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NRNP 6540 Week 2 Discussion Questions
1
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His spouse reports his dietary intake consist of sweet snacks, coffee with
added sugar, whole milk, carbohydrates, and fats
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Excessive intake of sugar and
caffeine can cause elevated blood pressure and chronic inflammation, which can worsen
heart disease
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His behavior in the ICU would have constituted delirium
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The onset was rapid, and duration
was short
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2
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This
can lead to a worsening of depression
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Social determinants can affect his health because social determinants information is
necessary in the process of making a diagnosis
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The MMSE is used to evaluate cognitive function and can be used to evaluate changes in
cognitive function over time
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The Cornell Scale for Depression in Dementia is a
screening tool used to evaluate depression in patients with dementia
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5
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NIMH-dAD: this is appropriate due to it being a set of diagnostic criteria for
depression in the patient with AD
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Factors to consider regarding depression scales is that patients with dementia or AD often
don’t recognize or report symptoms of depression, and symptoms of depression being
manifested differently in the demented patient
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7
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8
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9
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They act by inhibiting the reuptake of
serotonin, which will increase the activity of serotonin
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Dosage would
begin at the lowest dose, titrated accordingly
...
Nonpharmacological for this patient would include but not limited to supportive
counselling, cognitive behavioral therapy, psychotherapy, group therapy, and other
support groups
...
This could affect her ability to realize her own concerns
and feelings, therefore going untreated
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She could also benefit from counseling, group therapy,
problem-solving therapy, and reminiscence therapy
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They should consult with the physician prior to beginning any
type of alternative or complementary therapy
...
11
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12
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Following this week’s case study, I feel I will be able to better identify symptoms
of dementia
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, Shah, R
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, & Bennett, D
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(2019, October 22)
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Journal of the American Medical Association, 322(16), 15891599
...
ncbi
...
nih
...
J
...
Practice Considerations for Adult-Gerontology Acute Care Nurse
Practitioners (3rd ed
...
Retrieved from
https://www
...
com/ebook/practice-considerations-agacnp-3rd-edition/
Gale, S
...
, Acar, D
...
R
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Dementa
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Retrieved from
https://www
...
com/science/article/abs/pii/S0002934318300986
Kennedy-Malone, L
...
, & Duffy, E
...
Advanced Practice Nursing in the
Care of Older Adults (2nd ed
...
A
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