daily, and
    hydrochlorothiazide 25 mg daily.
    JR needs some help with bathing. As for other basic ADLs1, he can do his own transfers, feed,
    and toilet himself; with guidance, hecan do his own grooming and dressing. However, he is
    almost completely dependent in instrumental activities of daily living (IADLs).
    As for his physical exam, vital signs are within normal limits. The rest of the physical exam is
    normal, including an evaluation of gait and balance. When you perform a MiniCog2 evaluation,
    he is able to only remember 1 out of 3 objects you asked him to retain. When asked to draw the
    face of a clock, he jumbles all of the numbers together on one side of the clock face and is unable
    to figure out how to draw the handsBG appears anxious throughout the whole interview and
    keeps repeating statements like “I don’t know what else to do with him”. She is an only child and
    has no one else to help her with her father.

    Tasks:
    1. Develop a management plan that incorporates a global approach, including medication
    and social interventions.

     Task 1 (5.0)It’s important to approach the issue from a biopsychosocial perspective. Because of
    his need for constant supervision, as well as some ADL needs, he could be classified as having a
    moderate dementia. He could be a candidate for cholinesterase inhibitors - Donepezil (Aricept) is
    approved to treat all stages of Alzheimer's.
     Rivastigmine (Exelon) is approved to treat mild to moderate Alzheimer's.
     Galantamine (Razadyne) is approved to treat mild to moderate Alzheimer's.

    and memantine

    2. Use overview for discussion on pharmacologic treatment, and you can also link to the
    Family Caregiver
    Task 2 (5.0)He also needs caregiver support and needs community resources, such as adult day
    care and home care. You should also encourage her to enlist other family support.

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