Neurological System Case Study – #1

Mrs. Smith is an 85 year female with a history of Hypertension, diabetes and osteoarthritis. Her daughter who cares for her reports that she became suddenly confused beginning last night. She knows her daughter but has been unable to remember her grandchildren’s names. She continuously asks her daughter “What are those kids doing in our house?” .Her mother was in and out of bed all night and slept very little. Her daughter does say that her mother seemed better this morning, but on the way to your office she became more confused again. Review of systems is significant for a dry cough for the past few days. She has not had a fever. Her appetite has been poor. Her exam is normal except for some fine crackles in her left lung base. Mrs. Smith’s daughter says” My dad had Alzheimer’s and now it looks like I am going to have to go through that with my mother”

1) What are the possibilities for change in Mrs. Smith’s current mental status?

2) What is your top differential diagnosis? Give 3 reasons why you chose that diagnosis.

3) How can you differentiate depression, dementia and delirium?

4) Explain to Mrs. Smith’s daughter what treatment is needed and what you think her prognosis is.

Do one page

Provide references.

 

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When we approach discussions about diversity, we each come to conclusions with our own perspectives that have been shaped by our experiences. As we begin our first discussion, take a moment to consider what has influenced your ideas of diversity and compare those ideas with what you read in this module’s readings. Then, address the following:

• Introduce your major and profession – NURSING.
• In your own words, define the term diversity and discuss how it is used or impacts your daily life. How does your definition compare and contrast with those that were presented in the readings?
• What is the influence of diversity on your chosen field of study or future profession? How can you use your understanding of diversity in your professional career?

In response to your peers, provide feedback about their definition of diversity. Compare and contrast your answers and consider the following:

• What are the similarities and differences between your peer’s response and yours?
• How do the two definitions of diversity help to illustrate how diversity and society are intertwined? How can a perspective through the four lenses help to provide a greater understanding of diversity?

Make sure you support your response with the readings from this module, and any additional resources if needed.

Attached below are readings from the module to use to answer the questions above. 

Field of study and current profession is NURSING and should be based in that subject.

 

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.1- Propose a research question related to your potential research project that would require a qualitative research approach. Select the best qualitative method that could answer the research question proposed? What are the strengths and weaknesses of that method?

2-Identify a practice issue that would benefit from utilizing a mixed methods approach. Discuss how the quantitative and qualitative data would complement one another and add strength to the study. Discuss the challenges that you might encounter in using a mixed methods approach. Support your discussion using current mixed methods research articles.

(Essentials I-IX)

 

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Clients with personality disorders often find it difficult to overcome their problems and function in daily life. Even when these clients are aware that they have a dysfunction with their personality and are open to counseling, treatment can be challenging for both the client and the therapist. For this Discussion, as you examine personality disorders, consider therapeutic approaches you might use with clients.

Post a description of the personality disorder you selected. Explain a therapeutic approach (including psychotropic medications if appropriate) you might use to treat a client presenting with this disorder, including how you would share your diagnosis of this disorder to the client in order to avoid damaging the therapeutic relationship. Support your approach with evidence-based literature.

The Selected personality disorder is Borderline Personality Disorder.

 

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